Effect of a Patient Education Intervention for Patients With Low Back Pain Referred to Physical Therapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Oswestry Disability Index
研究概览
简要总结
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.
详细描述
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.
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
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.).
研究组 & 干预措施
Education
Patients receive an educational video about low back pain based on the Consumer Reports Choosing Wisely recommendation for patients with back pain to avoid early imaging and remain as active as possible. After the video the evaluator and patient discussed key themes from the video and the patient was able to ask any questions. Previously scheduled physical therapy then began with treatment at the therapist's discretion.
干预措施: Patient Education (Behavioral)
Control
Previously scheduled physical therapy was provided with treatment at the therapist's discretion. No educational intervention was provided before beginning physical therapy
干预措施: Control (Other)
结局指标
主要结局
Oswestry Disability Index
时间窗: 6 weeks
Self-report measure of low back pain-related disability
Pain as measured by the Numeric Pain Rating Scale
时间窗: 6 weeks
Self-report measure of pain intensity on 0-10 rating scale
次要结局
- Oswestry Disability Scale(baseline, 3 months)
- Numeric Pain Rating(baseline, 3 months)
- Fear Avoidance beliefs Questionnaire(baseline, 6 weeks, 3 months)
- Pain Catastrophizing Scale(baseline, 6 weeks, 3 months)
- Pain Beliefs Questionnaire(baseline, 6 weeks, 3 months)
- Hospital Anxiety and Depression Scale(baseline, 6 weeks, 3 months)
- Global Rating of Change(6 weeks, 3 months)
- Physical Therapy Visits: Number of physical therapy episodes attended after baseline(6 weeks, 3 months)
- Treatment Self-Regulation Questionnaire(baseline, 6 weeks, 3 months)