Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis

• Published in: Journal of rehabilitation medicine Vol. 56; p. jrm13454
• Main Authors: Ceulemans, Dries, Moens, Maarten, Reneman, Michiel, Callens, Jonas, De Smedt, Ann, Godderis, Lode, Goudman, Lisa, Lavreysen, Olivia, Putman, Koen, Van de Velde, Dominique
• Format: Journal Article
• Language: English
• Published: Sweden Journal of Rehabilitation Medicine 16.01.2024; Medical Journals Sweden AB; Medical Journals Sweden
• Subjects: Attributes; Back pain; Biopsychosocial aspects; Chronic back pain; Chronic low back pain; Chronic Pain; Combined Modality Therapy; Conceptual analysis; Customization; Dietary guidelines; Exercise Therapy; Goal setting; Humans; Interdisciplinary aspects; Interdisciplinary research; Intervention; Low back pain; Low Back Pain - psychology; Models Biopsychosocial; Motivation; Multidisciplinary teams; Occupational health; Occupational status; Patient education; Precision medicine; Psychological aspects; Psychological support; Referents; Rehabilitation; Review; Selfmanagement; Sick Leave; Social Support; Work status
• ISSN: 1651-2081; 1650-1977; 1651-2081
• DOI: 10.2340/jrm.v56.13454

To identify the essential attributes of biopsychosocial rehabilitation for chronic low back pain in the working population. A concept analysis was conducted according to the 8-step method of Walker and Avant. This framework provides a clear concept and theoretical and operational definitions. Five databases were searched, followed by a systematic screening. Subsequently, attributes, illustrative cases, antecedents, consequences and empirical referents were formulated. Of the 3793 studies identified, 42 unique references were included. Eleven attributes were identified: therapeutic exercise, psychological support, education, personalization, self-management, participation, follow-up, practice standard, goal-setting, social support, and dietary advice. Subsequently, illustrative cases were described. Antecedents, such as motivation, preparedness and a multidisciplinary team, were found, together with consequences such as decreased pain, less sick-leave and increased function and work status. Finally, examples of empirical referents were given. This study identified the attributes that are necessary to develop biopsychosocial rehabilitation intervention programmes for chronic low back pain. The defined concept of biopsychosocial rehabilitation for chronic low back pain may serve as a solid base to further develop and apply interventions. Future research should focus on the objectification of biopsychosocial rehabilitation and conceptualization regarding how personalization is done.