title: Educational self-care objectives within a functional spine restoration program. Retrospective study of 104 patients.
abstract: BACKGROUND
  Defining individual educational, or learning, targets is part of the initial educational assessment in rehabilitation programs, but no data are available on how to achieve these goals.
  
  
  OBJECTIVE
  We aimed to evaluate whether educational objectives established with the patient as part of a functional spine restoration program integrating self-care sessions were met after the program and associated therapy outcomes.
  
  
  METHODS
  This retrospective study involved 104 patients with chronic low-back pain who participated in a self-care rehabilitation program between 2008 and 2012. The program included both physical and educational approaches to dealing with the condition. The main evaluation criterion was achieving the educational objectives established with the patient at 6 months. Secondary criteria were a return to work, pain intensity and impact on function, satisfaction with the program and implementation of physical activity and self-rehabilitation at 6 months.
  
  
  RESULTS
  At 6 months, 55% of the established educational objectives were fully achieved and satisfaction was close to 90%. Significantly, more patients were involved in a physical activity at 6 and 12 months and self-rehabilitation exercises at 6 months as compared with at inclusion. Overall, 43.4% were working at inclusion, 64.2% at 6 months and 58.2% at 12 months (P<0.05 compared with inclusion). Pain intensity and scores from the Quebec, Dallas and FABQ questionnaires had significantly decreased at 6 months.
  
  
  CONCLUSIONS
  For more than half of the patients in this self-care rehabilitation program, educational objectives established with the patient were achieved, with a positive effect on returning to work and both professional and physical activities at 6 and 12 months.
authors.affiliation: Département de Médecine Physique et de Réadaptation, CHU de Montpellier, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34000 Montpellier, France. Electronic address: i-tavaresfigueiredo@chu-montpellier.fr.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Tavares Figueiredo
authors.affiliation: Département de Médecine Physique et de Réadaptation, CHU de Montpellier, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34000 Montpellier, France; Département de Médecine Physique et de Réadaptation, CHU de Nîmes, 30000 Nîmes, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Dupeyron
authors.affiliation: Département de Médecine Physique et de Réadaptation, CHU de Montpellier, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34000 Montpellier, France.
authors.forename: Bao
authors.initials: B
authors.lastname: Tran
authors.affiliation: Département de Médecine Physique et de Réadaptation, CHU de Montpellier, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34000 Montpellier, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Duflos
authors.affiliation: Département de Médecine Physique et de Réadaptation, CHU de Montpellier, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34000 Montpellier, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Julia
authors.affiliation: Département de Médecine Physique et de Réadaptation, CHU de Montpellier, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34000 Montpellier, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Herisson
authors.affiliation: Université Clermont-Auvergne, 63000 Clermont-Ferrand, France; CHU de Clermont-Ferrand, Service de Médecine Physique et de Réadaptation, 63003 Clermont-Ferrand, France; Unité de Nutrition Humaine, Inra, UMR 1019, CRNH Auvergne, 63003 Clermont-Ferrand, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Coudeyre
mesh_terms: D000328:Adult; D005081:Exercise Therapy / Q000193:education*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D012189:Retrospective Studies; D012648:Self Care / Q000379:methods*; D012655:Self-Evaluation Programs; D013997:Time Factors
keywords: Bio-psychosocial; Chronic low-back pain; Functional restoration of the spine; Self-care