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Table 6 Observed (unadjusted) and marginal (adjusted) change scores from baseline to 4-month follow-up with 95% confidence intervals

From: GLA:D® Back: group-based patient education integrated with exercises to support self-management of persistent back pain — feasibility of implementing standardised care by a course for clinicians

 

Before-group

n = 63

After-group

n = 59

GLA:D Back group

n = 78

Oswestry Disability Index (0–100)

Unadjusted

1.8 (− 1.2; 4.8)

4.4 (1.7; 7.1)

6.5 (4.6; 8.4)

Adjusted

2.4 (− 0.5; 5.3)

4.8 (1.9; 7.6)

5.7 (3.3; 8.1)

Back pain intensity (0–10)

Unadjusted

0.6 (−0.05; 1.3)

1.9 (1.2; 2.7)

1.2 (0.6; 1.7)

Adjusted

0.8 (0.1; 1.5)

1.4 (0.7; 2.1)

1.3 (0.7; 1.9)

Leg pain intensity (0–10)

Unadjusted

0.3 (−0.4; 1.0)

0.9 (0.3; 1.6)

0.8 (0.2;1.4)

Adjusted

0.7 (0.03; 1.4)

0.7 (−0.04; 1.4)

0.7 (0.1; 1.3)

Illness perceptions (0–80)

Unadjusted

2.7 (−1.2; 6.5)

3.6 (0.2; 7.1)

7.1 (4.3; 9.9)

Adjusted

4.0 (0.07; 7.9)

2.7 (−1.2; 6.7)

6.7 (3.3; 10.0)

Fear-avoidance beliefs (0–24)

Unadjusted

1.3 (−0.2; 2.9)

2.3 (0.8; 3.7)

2.2 (1.0; 3.5)

Adjusted

0.8 (−0.9; 2.5)

1.8 (0.2; 3.5)

2.2 (0.7; 3.6)

Mental well-being (0–100)

Unadjusted

4.7 (0.7; 8.8)

5.1 (0.2; 10.0)

7.3 (3.5; 11.1)

Adjusted

4.0 (−0.2; 8.2)

6.1 (1.9; 10.4)

7.3 (3.8; 10.9)

Back pain enablement (0–60)

Unadjusted

2.9 (−0.4; 6.2)

2.8 (−0.4; 6.1)

5.9 (3.5; 8.4)

Adjusted

2.3 (−0.6; 5.2)

2.4 (−0.5; 5.4)

5.5 (3.1; 7.9)

Perceived physical fitness (0–40)

Unadjusted

0.7 (−0.5; 1.8)

0.4 (−0.7; 1.5)

1.4 (0.4; 2.3)

Adjusted

0.6 (−0.6; 1.7)

0.4 (−0.6; 1.5)

1.4 (0.4; 2.3)

Abdominal endurance, seconds

Unadjusted

9.0 (−0.5; 18.5)

[n = 38]

27.8 (15.8; 39.8)

[n = 17]

24.0 (16.8; 31.3)

[n = 59]

Adjusted

8.7 (−3.3; 20.7)

26.9 (11.9; 42.0)

22.3 (12.7; 31.9)

Extensor endurance, seconds

Unadjusted

13.3 (−1.6; 28.2)

[n = 34]

41.9 (19.8; 65.1)

[n = 16]

43.0 (27.9; 58.0)

[n = 47]

Adjusted

9.2 (−8.5; 26.8)

41.3 (18.2; 64.4)

46.5 (32.7; 60.4)

  

Proportion at follow-up, %

Impaired social functioning

Unadjusted

14%

14%

18%

Adjusted

13%

15%

17%

High satisfaction

Unadjusted

76%

78%

85%

Adjusted

81%

77%

85%

Pain or restricted movement in forward bending

Unadjusted

33% [n = 43]

32% [n = 25]

28% [n = 67]

Adjusted

36%

31%

29%

Stopped pain medication*

Unadjusted

21%

18%

44%

Adjusted

16%

17%

43%

  1. Covariates in adjusted analyses: age, gender, education, START risk group, baseline value of covariate (when collected)
  2. Before-group participants recruited prior to implementation of GLA:D Back, after-group participants recruited after the implementation
  3. *Proportion not using pain medication among patient who used pain medication at baseline