Addressing Health Disparities in Chronic Low Back Pain With Patient-Clinician Relatedness
- Conditions
- Chronic Low-Back Pain
- Interventions
- Other: Enhanced RelationshipOther: Limited Relationship
- Registration Number
- NCT05580380
- Lead Sponsor
- NYU Langone Health
- Brief Summary
The primary objective of the current research is to assess the effect of an enhanced patient-clinician relationship when compared to a limited patient-clinician relationship on measures of chronic low back pain and objective functional measures.
The second objective is to examine racialized disparities in chronic low back pain among individuals who identify as non-Hispanic Black and non-Hispanic White using a qualitative approach.
Lastly, the study team will explore relationships between psychosocial components of low back pain, pain and functional outcomes, and patient-clinician relationship measures.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 56
- Self-reported low back pain located between the 12th rib and the gluteal fold.
- Low back pain lasting at least 3-months.
- Low back pain for more than half of the days in the past 6-months.
- Age 18-45 years old.
- Reports at least 3 out of 10 average pain over the past week on the numerical pain rating scale.
- Reports having more back pain when compared to leg pain.
- Does not meet any of the above inclusion criteria.
- If there is a reported low back procedure scheduled within the upcoming 8-weeks including an epidural injection or spinal surgery.
- If low back pain care (i.e. physicians visits, physical therapy) is being received through Worker's Compensation or No Fault insurance.
- Dizziness, vestibular, or visual difficulties that cause balance problems over the past 2-weeks.
- Any lower or upper extremity surgery within the past year or any prior history of spine surgery, spinal fracture, or malignancy in the spine will not be included in the study.
- Individuals who are pregnant or breastfeeding.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Enhanced Patient-Clinician Relationship Group Enhanced Relationship - Limited Patient-Clinician Relationship Group Limited Relationship -
- Primary Outcome Measures
Name Time Method Change in time holding the horizontal position Pre-Intervention (Day 1), Post-Intervention (Day 1) To be collected during the Biering-Sorensen Test, which is a timed measure used to assess the endurance of the trunk extensor muscles.
Change in Trunk Flexion Range of Motion Pre-Intervention (Day 1), Post-Intervention (Day 1) To be measured during the Fingertip-to-floor (FTF) Test, where the participant is asked to bed forward and attempt to reach the floor with their fingertips.
Change in Mean Walking Speed Pre-Intervention (Day 1), Post-Intervention (Day 1) To be measured/assessed during the 4-meter walking test.
Change in Number of lifts completed in 1 minute Pre-Intervention (Day 1), Post-Intervention (Day 1) To be measured during the 1-minute lift test, where the participant is asked to lift objects of a certain weight.
- Secondary Outcome Measures
Name Time Method Visual Analogue Scale (VAS) for Pain Pre-Intervention (Day 1), Post-Intervention (Day 1) VAS will be used to report pain at rest. A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 100 mm horizontal line, and this rating is then measured from the left edge (=VAS score). The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain.
Pain pressure threshold Pre-Intervention (Day 1), Post-Intervention (Day 1) Pain pressure threshold (the degree of pressure required to produce symptoms) will be assessed using a pressure algometer.
Trial Locations
- Locations (1)
New York University Department of Physical Therapy, Arthur J. Nelson Human Performance Laboratory
🇺🇸New York, New York, United States