The Bespoke One-Off Spinal Treatment (BOOST) Workshop Versus Traditional 1:1 Physiotherapy Care for the Management of Hospital Staff With Chronic Spinal Pain: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 主要终点
- The Keele STarT Back Screening tool
研究概览
简要总结
This research is aiming to address whether a group workshop is a more superior treatment to traditional physiotherapy for the management of back pain in a hospital workforce. In the UK during 2016-17, 31.2 million work days were lost due to work-related ill health and injury. Of these 8.9 million were down to musculoskeletal disorders. This equated to 17.6 days per person. In the general population, the reports of low back pain have been as high as 36% of adults with a first occurrence. In an adult's lifetime, the prevalence of chronic low back pain is about 23%. This makes the importance of managing these conditions of great importance. And the impact to a working population is great, in respects to work satisfaction, sickness and absenteeism. Significance should also be placed on the impact this has to the individual, with regards to their health and wellbeing.
The participants will be taken from NHS staff working within the hospital environment and that self-refer internally for physiotherapy into the Trust's Occupational Health Service. Once the participants are accepted in Occupational Health Physiotherapy, they are managed as staff requiring physiotherapy and not at 'patients'. There is no contact with their primary care practitioner. For the study, participants will either receive traditional one to one physiotherapy or a bespoke one off workshop. All of the participants will be followed up 3 months after their treatment has finished.
详细描述
Traditionally, treatment for chronic pain, and back pain in particular has been on exercise and education. Back schools and multi-speciality classes are evidence based effective management recommended to this population (Heymans et al, 2004; Airaksinen et al, 2006). However, for a busy NHS Trust, staff taking time out of their week for 6-12 weeks would not be practical or supportive to patient care and work-life balance. Therefore a one-off seminar based lecture and interactive workshop would be using less clinical time for the staff to attend and may be better for both the individual and the organisation.
The importance of piloting a novel method of delivering treatment to this cohort is to ensure that the content is supported by the current evidence. A Cochrane review (Cochrane 2004) found moderate evidence that Back Schools in an occupational setting can reduce pain and increase functional and return to work status in the short and intermediate term. Waddal's review (2001) also supports this idea, stating the some form of back school or MDT (multidisciplinary team) rehabilitation at the sub-acute stage has produced faster recovery. The Kamper study (2015) concluded that MDT delivery of care was better than physical treatment in the occupational setting for back pain management. There is therefore no clear affirmative support for a specific method of care delivery but having a group environment of similar pathology and using an MDT skill mix is recommended.
The Occupational Health Model of care within this setting is aiming to deliver bespoke information to specific cohorts of staff and pathologies with the long term aim of self-management and injury prevention. Waddel et al (2004) has suggested innovative education approaches for prevention and management, specifically designed to overcome psycho-social issues and encourage responsibility for their own care. Therefore a successful intervention should encapsulate these ideas.
As there is little research into the novel approach of delivering seminar-style MDT education and advice to a cohort of staff, this pilot will assess the effect of this intervention.
The purpose of this research is to compare the effectiveness of 2 interventions for the management of chronic spinal pain in staff members based in a hospital setting. The primary aim is to establish the most effective method of management for this sub group of staff. This research came from service user feedback and management issues around staff having to take considerable amount of time away from clinical activity. And the trend noticed in the Trust for increasing back pain referrals. Therefore, the investigators were looking at a way that could make an intervention effective and have minimal impact on staff being away from their work duties. However, the results of this study will inform practice for the best management for back pain across all working populations and therefore can be generalizable outside of this selected target group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
blinding of investigator through masking of participant identified to each group
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
The Keele STarT Back Screening tool
时间窗: Baseline
score out of 9, for low, medium of high risk of chronicity of back pain
次要结局
- sickness(baseline and at 3 months following this)
- Numerical rating score(baseline and at 3 months following this)
- Patient Specific Functional Score(baseline and at 3 months following this)