[Non-randomised trial of an educational intervention based on cognitive-behavioural principles for XXXX with @entity1643 attended in Primary Care Physiotherapy].

@entity1 @entity1643 @entity239 @entity73 @entity74 @entity158
OBJECTIVE: To assess the influence of an educational intervention in reducing   fear-avoidance   (FA) and   @entity158 catastrophising   (CAT) in a population with @entity1643 ( @entity1643 ), attending physiotherapy in Primary Health Care. A pragmatic quasi-experimental study was conducted in Health Centres of a Costa del Sol Health District. DESIGN: Quasi-experimental study. SETTING: Primary Health Care physiotherapy Back Schools in Health Centres of a Costa del Sol Health District. @entity1 : The selection criteria were: @entity1643 ; 18-65years; understanding of the Spanish language; absence of parallel educational interventions; absence of red flags; not showing @entity73 or @entity239 ; absence of thoracic-lumbar surgery, and exercise tolerance. INTERVENTIONS: 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. @entity158 and disability were also assessed. Some   @entity74   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 @entity158 (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.
