A randomised controlled trial investigating the effectiveness, cost-effectiveness, and scalability of a coordinated system, linking people receiving conservative care for chronic low back pain to a public health coaching service (NSW Get Healthy Coaching Service®), at discharge from treatment.

niversity of Sydney0 sites346 target enrollmentSeptember 10, 2020

Overview

No summary available.

Registry

who.int

Start Date

September 10, 2020

End Date

TBD

Last Updated

2 years ago

Study Type

Interventional

Sex

All

Sponsor

•To be included, participants will need to meet all the following inclusion criteria:
•1\. be 18 years of age or older;
•2\. present with a diagnosis of non\-specific LBP of at least 12\-week duration, with or without leg pain but without radicular (e.g., reflex changes, motor loss) symptoms. Non\-specific LBP will be diagnosed after screening for serious spinal pathology and indicators of potentially serious conditions using ‘red’ flags;
•3\. have been recently discharged (\<4 weeks post\-treatment) from physiotherapy treatment from outpatient physiotherapy departments at the participating hospital sites;
•have been recently discharged (\<6 months post\-regular treatment) from a course of treatment by their physiotherapist, chiropractor, or general practitioner in either private or public practices (including hospitals). For participants recruited from the general community, the definition of a course of treatment will be at least one attendance to a physiotherapist, chiropractor, or general practitioner, which may include a clinical examination, provision of manual therapy, a home exercise program, back care education or medication. Discharge from regular treatment describes people who are no longer receiving weekly treatment from their health care professional for their LBP.
•4\. have adequate hearing and eyesight to participate safely in physical activity;
•5\. independent ambulatory status, with or without gait aid.

•Potential participants will be excluded if they have any of the following:
•\- known or suspected serious spinal pathology (e.g., fracture, inflammatory disorder); diagnosis of specific LBP (e.g., sciatica, spinal stenosis grade 3 to 4\);
•\- co\-morbid health condition(s) diagnosed by a medical practitioner that would prevent participation in physical activity or exercise programs;
•\- fibromyalgia or systemic/inflammatory condition; currently pregnant or planning to become pregnant over the study duration;
•\- inadequate English to complete outcome measures or participate in the health coaching intervention;
•\- spinal surgery in the past 12 months;
•\- LBP caused by involvement in a road traffic crash in the last 12 months or ongoing compensation.