A Novel Examination of the Variables Associated with Treatment Completion to Interdisciplinary Treatments for Chronic Musculoskeletal Pain in Military Populations

dc.contributor.advisorMcGeary, Donald D.
dc.contributor.authorCobos, Briana
dc.contributor.committeeMemberMorissette, Sandra B.
dc.contributor.committeeMemberHale, Willie J.
dc.contributor.committeeMemberMcGeary, Cindy A.
dc.date.accessioned2024-02-09T20:17:59Z
dc.date.available2024-02-09T20:17:59Z
dc.date.issued2021
dc.descriptionThis item is available only to currently enrolled UTSA students, faculty or staff. To download, navigate to Log In in the top right-hand corner of this screen, then select Log in with my UTSA ID.
dc.description.abstractMilitary personnel are at an increased risk of developing chronic musculoskeletal pain conditions and have deleteriously affected the United States economy and increased healthcare utilization. Interdisciplinary approaches for chronic pain are shown to be most effective. However, adherence to this type of treatment is less understood. This proposed study was an exploratory post-hoc secondary data analysis using data from two military-directed randomized control trials examining and establishing the efficacy of an interdisciplinary treatment for chronic musculoskeletal pain disorder in active duty service members and veterans. The study used parametric tests (e.g., regression model) and nonparametric tests (e.g., survival analysis models and a regression tree model) variables (i.e., depression, anxiety, posttraumatic stress disorder (PTSD), pain intensity, and disability) associated with treatment completion. No significant differences were observed in the overall influence of the predictors on treatment completion in the parametric tests, and assumptions of linearity were not met. The novel use of nonparametric testing indicated that PTSD had an effect on the timing of dropout. Also, the PTSD and pain intensity affected the rates of treatment completion when observing the clusters formulated by the decision tree. The information gathered from this study provides a a novel approach to measure treatment completion for interdisciplinary treatment in military personnel. Results from this study recommend future studies to incorporate and consider the following factors: implement parametric and nonparametric statistical strategies, implement pretreatment support to participate in interdisciplinary care, and investigate the timing and design sequence of treating PTSD and chronic pain in interdisciplinary treatment.
dc.description.departmentPsychology
dc.format.extent141 pages
dc.format.mimetypeapplication/pdf
dc.identifier.isbn9798538139088
dc.identifier.urihttps://hdl.handle.net/20.500.12588/3055
dc.languageen
dc.subjectComorbidity
dc.subjectBehavior modification
dc.subjectMental depression
dc.subjectVeterans
dc.subjectMilitary personnel
dc.subjectTraumatic brain injury
dc.subjectHealth care management
dc.subjectTreatment completion
dc.subjectInterdisciplinary treatments
dc.subjectChronic musculoskeletal pain
dc.subjectMilitary populations
dc.subject.classificationPsychology
dc.subject.classificationMilitary studies
dc.subject.classificationSocial research
dc.titleA Novel Examination of the Variables Associated with Treatment Completion to Interdisciplinary Treatments for Chronic Musculoskeletal Pain in Military Populations
dc.typeThesis
dc.type.dcmiText
dcterms.accessRightspq_closed
thesis.degree.departmentPsychology
thesis.degree.grantorUniversity of Texas at San Antonio
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy

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