Der Fragebogen zur Erfassung der schmerzspezifischen Selbstwirksamkeit (FESS)

Mangels, Marija; Schwarz, Susanne; Sohr, G.; Holme, Martin; Rief, Winfried

doi:10.1026/0012-1924.55.2.84

Cited by 38 publications

(28 citation statements)

References 32 publications

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“…Self-efficacy with respect to coping with back pain will be assessed with the German adaptation of the Pain Self-efficacy Questionnaire (PSEQ; German: Fragebogen zur Erfassung der schmerzspezifischen Selbstwirksamkeit, FESS) [50, 51]. The FESS measures belief that one will be able to perform various activities despite one’s pain.…”

Section: Methodsmentioning

confidence: 99%

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Rehabilitation access and effectiveness for persons with back pain: the protocol of a cohort study (REHAB-BP, DRKS00011554)

et al. 2017

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BackgroundBack pain is one of the most common chronic diseases in Germany and has a major impact on work ability and social participation. The German Pension Insurance (GPI) is the main provider of medical rehabilitation to improve work ability and prevent disability pensions in Germany. However, over half of the persons granted a disability pension have never used a medical rehabilitation service. Furthermore, evidence on the effects of medical rehabilitation in Germany is inconclusive. Consequently, this study has two aims: first, to determine barriers to using rehabilitation services, and second, to examine the effectiveness of medical rehabilitation in German residents with chronic back pain.MethodsIn 2017 a postal questionnaire will be sent to 45,000 persons aged 45 to 59 years whose pension insurance contributions are managed by the GPI North or the GPI Central Germany. In 2019 respondents who report back pain in the first survey (n = 5760 expected) will be sent a second questionnaire. Individuals will be eligible for the first survey if they are employed, have neither used nor applied for a rehabilitation programme during the last 4 years and neither received nor applied for a disability pension. The sample will be drawn randomly from the registers of the GPI North (n = 22,500) and the GPI Central Germany (n = 22,500) and stratified by sex and duration of sickness absence benefits. Barriers to rehabilitation services will be related to socio-demographic and social characteristics, pain and attitudes to pain, health and health behaviour, healthcare utilisation, experiences and cognitions about rehabilitation services and job conditions. Propensity score matched analyses will be used to examine the effectiveness of rehabilitation services. Data on use of medical rehabilitation will be extracted from administrative records. The primary outcome is pain disability. Secondary outcomes are pain intensity and days of disability, pain self-efficacy, fear avoidance beliefs, self-rated health, depression, healthcare utilisation, self-rated work ability and subjective prognosis of employability, sickness absence benefits, and disability pensions.DiscussionThis study identifies barriers to use of rehabilitation services and determines the effectiveness of medical rehabilitation for patients with chronic back pain.Trial registrationGerman Clinical Trials Register (DRKS00011554, January 26, 2017).Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4588-x) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

“…Total scores range from 10 to 60, with higher scores indicating greater pain self-efficacy. The FESS has been shown to be a valid instrument for the evaluation of therapeutic success in the context of pain research [51]. …”

Section: Methodsmentioning

confidence: 99%

Rehabilitation access and effectiveness for persons with back pain: the protocol of a cohort study (REHAB-BP, DRKS00011554)

et al. 2017

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“…The tertiary outcomes include: the Pain Solutions Questionnaire (PASOL) [46], the Psychological Inflexibility in Pain Scale (PIPS) [47], scales assessing coping with pain (Fragebogen zur Erfassung der Schmerzverarbeitung, FESV) [48] and the Pain Self Efficacy Questionnaire (FESS) [49]. …”

Section: Methodsmentioning

confidence: 99%

Evaluation and implementation of graded in vivo exposure for chronic low back pain in a German outpatient setting: a study protocol of a randomized controlled trial

Riecke

Holzapfel

Rief

et al. 2013

Trials

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BackgroundThe purpose of the present study is to introduce an adapted protocol of in vivo exposure for fear avoidant back pain patients and its implementation in the German health care system without multidisciplinary teams. Case studies demonstrated promising effects but three preceding randomized controlled trials (RCTs) could not support the former results. More empirical support is necessary to further substantiate the effectiveness of in vivo exposure.MethodsA total of 108 chronic low back pain patients are randomly assigned to one out of three conditions (A: exposure_long (15 sessions), B: exposure_short (10 sessions) or C: control condition cognitive behavioral therapy (15 sessions)). The inclusion criteria are: back pain ≥3 months and a sufficient level of fear-avoidance. An effect evaluation, a process evaluation and an economic evaluation are conducted. Primary outcomes are pain-related disability and pain intensity. Secondary outcomes are: emotional distress, fear avoidance, catastrophizing and costs. Data are collected at baseline, upon completion of the intervention, after 10 sessions, and at six months following completion of treatment. Besides the comparison of exposure in vivo and cognitive behavioral therapy (CBT), we additionally compare a short and a long version of exposure to analyze dose response effects.DiscussionThis is, to our knowledge, the first RCT comparing in vivo exposure to psychological treatment as usual in terms of cognitive behavioral therapy. Results will help to find out whether a tailored treatment for fear avoidant back pain patients is more effective than a general pain management treatment.Trial registrationThe trial has been registered to ClinicalTrial.gov. The trial registration number is NCT01484418

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“…In the present study, effects were statistically non-significant at a group level, although some individuals in the tNWG did report improvement. 29 patients in tNWG increased their PSEQ scores more than the average for chronic pain patients in a validation study, in which Mangels, Schwarz, Sohr, Holme, and Rief (2009) evaluated the changes in patients with chronic pain during a rehabilitation phase. Of these 29 patients, 27 declared that Nordic walking helped them to take their minds off their pain (data not shown).…”

Section: Future Directionsmentioning

confidence: 99%

“…Patients have to evaluate ten items on a 6-point-Likert-scale (e.g., I can gradually be more active despite the pain/complaints). An increase of 0.3 points in patients with chronic pain was considered to be a small but significant effect (Mangels et al, 2009).…”

Section: Primary Outcome Variablesmentioning

confidence: 99%

Effectiveness and Economic Evaluation of Therapeutic Nordic Walking in Patients with Psychosomatic Disorders: A Pragmatic Randomized Controlled Trial

Watzek¹,

Mischler²,

Dorji³

et al. 2016

JPR

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The effects of exercise therapy in patients with psychosomatic disorders are modest. Therapeutic Nordic walking (tNW) might be a clinically meaningful and cost-effective additional treatment modality. This study aimed to investigate the effects of a tNW program on improving coping ability, compared to the usual care in highly disabled patients with diverse psychosomatic disorders in a hospital setting, and the willingness-to-pay for this treatment modality. Primary outcomes were self-efficacy, readiness to change health behavior, physical performance and attitude to walking. Economic evaluation was conducted with the willingness-to-pay questionnaire. Cohens' d and 95% confidence intervals were calculated for baseline, discharge and three month follow up using intention-to-treat analysis. Differences between groups were tested by t-test or nonparametric ANOVA. A total of 150 patients were included in this study. Results show no significant differences between the experimental and control group for any of the outcomes. Ratings of stages of change within the transtheoretical model were made by therapists or patients, they showed small effects within both groups (precontemplation: 0.2-0.4 points; preparation: 0.1-0.2; action: 0.4-1.1; maintenance: 0.4 for every comparison). There was no additional effect of the tNW program compared to the standard program in the outcome willingness-to-pay for tNW. However, since clinical experience and treatment expectancy of both patients and health care providers with this treatment modality play an important role in the treatment process, tNW might be a low-budget treatment option for some patients.

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Der Fragebogen zur Erfassung der schmerzspezifischen Selbstwirksamkeit (FESS)

Cited by 38 publications

References 32 publications

Rehabilitation access and effectiveness for persons with back pain: the protocol of a cohort study (REHAB-BP, DRKS00011554)

Rehabilitation access and effectiveness for persons with back pain: the protocol of a cohort study (REHAB-BP, DRKS00011554)

Evaluation and implementation of graded in vivo exposure for chronic low back pain in a German outpatient setting: a study protocol of a randomized controlled trial

Effectiveness and Economic Evaluation of Therapeutic Nordic Walking in Patients with Psychosomatic Disorders: A Pragmatic Randomized Controlled Trial

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