Improving the care for people with acute low-back pain by allied health professionals: a cluster randomised controlled trial
- Conditions
- Acute non-specific low-back painMusculoskeletal - Other muscular and skeletal disorders
- Registration Number
- ACTRN12609001022257
- Lead Sponsor
- School of Public Health and Preventive Medicine
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Active, not recruiting
- Sex
- All
- Target Recruitment
- 2720
Practices will be eligible for inclusion in the trial if (i) at least one chiropractor or physiotherapist provides written informed consent, (ii) the practice principal agrees to the practitioner/practice being involved in the cluster randomised controlled trial (C-RCT), (iii) the practice manager, where applicable, agrees to the practice being involved in the C-RCT, (iii) practice staff are willing to facilitate patient recruitment.
Patient participants will be eligible for inclusion if (i) they attend a participating practice for acute non-specific LBP (duration of less than three months), (ii) provide written informed consent, (iii) are at least 18 years old, (iv) are able to write and understand English.
Practices will be ineligible for inclusion in the trial if any of the chiropractors or physiotherapists at the practice are involved in the study Advisory Committee or have participated in Phase 1 interviews for the study.
Patient participants will be ineligible for inclusion in the trial if (i) they are less than 18 years of age, (ii) are not able to give informed consent, (iii) the current episode of LBP has been present for more than three months. (iv) radicular leg pain is present, (v) they have had previous spinal surgery, (vi) red flags” are present alerting the possibility of serious conditions such as malignancy, infection or fracture, (vii) they are pregnant, (viii) they do not speak English.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method X-ray referral (measured via practitioner-reported encounter forms with consecutive patients who have acute non-specific low back pain)[Encounter forms are completed immediately following patient consultations during a two-week data collection period. Data collection period occurs 3-4 months after intervention delivery.];Low-back pain specific disability (measured via Roland-Morris Disability Questionnaire [Roland M, Morris R. A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine 1983;8:141-4])[Questionnaires will be completed by patients 3 months post-onset of acute low-back pain episode]
- Secondary Outcome Measures
Name Time Method