Patient Education for Patients With Back Pain Referred to Physical Therapy
- Conditions
- Low Back Pain
- Registration Number
- NCT02648373
- Lead Sponsor
- University of Utah
- Brief Summary
The purpose of this study is to evaluate patients with low back pain who are scheduled to begin physical therapy but have not yet had their first appointment to better understand their beliefs and attitudes and to evaluate the effects of an educational session about low back pain.
- Detailed Description
The investigators will conduct a randomized trial to examine the effectiveness of a patient education session provided prior to beginning physical therapy on outcomes of usual physical therapy for acute/sub-acute low back pain patients. The study compares two groups, one group will be treated with usual physical therapy with no pre-treatment education and the other group will also receive the pre-treatment. Patients will be followed after 6 weeks and 3 months. Physical therapy care is left to the discretion of the physical therapist in conjunction with the patient. Outcomes will include pain and disability, and patients attitude and believes (pain catastrophizing, fear avoidance behavior). The overall hypothesis is that the additional educational treatment may address and improve pain, disability and fear.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 76
- Chief complaint of non-specific low back pain scheduled to receive outpatient physical therapy
- age 18-60
- duration of current symptoms < 8weeks
- referred to physical therapy from a non-surgeon provider
- no treatment received for low back pain in past year other than physician office visits.
- Diagnosis provided by the referral source indicating a specific pathoanatomical source for LBP including fracture, spondylolesthesis, ankylosing spondylitis, radiculopathy
- any red flags in the patient's general medical screening questionnaire (i.e. tumor, metabolic diseases etc.).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Oswestry Disability Index 6 weeks Self-report measure of low back pain-related disability
Pain as measured by the Numeric Pain Rating Scale 6 weeks Self-report measure of pain intensity on 0-10 rating scale
- Secondary Outcome Measures
Name Time Method Oswestry Disability Scale baseline, 3 months Self-report measure of low back pain-related disability
Numeric Pain Rating baseline, 3 months Self-report measure of pain intensity on 0-10 scale
Fear Avoidance beliefs Questionnaire baseline, 6 weeks, 3 months Self-report measure of fear avoidance beliefs about physical activity and work
Pain Catastrophizing Scale baseline, 6 weeks, 3 months Self-report measure of pain catastrophizing beliefs
Pain Beliefs Questionnaire baseline, 6 weeks, 3 months Self-report questionnaire used to measure patients' beliefs about the causes and consequences of pain with 2 subscales: organic (i.e, biomedical) and psychological.
Hospital Anxiety and Depression Scale baseline, 6 weeks, 3 months Self-report questionnaire assessing anxiety and depression in separate sub-scales
Global Rating of Change 6 weeks, 3 months Self-report global rating of improvement in condition since baseline assessed on 0-15 scale
Physical Therapy Visits: Number of physical therapy episodes attended after baseline 6 weeks, 3 months Number of physical therapy episodes attended after baseline
Treatment Self-Regulation Questionnaire baseline, 6 weeks, 3 months Self-report questionnaire examining motivations to attend physical therapy
Trial Locations
- Locations (1)
The University of Utah Healthcare System
🇺🇸Salt Lake City, Utah, United States
The University of Utah Healthcare System🇺🇸Salt Lake City, Utah, United States