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Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial
BACKGROUND: Low back pain (LBP) is a major public health problem. Risk factors for the development and persistence of LBP include physical and psychological factors. However, most research activity has focused on physical solutions including manipulation, exercise training and activity promotion. ME...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2147057/ https://www.ncbi.nlm.nih.gov/pubmed/17316434 http://dx.doi.org/10.1186/1471-2474-8-14 |
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author | Lamb, Sarah E Lall, Ranjit Hansen, Zara Withers, Emma J Griffiths, Frances E Szczepura, Ala Barlow, Julie Underwood, Martin R |
author_facet | Lamb, Sarah E Lall, Ranjit Hansen, Zara Withers, Emma J Griffiths, Frances E Szczepura, Ala Barlow, Julie Underwood, Martin R |
author_sort | Lamb, Sarah E |
collection | PubMed |
description | BACKGROUND: Low back pain (LBP) is a major public health problem. Risk factors for the development and persistence of LBP include physical and psychological factors. However, most research activity has focused on physical solutions including manipulation, exercise training and activity promotion. METHODS/DESIGN: This randomised controlled trial will establish the clinical and cost-effectiveness of a group programme, based on cognitive behavioural principles, for the management of sub-acute and chronic LBP in primary care. Our primary outcomes are disease specific measures of pain and function. Secondary outcomes include back beliefs, generic health related quality of life and resource use. All outcomes are measured over 12 months. Participants randomised to the intervention arm are invited to attend up to six weekly sessions each of 90 minutes; each group has 6–8 participants. A parallel qualitative study will aid the evaluation of the intervention. DISCUSSION: In this paper we describe the rationale and design of a randomised evaluation of a group based cognitive behavioural intervention for low back pain. |
format | Text |
id | pubmed-2147057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-21470572007-12-20 Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial Lamb, Sarah E Lall, Ranjit Hansen, Zara Withers, Emma J Griffiths, Frances E Szczepura, Ala Barlow, Julie Underwood, Martin R BMC Musculoskelet Disord Study Protocol BACKGROUND: Low back pain (LBP) is a major public health problem. Risk factors for the development and persistence of LBP include physical and psychological factors. However, most research activity has focused on physical solutions including manipulation, exercise training and activity promotion. METHODS/DESIGN: This randomised controlled trial will establish the clinical and cost-effectiveness of a group programme, based on cognitive behavioural principles, for the management of sub-acute and chronic LBP in primary care. Our primary outcomes are disease specific measures of pain and function. Secondary outcomes include back beliefs, generic health related quality of life and resource use. All outcomes are measured over 12 months. Participants randomised to the intervention arm are invited to attend up to six weekly sessions each of 90 minutes; each group has 6–8 participants. A parallel qualitative study will aid the evaluation of the intervention. DISCUSSION: In this paper we describe the rationale and design of a randomised evaluation of a group based cognitive behavioural intervention for low back pain. BioMed Central 2007-02-22 /pmc/articles/PMC2147057/ /pubmed/17316434 http://dx.doi.org/10.1186/1471-2474-8-14 Text en Copyright © 2007 Lamb et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Lamb, Sarah E Lall, Ranjit Hansen, Zara Withers, Emma J Griffiths, Frances E Szczepura, Ala Barlow, Julie Underwood, Martin R Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial |
title | Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial |
title_full | Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial |
title_fullStr | Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial |
title_full_unstemmed | Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial |
title_short | Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial |
title_sort | design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: back skills training trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2147057/ https://www.ncbi.nlm.nih.gov/pubmed/17316434 http://dx.doi.org/10.1186/1471-2474-8-14 |
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