Self-management of Low Back Pain in Horticulture Workers

Summary

The primary purpose of this hybrid Type II comparative effectiveness and implementation study is to compare two self-management strategies in nursery and landscape workers. This randomized pragmatic study will compare interventions with different degrees of support to determine if self-management videos plus multimodal personalized support is more effective than self-management videos alone for improving LBP among horticulture workers. Both groups will review short self-management video modules to introduce general pain concepts and the importance of managing pain without medication, risks of opioid use, self-management of pain, and simple ergonomic strategies for both groups. Both groups will choose 1 self-management strategy to manage pain at home and 1 ergonomic workplace strategy to limit pain. The video+support group will receive 1) check-list guidance, 2) review videos of their work tasks, and 3) receive text reminders to support implementation. Surveys will include instruments reflecting low back pain disability, pain, work ability, and affective or cognitive characteristics (self-efficacy, pain anxiety, depression, coping), collected at baseline, pre- and post-intervention, with follow-ups at 3- and 6-months. Workers will be videoed pre- and post-intervention for calculation of work risk and to compare any changes after the intervention. Specific aim 2 will identify contextual factors impacting engagement, adoption, effectiveness, and implementation. Interviews, focus groups, and field notes will be used to explain results and establish patterns to inform future translation.

Conditions

• Back Pain

Interventions

BEHAVIORAL

Self-management videos

Short video modules on self-management of back pain without medication and ergonomic adjustments for limiting back pain in nursery and landscape work

BEHAVIORAL

Check lists for ergonomic options

Guidance on ergonomic choices appropriate for work tasks not currently being used that are the most difficult due to back pain, using a checklist

BEHAVIORAL

Text reminders

Reminders to implement choices using graphics and gifs as well as motivational messages

BEHAVIORAL

Video review

Participants will review videos of their movement during their most difficult work tasks to help problem solving to adjust ergonomic adjustments

Sponsors & Collaborators

• University of Florida

  lead OTHER

Principal Investigators

• Kim Dunleavy, PT, PhD · University of Florida

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-06-06

Primary Completion

2026-06-30

Completion

2026-06-30

Countries

• United States

Study Locations