Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/30215
Title: Testing a path-analytic mediation model of how motivational enhancement physiotherapy improves physical functioning in pain patients
Authors: Cheing, G 
Vong, S
Chan, F
Ditchman, N
Brooks, J
Chan, C 
Keywords: Motivational interviewing
Outcome expectancy
Pain rehabilitation
Physiotherapy
Working alliance
Issue Date: 2014
Publisher: Springer
Source: Journal of occupational rehabilitation, 2014, v. 24, no. 4, p. 798-805 How to cite?
Journal: Journal of occupational rehabilitation 
Abstract: Purpose Pain is a complex phenomenon not easily discerned from psychological, social, and environmental characteristics and is an oft cited barrier to return to work for people experiencing low back pain (LBP). The purpose of this study was to evaluate a path-analytic mediation model to examine how motivational enhancement physiotherapy, which incorporates tenets of motivational interviewing, improves physical functioning of patients with chronic LBP. Methods Seventy-six patients with chronic LBP were recruited from the outpatient physiotherapy department of a government hospital in Hong Kong. Results The re-specified path-analytic model fit the data very well, £q2(3, N = 76) = 3.86, p = .57; comparative fit index = 1.00; and the root mean square error of approximation = 0.00. Specifically, results indicated that (a) using motivational interviewing techniques in physiotherapy was associated with increased working alliance with patients, (b) working alliance increased patients' outcome expectancy and (c) greater outcome expectancy resulted in a reduction of subjective pain intensity and improvement in physical functioning. Change in pain intensity also directly influenced improvement in physical functioning. Conclusions The effect of motivational enhancement therapy on phy
URI: http://hdl.handle.net/10397/30215
ISSN: 1053-0487
EISSN: 1573-3688
DOI: 10.1007/s10926-014-9515-8
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