title: [Non-randomised trial of an educational intervention based on cognitive-behavioural principles for patients with chronic low back pain attended in Primary Care Physiotherapy].
abstract: OBJECTIVE
  To assess the influence of an educational intervention in reducing «fear-avoidance» (FA) and «pain catastrophising» (CAT) in a population with unspecific chronic low back pain (UCLBP), attending physiotherapy in Primary Health Care. A pragmatic quasi-experimental study was conducted in Health Centres of a Costa del Sol Health District.
  
  
  METHODS
  Quasi-experimental study.
  
  
  METHODS
  Primary Health Care physiotherapy Back Schools in Health Centres of a Costa del Sol Health District.
  
  
  METHODS
  The selection criteria were: UCLBP; 18-65years; understanding of the Spanish language; absence of parallel educational interventions; absence of red flags; not showing cognitive impairment or fibromyalgia; absence of thoracic-lumbar surgery, and exercise tolerance.
  
  
  METHODS
  The control group received the usual Back Schools program. The experimental group also received a written document for home reading, plus the subsequent sharing, clarifying doubts, and beliefs and goals restructuring during the development of the sessions. Both interventions lasted about 280minutes (7 sessions×40min).
  
  
  RESULTS
  The main variables included FA and CAT. Pain and disability were also assessed. Some «demographic» and «related disorder» variables were considered in the analysis. Statistically significant differences were observed in the experimental group versus control, in the variation of FA -14 (-25.5; 0) vs -4 (-13; 0) (P=.009), and CAT -9 (-18; -4) vs -4,5 (-8.25; 0) (P=.000), were observed. Also differences in disability (P=.046), but not in pain (P=.280).
  
  
  CONCLUSIONS
  These results should be considered in light of possible limits imposed by the study. Its pragmatic nature would allow a potential transfer to usual care.
authors.affiliation: Distrito Sanitario Costa del Sol, Servicio Andaluz de Salud, Junta de Andalucía, Málaga, España. Electronic address: juanlu1x2@hotmail.com.
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: Díaz-Cerrillo
authors.affiliation: U.G.C. Las Lagunas, Unidad de Fisioterapia, Distrito Sanitario Costa del Sol, Servicio Andaluz de Salud, Junta de Andalucía, Mijas-Costa, Málaga, España; Área de conocimiento de Fisioterapia, Departamento de Psiquiatría y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Rondón-Ramos
authors.affiliation: Unidad AME (IBIMA-FIMABIS), Málaga, España.
authors.forename: Rita
authors.initials: R
authors.lastname: Pérez-González
authors.affiliation: U.G.C. Las Albarizas, Unidad de Fisioterapia, Distrito Sanitario Costa del Sol, Servicio Andaluz de Salud, Junta de Andalucía, Mijas-Costa, Málaga, España.
authors.forename: Susana
authors.initials: S
authors.lastname: Clavero-Cano
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003071:Cognition; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008297:Male; D008511:Medicine; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011320:Primary Health Care; D055815:Young Adult
keywords: Atención primaria; Catastrofismo; Catastrophism; Educación en salud; Fear; Fisioterapia; Health education; Low back pain; Lumbalgia; Miedo; Physical therapy modalities; Primary health care