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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2010

Open Access 01-12-2010 | Study protocol

Assessing a risk tailored intervention to prevent disabling low back pain - protocol of a cluster randomized controlled trial

Authors: Carsten Oliver Schmidt, Jean-François Chenot, Michael Pfingsten, Ruth Anja Fahland, Gabriele Lindena, Ulf Marnitz, Klaus Pfeifer, Thomas Kohlmann

Published in: BMC Musculoskeletal Disorders | Issue 1/2010

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Abstract

Background

Although most patients with low back pain (LBP) recover within a few weeks a significant proportion has recurrent episodes or will develop chronic low back pain. Several mainly psychosocial risk factors for developing chronic LBP have been identified. However, effects of preventive interventions aiming at behavioural risk factors and unfavourable cognitions have yielded inconsistent results. Risk tailored interventions may provide a cost efficient and effective means to take systematic account of the individual risk factors but evidence is lacking.

Methods/Design

This study will be a cluster-randomised controlled trial comparing screening and a subsequent risk tailored intervention for patients with low back pain to prevent chronic low back pain compared to treatment as usual in primary care. A total of 600 patients from 20 practices in each study arm will be recruited in Berlin and Goettingen. The intervention comprises the following elements: Patients will be assigned to one of four risk groups based on a screening questionnaire. Subsequently they receive an educational intervention including information and counselling tailored to the risk group. A telephone/email consulting service for back pain related problems are offered independent of risk group assignment. The primary outcomes will be functional capacity and sick leave.

Discussion

This trial will evaluate the effectiveness of screening for risk factors for chronic low back pain followed by a risk tailored intervention to prevent chronic low back pain. This trial will contribute new evidence regarding the flexible use of individual physical and psychosocial risk factors in general practice.

Trial registration

ISRCTN 68205910
Appendix
Available only for authorised users
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Metadata
Title
Assessing a risk tailored intervention to prevent disabling low back pain - protocol of a cluster randomized controlled trial
Authors
Carsten Oliver Schmidt
Jean-François Chenot
Michael Pfingsten
Ruth Anja Fahland
Gabriele Lindena
Ulf Marnitz
Klaus Pfeifer
Thomas Kohlmann
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2010
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-11-5

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