Comparison of a discharge system and usual care, for supporting people after completing conservative treatment for chronic low back pain: a randomised controlled trial

Not Applicable

Active, not recruiting

• Conditions: chronic low back pain; Musculoskeletal - Other muscular and skeletal disorders

• Registration Number: ACTRN12620000889954
• Lead Sponsor: niversity of Sydney

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2020-09-10
• Last Update Posted: 8 April 2024

Recruitment & Eligibility

• Status: Active, not recruiting
• Sex: All
• Target Recruitment: 346

Inclusion Criteria

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;
OR
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.

Exclusion Criteria

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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rate of using hospital, medical and health services for low back pain (composite measure), assessed by data linkage to medical records, MBS and PBS data, and self-reported questionnaires specifically designed for this study.[ Baseline, fortnightly, immediately post-intervention (e.g. 6 months from baseline), 6 months post-intervention (e.g. 12 months from baseline) (primary timepoint).]