Assessing a risk tailored intervention to prevent disabling low back pain - protocol of a cluster randomized controlled trial

BMC Musculoskeletal Disorders

Study Protocol

Gabriele Lindena¹  Jean-François Chenot²  Carsten Oliver Schmidt³  Ruth Anja Fahland³  Thomas Kohlmann³  Klaus Pfeifer⁴  Ulf Marnitz⁵  Michael Pfingsten⁶ 

[1] Clara Institute, Clara Zetkin Str. 34, D-14532, Kleinmachnow, Germany;Department of General Practice, University of Göttingen, Humboldtallee 38, D-37073, Göttingen, Germany;Institut for Community Medicine, University of Greifswald, Walther Rathenau 48, D-17489, Greifswald, Germany;Institute of Sport Science and Sport, University of Erlangen Nuremberg, Gebertstr. 123 b, D-91508, Erlangen, Germany;Markgrafenpark Pain Center, Markgrafenstr. 19, D-10969, Berlin, Germany;Pain Clinic, University of Göttingen, Robert-Koch Str. 40, D-37075, Göttingen, Germany;

关键词: Back Pain;    Sick Leave;    Psychosocial Risk Factor;    Risk Screening;    Fear Avoidance;   

DOI  :  10.1186/1471-2474-11-5

 received in 2009-09-15, accepted in 2010-01-05,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundAlthough most patients with low back pain (LBP) recover within a few weeks a significant proportion has recurrent episodes or will develop chronic low back pain. Several mainly psychosocial risk factors for developing chronic LBP have been identified. However, effects of preventive interventions aiming at behavioural risk factors and unfavourable cognitions have yielded inconsistent results. Risk tailored interventions may provide a cost efficient and effective means to take systematic account of the individual risk factors but evidence is lacking.Methods/DesignThis study will be a cluster-randomised controlled trial comparing screening and a subsequent risk tailored intervention for patients with low back pain to prevent chronic low back pain compared to treatment as usual in primary care. A total of 600 patients from 20 practices in each study arm will be recruited in Berlin and Goettingen. The intervention comprises the following elements: Patients will be assigned to one of four risk groups based on a screening questionnaire. Subsequently they receive an educational intervention including information and counselling tailored to the risk group. A telephone/email consulting service for back pain related problems are offered independent of risk group assignment. The primary outcomes will be functional capacity and sick leave.DiscussionThis trial will evaluate the effectiveness of screening for risk factors for chronic low back pain followed by a risk tailored intervention to prevent chronic low back pain. This trial will contribute new evidence regarding the flexible use of individual physical and psychosocial risk factors in general practice.Trial registrationISRCTN 68205910

【 授权许可】

Unknown   
© Schmidt et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.