Predicting treatment completion in a behavioral therapy program for chronic temporomandibular pain

Funch, Donna P.; Gale, Elliot N.

doi:10.1016/0022-3999(86)90066-8

Cited by 31 publications

(35 citation statements)

References 23 publications

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“…Of the 20 studies, seven recruited from osteoarthritis/rheumatoid arthritis populations attending physiotherapy (Stenstrom et al., 1997; Schoo et al., 2005), part of a health organisation (Shaw et al., 1994; Castenada et al., 1998), post-surgical patients (Fekete et al., 2006) or exercise trials (Minor and Brown, 1993; Rejeski et al., 1997); four studies investigating lower back pain recruited from general outpatient populations (Sluijs et al., 1993; Alexandre et al., 2002; Kolt and McEvoy, 2003) or a tertiary rehabilitation agency (Kenny, 2000); three studies recruited from a sporting population (Laubach et al., 1996; Taylor and May, 1996; Milne et al., 2005); two studies investigated fibromyalgia patients (Oliver and Cronan, 2002; Dobkin et al., 2006); one study investigated an anterior cruciate ligament post-operative population (Brewer et al., 2003); one study recruited females suffering from urinary incontinence (Alewijnse et al., 2003); one study recruited patients with temporo-mandibular joint pain (Funch and Gale, 1986) and one study recruited patients from an upper limb rehabilitation centre (Chen et al., 1999). All studies investigated at least one aspect of treatment adherence including attendance at appointments, adherence with home exercises and in-clinic adherence.…”

Section: Resultsmentioning

confidence: 99%

Barriers to treatment adherence in physiotherapy outpatient clinics: A systematic review

et al. 2010

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Poor adherence to treatment can have negative effects on outcomes and healthcare cost. However, little is known about the barriers to treatment adherence within physiotherapy. The aim of this systematic review was to identify barriers to treatment adherence in patients typically managed in musculoskeletal physiotherapy outpatient settings and suggest strategies for reducing their impact. The review included twenty high quality studies investigating barriers to treatment adherence in musculoskeletal populations. There was strong evidence that poor treatment adherence was associated with low levels of physical activity at baseline or in previous weeks, low in-treatment adherence with exercise, low self-efficacy, depression, anxiety, helplessness, poor social support/activity, greater perceived number of barriers to exercise and increased pain levels during exercise. Strategies to overcome these barriers and improve adherence are considered. We found limited evidence for many factors and further high quality research is required to investigate the predictive validity of these potential barriers. Much of the available research has focussed on patient factors and additional research is required to investigate the barriers introduced by health professionals or health organisations, since these factors are also likely to influence patient adherence with treatment.

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Section: Resultsmentioning

confidence: 99%

Barriers to treatment adherence in physiotherapy outpatient clinics: A systematic review

et al. 2010

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“…HLC, Health Locus of Control (used in Ref. 27) 11 items on a 6-point Likert-type scale measuring generalized expectancies regarding locus of control related to health (46).…”

Section: Dq the Depression Questionnaire (Used In Refs 4 27)mentioning

confidence: 99%

“…Funch & Gale (27) used the Health Locus of Control (HLC), DQ, and TMAS (see Appendix) to evaluate compliance in 78 chronic TMD patients. The tests could not identify factors that predicted completion of a behavioral treatment program aimed at reducing symptoms.…”

Section: Psychometrics and Clinical Historymentioning

confidence: 99%

Psychometrics in Temporomandibular Disorders: An overview

Dahlström

1993

Acta Odontologica Scandinavica

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The purpose of this paper is to review the methods and results of psychometric testings in temporomandibular disorders (TMD) during the past decade. Assessments of psychologic and behavioral factors have been performed for various reasons. The results are often ambiguous and comparisons troublesome. No encompassing psychologic TMD profile has been identified, but small elevations in anxiety, depression, somatization, and stress are often reported; they may be cause or effect. Subcategorization of the patients into diagnostic subgroups suggests that psychologic differences exist but may be small; myogenic patients may have more psychologic difficulties than 'joint' patients. More distinct, robust psychologic subsets of patients, unrelated to the structural diagnosis, have been identified by means of clustering techniques. Irrespective of clinical signs, a certain proportion of the patients are psychologically distressed, whereas others easily adapt to the pain and dysfunction. No single variable has been identified that can predict outcome or compliance. Several psychometric instruments are described.

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“…Borkowska et al did not find a relationship between compliance with dental recommendations and depression ratings [33]. Funch and Gale also failed to demonstrate a relationship between negative affect and compliance during a behavioral therapy program for patients with temporomandibular pain [34]. This is the first study that we know of to elucidate the clinical significance of compliance with treatment recommendations by reporting patients' and HCPs' perceived benefits and interference of compliance/noncompliance.…”

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 97%