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Clinical Trials/ACTRN12617001160325
ACTRN12617001160325
Completed
N/A

Implementation of an evidence-based model of care for acute low back pain in emergency departments: a stepped wedge cluster randomised controlled trial

The University of Sydney0 sites4,824 target enrollmentAugust 8, 2017

Overview

Phase
N/A
Intervention
Not specified
Conditions
Acute low back pain
Sponsor
The University of Sydney
Enrollment
4824
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
August 8, 2017
End Date
February 28, 2019
Last Updated
6 years ago
Study Type
Interventional
Sex
All

Investigators

Eligibility Criteria

Inclusion Criteria

  • Clinician participants
  • Clinician participants included in the SHaPED trial will be emergency clinical staff, such as physicians, nurses, and physiotherapists, who routinely manage patients presenting to emergency departments with a primary complaint of low back pain. Potential clinician participants will be invited by the Principal Investigator of each emergency department and will receive a Participant Information Statement. Research staff will verbally explain the information provided in this document to fully inform potential clinician participants of the risks and benefits of their participation. In addition, the research staff will be available to answer any questions to ensure that potential clinician participants fully understand the implications of their decision. A written Participant Consent Form will be obtained from all participating clinicians prior to randomisation.
  • Patient participants
  • We will use codes from the Systematised Nomenclature of Medicine \- Clinical Terms \- Australian version, Emergency Department Reference Set (SNOMED CT\-AU \[EDRS]) to identify low back pain presentations to the emergency departments. Presentations with codes related to low back pain with non\-specific cause or those associated with neurological signs and symptoms (such as sciatica and lumbar spinal stenosis) will be included. All patients with low back pain with or without leg pain presenting to participating emergency departments will be referred to a brief self\-reported online questionnaire to evaluate the effectiveness of the implementation of the ACI model of care on patient\-reported outcomes.

Exclusion Criteria

  • Representations to the emergency department within 48 hours or low back pain presentations related to serious spinal pathologies (such as lumbar fracture or cauda equina syndrome) will be excluded.

Outcomes

Primary Outcomes

Not specified

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