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Physical therapists' use of cognitive-behavioral therapy for older adults with chronic pain: A nationwide survey.
Physical Therapy
, Volume 89(5)
, Pgs. 456-469.
NARIC Accession Number: J56550.
ISSN: 0031-9023.
Author(s): Beissner, Katherine; Henderson Jr., Charles R.; Papaleontiou, Maria; Olkhovskaya, Yelena; Wigglesworth, Janet; Reid, M. C..
Publication Year: 2009.
Number of Pages: 14.
Abstract: Study examined the extent to which physical therapists use cognitive behavioral therapy (CBT) techniques when treating older patients with chronic pain. The study also determined therapists' interest in and barriers to incorporating CBT into their treatments and identified factors associated with participants' interest in CBT. Data were collected from a nationwide telephone survey completed by 152 members of the Geriatrics and Orthopaedics sections of the American Physical Therapy Association. Statistical general linear models were used to assess associations between participant-related factors and interest in CBT. Results indicated that commonly-used CBT interventions included activity pacing and pleasurable activity scheduling. Non-CBT treatments included exercises focusing on joint stability and mobility, and strengthening and stretching programs. Respondents showed substantial interest in incorporating CBT techniques in their respective practices. Barriers to the use of CBT included lack of knowledge of and skill in the techniques, reimbursement concerns, and time constraints. Practice type and the interaction of percentage of patients with pain and educational degree of the physical therapist were independently associated with provider interest in CBT.
Descriptor Terms: CHRONIC ILLNESS, INTERVENTION, NATIONAL SURVEYS, OLDER ADULTS, PAIN, PAIN MANAGEMENT, PHYSICAL THERAPY, PSYCHOTHERAPY, SERVICE UTILIZATION, TREATMENT, .
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