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Most patients with chronic back pain in our sample were interested in …


Biology Articles » Health and Medicine » Alternative Remedies » Complementary and alternative medical therapies for chronic low back pain: What treatments are patients willing to try? » Tables

Tables
- Complementary and alternative medical therapies for chronic low back pain: What treatments are patients willing to try?

Table 1
Potential Predictor Variables Evaluated in 28 Therapy-Specific Logistic Regression Models

Dependent Variables for Logistic Regressions
Potential Predictor Variable
High Knowledge of Therapy*
Prior Use of Therapy*
Prior Use of Therapy for Back Pain*
High Expectations of Success of Therapy*
Likelihood of Trying Therapy at No Cost*
Likelihood of Trying Therapy for $10 Co-pay**
Geographic location (Boston vs. Seattle)
X
X
X
X
X
X
Age (65+ vs. X
X
X
X
X
X
Gender (female vs. male)
X
X
X
X
X
X
Race (white, non-white)
X
X
X
X
X
X
Education (no college vs. some college)
X
X
X
X
X
X
≥ 5 years since first back pain
X



X
X
≥ 90 days of LBP in last 6 mo.
X



X
X
High symptom bothersomeness (7 – 10) on a 0 – 10 scale
X



X
X
High knowledge of therapy (4 or 5) on a 1 – 5 scale



X
X
X
Prior use of therapy



X
X
X
Prior use of therapy for back pain



X
X
X
High expectations of therapy (7 – 10) on a 0 – 10 scale




X
X
Medication usage in past week




X
X
Prior harm from therapy




X
X
* Separate models were done for each of the five therapies (acupuncture, chiropractic, massage, meditation, t'ai chi) ** Separate models were done for acupuncture, chiropractic, and massage. An X indicates that a particular potential predictor variable was evaluated in a model with the specific dependent variable.
Table 2
Demographic and Back Pain Characteristics of 249 Survey Respondents
Characteristic
Percent
Location (Boston)
43
Age ( 52
Women
60
White
80
Attended some college
57
At least 5 years since first back pain lasting longer than 2 weeks
60
90+ days of LBP in last 6 mo.
61
High symptom bothersomeness in the past week (≥ 7) on 0 – 10 scale
42
Used medication for LBP in the past week
56
Expect pain to be similar in a year
72
Missing data – last variable has 10 missing values (4% of all observations), 1 variable has 5 (2%), all others have 3 or fewer.
Table 3
Knowledge of, Experience with, Expectations about, and Willingness to Try Five CAM Therapies*

Acupuncture
(N = 249)
Chiropractic
(N = 249)
Massage
(N = 249)
Meditation
(N = 249)
T'ai Chi
(N = 249)
Knowledge about Therapy (%)





      1 – 2 (1="no knowledge")
69
44
52
72
91
      3
17
22
24
15
6
      4 – 5 (5="a lot of knowledge")
14
34
24
13
3
Ever tried therapy (%)
18
54
38
27
8
Ever tried therapy for LBP (%)
11
45
24
7
0.4
Median helpfulness for LBP among prior users (0 to 10 scale)
5
6
7
5
**
Pain or harm reported by prior users (%)
13
23
13
5
16
Median expectation of helpfulness for current LBP (0 to 10 scale)
5
5
7
3
5
Did not provide expectation rating (%)
25
10
9
12
24
High expectations of helpfulness for current LBP (7 to 10 on 0 to 10 scale) (%)
19
28
48
15
16
Very likely to try therapy if primary care provider thought reasonable and no extra cost (%)
64
51
69
27
41
Very likely to try therapy if primary care provider thought reasonable and $10 co-pay (%)
51
42
56
NA
NA
NA = Not Asked. * Each column refers to a specific therapy and the specific question about the therapy is shown in the first column. ** Only 1 person had tried t'ai chi for low back pain previously. All variables, except expectations of helpfulness of current LBP (where % are given in the table) have missing values for
Table 4
Predictors of Knowledge of, Experience with, Expectations about, and Willingness to Try Five Complementary and Alternative Medical (CAM) Therapies

Odds ratios* (95% CI) for the independent predictor variables used in the final models for each CAM therapy
Dependent Variable
Acupuncture
Chiropractic
Massage
Meditation
T'ai chi
High Knowledge of specific therapy (4–5)
Tried acupuncture:
43.6 (16.7–113.6)
Tried chiropractic:
12.8 (6.2–26.7)
Tried massage:
7.6 (4.0 – 14.7)
Tried meditation:
11.6 (4.6–29.3)
LOGISTIC NOT VALID**




Bostonian:
4.8 (1.9–12.3)

Previously tried specific therapy
No associations
Bostonian:
0.5 (0.3 – 0.8)
65+ yrs:
0.4 (0.2 – 0.7)
Female:
2.5 (1.3 – 4.8)
No associations
Previously tried specific therapy for back pain
No associations
None
65+ yrs:
0.3 (0.2 – 0.6)
No associations
LOGISTIC NOT VALID**
High expectations of specific therapy (7 – 10)
65+ yrs:
0.4(0.2 – 0.8)
Knowledge:
2.9 (1.6 – 5.2)
65+ yrs:
0.3 (0.2 – 0.5)
No associations
No associations

Tried acupuncture:
4.3 (2.1 – 9.0)




Very likely to try specific therapy for free
High expectations:
15.4 (3.6 – 66.1)
High expectations:
27.4 (9.5 – 79.3)
High expectations:
16.4 (7.4 – 36.5)
High expectations:
3.6 (1.7 – 7.7)
High expectations:
14.3 (5.4 – 38.3)




Tried meditation:
2.4 (1.3 – 4.5)

Very likely to try specific therapy for $10 /visit co-pay
High expectations:
6.8 (3.0 – 15.5)
High expectations:
8.1 (4.2 – 15.7)
High expectations:
6.4 (3.5 – 11.4)
NOT QUERIED
NOT QUERIED

Bostonian:
2.3 (1.4 – 4.0)

Bostonian:
1.8 (1.001 – 3.2)


*These odds ratios describe the significant associations (p
Table 5
Willingness to Participate in Clinical Trials of CAM Therapies for Low Back Pain and Preference for Therapies

Percent
(N = 249)
Definitely willing to participate in clinical trial of acupuncture, chiropractic, massage, and a self-help back pain book (%)*
62
Preferred treatment among above:

Massage
43
Acupuncture
35
Chiropractic
18
None or Other
3
Book
1
Definitely willing to participate in clinical trial of massage, meditation, t'ai chi, and a self-help back pain book (%)**
53
Preferred treatment among above:

Massage
63
T'ai Chi training
24
Book
5
Meditation training
4
None or Other
4
Missing values –

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