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Implementation of a Best Practice Primary Health Care Model for Low Back Pain

NCT03147300 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 467

Last updated 2019-08-14

No results posted yet for this study

Summary

POPULATION: Low back pain (LBP) is a major health problem commonly requiring health care. In Sweden, primary care professionals require an evidenced based model of care for LBP.

INTERVENTION: The multi-faceted implementation of a best practice BetterBack model of care for LBP.

CONTROL: Current routine practice for LBP care before implementation of the BetterBack model of care.

OUTCOME: Patient reported measures (function, activity, health), therapist reported measures (diagnosis, intervention, specialist referral, best practice self-confidence, determinants of implementation) and cost-effectiveness.

AIM: To deliver best practice recommendations for LBP and study their most effective implementation through the BetterBack model of care.

METHOD: A cluster randomised trial with dog leg design. The hypothesis is that the BetterBack model of care will result in significantly better patient and therapist outcomes as well as cost-effectiveness compared to current routine care.

Conditions

  • Low Back Pain

Interventions

BEHAVIORAL

Current routine practice

Current routine practice for the primary care management of LBP

BEHAVIORAL

Multifaceted implementation of the BetterBack

The multifaceted intervention is composed of the following: 1. Forming an implementation forum including head of departments/managers of the rehabilitation units and the clinical researchers. 2. Forming a support team comprised of experience clinicians as local supervisors and faculty researchers as knowledge facilitators. 3. Developing the Betterback model of care through a collaboration of the implementation forum, support team and international experts. 4. Forming and delivering a 2-day package of education and training that the support team can utilize to assist the use of the BetterBack model of care by clinicians.

Sponsors & Collaborators

  • Linkoeping University

    lead OTHER_GOV

Principal Investigators

  • Allan Abbott, Msc Physio, PhD · Linkoeping University

  • Birgitta Abbott, MSc Physio, PhD · Linkoeping University

  • Paul Enthoven, MSc Physio, PhD · Linkoeping University

  • Karin Schröder, MSc Physio · Linkoeping University

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Model
SEQUENTIAL

Eligibility

Min Age
18 Years
Max Age
65 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2017-04-01
Primary Completion
2019-03-31
Completion
2019-03-31

Countries

  • Sweden

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03147300 on ClinicalTrials.gov