TY - JOUR
T1 - Biopsychosocial rehabilitation in the working population with chronic low back pain
T2 - a concept analysis
AU - Ceulemans, Dries
AU - Moens, Maarten
AU - Reneman, Michiel
AU - Callens, Jonas
AU - De Smedt, Ann
AU - Godderis, Lode
AU - Goudman, Lisa
AU - Lavreysen, Olivia
AU - Putman, Koen
AU - Van de Velde, Dominique
PY - 2024/1/16
Y1 - 2024/1/16
N2 - OBJECTIVE: To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population.DESIGN: A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions.METHODS: Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated.RESULTS: Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given.CONCLUSION: This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.
AB - OBJECTIVE: To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population.DESIGN: A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions.METHODS: Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated.RESULTS: Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given.CONCLUSION: This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.
KW - Humans
KW - Low Back Pain/psychology
KW - Combined Modality Therapy
KW - Social Support
KW - Exercise Therapy
KW - Sick Leave
KW - Chronic Pain
U2 - 10.2340/jrm.v56.13454
DO - 10.2340/jrm.v56.13454
M3 - Review article
C2 - 38226563
SN - 1650-1977
VL - 56
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
M1 - jrm13454
ER -