A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial.
Identifieur interne : 001091 ( Main/Corpus ); précédent : 001090; suivant : 001092A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial.
Auteurs : Reni M A. Van Erp ; Ivan P J. Huijnen ; Jeanine A. Verbunt ; Rob J E M. SmeetsSource :
- Journal of physiotherapy [ 1836-9561 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Chronic Pain (psychology), Chronic Pain (therapy), Clinical Protocols (MeSH), Double-Blind Method (MeSH), Female (MeSH), Humans (MeSH), Low Back Pain (psychology), Low Back Pain (therapy), Male (MeSH), Middle Aged (MeSH), Pain Measurement (MeSH), Physical Therapy Modalities (MeSH), Primary Health Care (MeSH), Young Adult (MeSH).
- MESH :
- psychology : Chronic Pain, Low Back Pain.
- therapy : Chronic Pain, Low Back Pain.
- Adolescent, Adult, Aged, Clinical Protocols, Double-Blind Method, Female, Humans, Male, Middle Aged, Pain Measurement, Physical Therapy Modalities, Primary Health Care, Young Adult.
Abstract
INTRODUCTION
Multidisciplinary biopsychosocial interventions are effective at improving functional disability in people with chronic low back pain. However, these interventions are often expensive and have long waiting times before treatment starts. Therefore, implementing biopsychosocial interventions in primary care settings may be of interest. Because people with chronic low back pain show different biopsychosocial profiles, they might respond differently to specific interventions.
RESEARCH QUESTIONS
This study will investigate the difference in (cost) effectiveness between a biopsychosocial primary care intervention, Back on Track, and primary care physiotherapy as usual in a subgroup of adults with chronic low back pain.
DESIGN
Double-blind, multicentre (n = 8), randomised, controlled trial.
PARTICIPANTS
Eighty-six adults with chronic low back pain, aged 18 to 65 years, experiencing low to moderate levels of disability and in whom the contributing role of psychosocial factors to this disability is restricted.
INTERVENTION
The Back on Track intervention: four individual and eight group sessions, based on biopsychosocial approaches from multidisciplinary pain rehabilitation programs and provided by trained physiotherapists.
CONTROL
Primary care physiotherapy as usual.
MEASUREMENTS
The primary outcome is functional disability (Quebec Back Pain Disability Scale) at post treatment, and 3-month and 12-month follow-up. Secondary measures are: credibility and expectancy, anxiety and depression, catastrophising, pain intensity, kinesiophobia, self-efficacy, participant's global perceived effect, cost-effectiveness, and cost-utility estimated with cost diaries and quality-adjusted life years.
ANALYSIS
Linear mixed models using an intention-to-treat principle. Incremental cost-effectiveness and cost-utility ratios will be calculated and plotted on a cost-effectiveness plane.
DISCUSSION
This study will provide useful information on a biopsychosocial intervention for chronic low back pain in primary care settings.
DOI: 10.1016/j.jphys.2015.03.003
PubMed: 25922158
Links to Exploration step
pubmed:25922158Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial.</title><author><name sortKey="Van Erp, Reni M A" sort="Van Erp, Reni M A" uniqKey="Van Erp R" first="Reni M A" last="Van Erp">Reni M A. Van Erp</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University.</nlm:affiliation></affiliation></author><author><name sortKey="Huijnen, Ivan P J" sort="Huijnen, Ivan P J" uniqKey="Huijnen I" first="Ivan P J" last="Huijnen">Ivan P J. Huijnen</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Verbunt, Jeanine A" sort="Verbunt, Jeanine A" uniqKey="Verbunt J" first="Jeanine A" last="Verbunt">Jeanine A. Verbunt</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Smeets, Rob J E M" sort="Smeets, Rob J E M" uniqKey="Smeets R" first="Rob J E M" last="Smeets">Rob J E M. Smeets</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25922158</idno><idno type="pmid">25922158</idno><idno type="doi">10.1016/j.jphys.2015.03.003</idno><idno type="wicri:Area/Main/Corpus">001091</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001091</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial.</title><author><name sortKey="Van Erp, Reni M A" sort="Van Erp, Reni M A" uniqKey="Van Erp R" first="Reni M A" last="Van Erp">Reni M A. Van Erp</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University.</nlm:affiliation></affiliation></author><author><name sortKey="Huijnen, Ivan P J" sort="Huijnen, Ivan P J" uniqKey="Huijnen I" first="Ivan P J" last="Huijnen">Ivan P J. Huijnen</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Verbunt, Jeanine A" sort="Verbunt, Jeanine A" uniqKey="Verbunt J" first="Jeanine A" last="Verbunt">Jeanine A. Verbunt</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Smeets, Rob J E M" sort="Smeets, Rob J E M" uniqKey="Smeets R" first="Rob J E M" last="Smeets">Rob J E M. Smeets</name><affiliation><nlm:affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of physiotherapy</title><idno type="eISSN">1836-9561</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Chronic Pain (psychology)</term><term>Chronic Pain (therapy)</term><term>Clinical Protocols (MeSH)</term><term>Double-Blind Method (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Low Back Pain (psychology)</term><term>Low Back Pain (therapy)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pain Measurement (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Primary Health Care (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Chronic Pain</term><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chronic Pain</term><term>Low Back Pain</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Clinical Protocols</term><term>Double-Blind Method</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Physical Therapy Modalities</term><term>Primary Health Care</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Multidisciplinary biopsychosocial interventions are effective at improving functional disability in people with chronic low back pain. However, these interventions are often expensive and have long waiting times before treatment starts. Therefore, implementing biopsychosocial interventions in primary care settings may be of interest. Because people with chronic low back pain show different biopsychosocial profiles, they might respond differently to specific interventions.</p></div><div type="abstract" xml:lang="en"><p><b>RESEARCH QUESTIONS</b></p><p>This study will investigate the difference in (cost) effectiveness between a biopsychosocial primary care intervention, Back on Track, and primary care physiotherapy as usual in a subgroup of adults with chronic low back pain.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Double-blind, multicentre (n = 8), randomised, controlled trial.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Eighty-six adults with chronic low back pain, aged 18 to 65 years, experiencing low to moderate levels of disability and in whom the contributing role of psychosocial factors to this disability is restricted.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>The Back on Track intervention: four individual and eight group sessions, based on biopsychosocial approaches from multidisciplinary pain rehabilitation programs and provided by trained physiotherapists.</p></div><div type="abstract" xml:lang="en"><p><b>CONTROL</b></p><p>Primary care physiotherapy as usual.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b></p><p>The primary outcome is functional disability (Quebec Back Pain Disability Scale) at post treatment, and 3-month and 12-month follow-up. Secondary measures are: credibility and expectancy, anxiety and depression, catastrophising, pain intensity, kinesiophobia, self-efficacy, participant's global perceived effect, cost-effectiveness, and cost-utility estimated with cost diaries and quality-adjusted life years.</p></div><div type="abstract" xml:lang="en"><p><b>ANALYSIS</b></p><p>Linear mixed models using an intention-to-treat principle. Incremental cost-effectiveness and cost-utility ratios will be calculated and plotted on a cost-effectiveness plane.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>This study will provide useful information on a biopsychosocial intervention for chronic low back pain in primary care settings.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25922158</PMID><DateCompleted><Year>2016</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1836-9561</ISSN><JournalIssue CitedMedium="Internet"><Volume>61</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Journal of physiotherapy</Title><ISOAbbreviation>J Physiother</ISOAbbreviation></Journal><ArticleTitle>A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial.</ArticleTitle><Pagination><MedlinePgn>155</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jphys.2015.03.003</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1836-9553(15)00033-8</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Multidisciplinary biopsychosocial interventions are effective at improving functional disability in people with chronic low back pain. However, these interventions are often expensive and have long waiting times before treatment starts. Therefore, implementing biopsychosocial interventions in primary care settings may be of interest. Because people with chronic low back pain show different biopsychosocial profiles, they might respond differently to specific interventions.</AbstractText><AbstractText Label="RESEARCH QUESTIONS" NlmCategory="OBJECTIVE">This study will investigate the difference in (cost) effectiveness between a biopsychosocial primary care intervention, Back on Track, and primary care physiotherapy as usual in a subgroup of adults with chronic low back pain.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Double-blind, multicentre (n = 8), randomised, controlled trial.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Eighty-six adults with chronic low back pain, aged 18 to 65 years, experiencing low to moderate levels of disability and in whom the contributing role of psychosocial factors to this disability is restricted.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">The Back on Track intervention: four individual and eight group sessions, based on biopsychosocial approaches from multidisciplinary pain rehabilitation programs and provided by trained physiotherapists.</AbstractText><AbstractText Label="CONTROL" NlmCategory="METHODS">Primary care physiotherapy as usual.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">The primary outcome is functional disability (Quebec Back Pain Disability Scale) at post treatment, and 3-month and 12-month follow-up. Secondary measures are: credibility and expectancy, anxiety and depression, catastrophising, pain intensity, kinesiophobia, self-efficacy, participant's global perceived effect, cost-effectiveness, and cost-utility estimated with cost diaries and quality-adjusted life years.</AbstractText><AbstractText Label="ANALYSIS" NlmCategory="METHODS">Linear mixed models using an intention-to-treat principle. Incremental cost-effectiveness and cost-utility ratios will be calculated and plotted on a cost-effectiveness plane.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This study will provide useful information on a biopsychosocial intervention for chronic low back pain in primary care settings.</AbstractText><CopyrightInformation>Copyright © 2015 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Erp</LastName><ForeName>Reni M A</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huijnen</LastName><ForeName>Ivan P J</ForeName><Initials>IP</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verbunt</LastName><ForeName>Jeanine A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smeets</LastName><ForeName>Rob J E M</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, CAPHRI, Maastricht University; Department of Rehabilitation Medicine, Maastricht UMC+, Maastricht; Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT02220543</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Physiother</MedlineTA><NlmUniqueID>101528691</NlmUniqueID><ISSNLinking>1836-9561</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="ErratumIn"><RefSource>J Physiother. 2016 Apr;62(2):59</RefSource><PMID Version="1">27056792</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059350" MajorTopicYN="N">Chronic Pain</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="Y">Clinical Protocols</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004311" MajorTopicYN="N">Double-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017116" MajorTopicYN="N">Low Back Pain</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="Y">Primary Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>02</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>03</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>03</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25922158</ArticleId><ArticleId IdType="pii">S1836-9553(15)00033-8</ArticleId><ArticleId IdType="doi">10.1016/j.jphys.2015.03.003</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/AutomedicationFrancoV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001091 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 001091 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= AutomedicationFrancoV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:25922158
|texte= A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:25922158" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a AutomedicationFrancoV1
| This area was generated with Dilib version V0.6.38. |  |