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Pain coping skills training in the management of osteoarthritic knee pain: II. follow-up results
Keefe FJ, Caldwell DS, Williams DA, Gil KM, Mitchell D, Robertson C, Martinez S, Nunley J, Beckham JC, Helms M
Behavior Therapy 1990 Autumn;21(4):435-447
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Examines 6-mo follow-up data obtained from 93 osteoarthritic knee pain patients participating in a study (FJ Keefe et al 1990) comparing pain coping skills training, arthritis education, and a standard care control condition. At the time of follow-up, Ss receiving pain coping skills training had (1) significantly lower levels of psychological and physical disability than patients receiving arthritis education and (2) marginally lower levels of psychological disability and physical disability than Ss in the standard care control condition. Although Ss receiving pain coping skills training showed deterioration in their initial gains in psychological disability from posttreatment to follow-up, it was the only treatment group that showed a strong trend toward improvements in physical disability over time. Variability in outcome was noted.

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