Intensive group training versus cognitive intervention in XXXX : short-term results of a single-blind randomized controlled trial.

@entity1 @entity1643 @entity158
OBJECTIVE: To evaluate the short-term effect of physical exercise and a cognitive intervention in @entity1643 . DESIGN: Randomized controlled trial. SUBJECTS: Ninety-three @entity1 sick-listed for 8-12 weeks for @entity1643 were randomized to an exercise regime (n = 30), a cognitive intervention (n = 34) or a control group (n = 29). METHODS: Primary outcome measures were @entity158 , disability, sick-listing and satisfaction with care. Secondary outcome measures were self-efficacy for @entity158 and for function, fear-avoidance beliefs, emotional distress, generic health status and life satisfaction. RESULTS: Eighteen percent of subjects dropped out. Drop-out was most frequent in the exercise group. At 18 weeks after inclusion fear-avoidance beliefs were reduced in both intervention groups. The cognitive group demonstrated significant improvement in disability, self-efficacy for @entity158 , general health and life satisfaction. @entity1 in the exercise group were significantly more satisfied with the treatment, and @entity1 following the exercise protocol reduced @entity158 significantly. No effect on sick-listing was seen. CONCLUSION: Cognitive intervention improved disability and may be feasible for most @entity1 sick-listed in the sub-acute phase. Physical exercise reduced @entity1 ' symptoms, but requires high motivation by @entity1 . Despite positive effects in intervention groups on variables considered as negative prognostic factors for long-term disability and sickness absence, interventions had no effect on sick-listing.
