{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:25:58Z","timestamp":1790036758175,"version":"4.0.1"},"reference-count":39,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2021,11,3]]},"abstract":"<jats:p>BACKGROUND : Randomized clinical trials (RCT) suggest a multidisciplinary approach to pain rehabilitation is superior to other active treatments in improving pain intensity, function, disability, and pain interference for patients with chronic pain, with small effect size (ds= 0.20\u20130.36) but its effectiveness remains unknown in real-world practice. OBJECTIVE: The current study examined the effectiveness of a multidisciplinary program to a cognitive and behavioral therapy (pain-CBT) in real-world patients with chronic back pain. METHODS: Twenty-eight patients (M\ud835\udc4e\ud835\udc54\ud835\udc52= 57.6, 82.1% Female) completed a multidisciplinary program that included pain psychology and physical therapy. Eighteen patients (M\ud835\udc4e\ud835\udc54\ud835\udc52= 58.9, 77.8% Female) completed a CBT-alone program. Using a learning healthcare system, the Pain Catastrophizing Scale, 0\u201310 Numerical Pain Rating Scale, and Patient-Reported Outcomes Measurement Information System\u00ae measures were administered before and after the programs. RESULTS: We found significant improvement in mobility and pain behavior only after a multidisciplinary program (p\u2019s &lt; 0.031; d= 0.69 and 0.55). We also found significant improvement in pain interference, fatigue, depression, anxiety, social role satisfaction, and pain catastrophizing after pain-CBT or multidisciplinary programs (p\u2019s &lt; 0.037; ds = 0.29\u20130.73). Pain ratings were not significantly changed by either program (p\u2019s &gt; 0.207). CONCLUSIONS: The effect of a multidisciplinary rehabilitation program observed in RCT would be generalizable to real-world practice.<\/jats:p>","DOI":"10.3233\/bmr-200305","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T14:42:18Z","timestamp":1624027338000},"page":"965-973","source":"Crossref","is-referenced-by-count":17,"title":["Effectiveness of a multidisciplinary rehabilitation program in real-world patients with chronic back pain: A pilot cohort data analysis"],"prefix":"10.1177","volume":"34","author":[{"given":"Dokyoung S.","family":"You","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maisa S.","family":"Ziadni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne E.","family":"Cooley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David 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Processes of change in treatment for chronic pain: the contributions of pain, acceptance, and catastrophizing. Eur J Pain. 2007; 11(7): 779-787.","DOI":"10.1016\/j.ejpain.2006.12.007"},{"issue":"1-2","key":"10.3233\/BMR-200305_ref35","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.pain.2009.07.029","article-title":"Development and psychometric analysis of the PROMIS pain behavior item bank","volume":"146","author":"Revicki","year":"2009","journal-title":"Pain."},{"issue":"4","key":"10.3233\/BMR-200305_ref36","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/S0005-7894(04)80020-0","article-title":"Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial","volume":"35","author":"Dahl","year":"2004","journal-title":"Behav Ther."},{"key":"10.3233\/BMR-200305_ref37","doi-asserted-by":"crossref","unstructured":"McCracken LM, Guti\u00e9rrez-Mart\u00ednez O. Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy. 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