Interprofessional Management of Chronic Back Pain in Rural and Remote Setting: Use of Telehealth vs. Secure Laptop-based Videoconferencing
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Saskatchewan
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Patient experience with telehealth
Study Overview
Brief Summary
This pilot study will evaluate the impact and overall experience of an interprofessional chronic low back pain patient care approach for people in rural and remote areas using Telehealth technology compared to secure laptop based videoconferencing (Vidyo).
Detailed Description
People with chronic low back pain will be recruited to participate in a team assessment with a local rural nurse practitioner and an-urban based physiotherapist linking through telehealth. The assessment will include a detailed history, physical examination and jointly-delivered education and recommendations for further community-based management. Pre and post measures of self-reported pain, back-specific function, quality of life, and satisfaction will be completed 2-4 weeks after the assessment. Comparison of short-term outcomes will be made with a group of participants from another study using the a different telehealth technology (secure laptop based videoconferencing) same inclusion criteria, measures and health care providers (Clin Trials.gov NCT02225535). The health care providers will be interviewed to get feedback on their preference and experience using the different type of telehealth technology.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •chronic low back pain localized below costal margins and above gluteal folds and/or related leg pain, which is bad enough to limit their usual activities or daily routine and has been present for at least 3 months
Exclusion Criteria
- •People with: third party payer insurance (i.e.worker's compensation board) for their back related complaints, with primarily neck or thoracic pain, and/ or with language, reading or comprehension barriers that would limit their ability to adequately complete the required study paperwork will be excluded from participating in the study.
Arms & Interventions
Telehealth team assessment
Team assessment for back pain with nurse practitioner and physical therapist via telehealth
Intervention: interprofessional back pain assessment (Other)
Outcomes
Primary Outcomes
Patient experience with telehealth
Time Frame: 2-4 weeks after assessment
Participant satisfaction
Time Frame: 2-4 weeks after assessment
Modified VSQ-9
Pain
Time Frame: 2-4 weeks after assessment
Numeric Pain Rating Scale
Back-specific function
Time Frame: 2-4 weeks after assessment
Modified Oswestry Disability Index
Secondary Outcomes
- Health care provider experience(within 2 weeks of completion of all assessments)
Investigators
Brenna Bath
Assistant Professor
University of Saskatchewan