This pilot study will evaluate the feasibility of having a non-behavioral health provider
deliver a combination of manual therapy (MT) and cognitive behavioral therapy for pain
(CBT-p). In addition, we will evaluate differences in outcomes in patients undergoing the
combined intervention of CBT-p and MT and those undergoing MT alone.
Given that this is a pilot study we will use simple descriptive statistics for patient
characteristics, including age, sex, BMI and baseline scores on outcome measures. In
addition we will assess the inter-rater reliability of the scoring of the delivery of the
CBT-p by the two trained practitioners utilizing kappa statistics. We will perform data
analyses using SPSS.
- 18 to 69 years of age with CLBP who are
- "high risk" for poor prognosis based on SBST
- currently undergoing chiropractic care.
- Contraindications to either MT or CBT-p.
- Patients who are currently undergoing CBT-p
- who have been treated for substance abuse in the past year.