Cargando…
The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care
BACKGROUND: Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neuroph...
Autores principales: | , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839981/ https://www.ncbi.nlm.nih.gov/pubmed/20158897 http://dx.doi.org/10.1186/1471-2474-11-33 |
_version_ | 1782178969976569856 |
---|---|
author | Werner, Erik L Storheim, Kjersti Løchting, Ida Grotle, Margreth |
author_facet | Werner, Erik L Storheim, Kjersti Løchting, Ida Grotle, Margreth |
author_sort | Werner, Erik L |
collection | PubMed |
description | BACKGROUND: Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neurophysiological education. The primary aim of this study is to evaluate whether a specific cognitive based education programme for patients with LBP in primary care is more effective than normal care in terms of increased function. The secondary aims of the study are to evaluate whether this intervention also results in earlier return to work, decreased pain, increased patient satisfaction, increased quality-of-life, and cost utility. METHODS/DESIGN: Cluster randomised controlled trial with 20 general practitioners and 20 physiotherapists in primary care as the unit of randomisation. Each practitioner will recruit up to 10 patients, aged 20 to 55 years, with non-specific sub-acute/chronic LBP of more than four weeks but less than 1 year's duration. Practitioners in the intervention arm will provide cognitive patient education intervention in up to four weekly sessions, each lasting 30 minutes. Practitioners in the control arm will provide normal treatment, but have to make four appointments for the patients. Patients, outcome assessors, and study statistician will be blinded to group allocation. DISCUSSION: We present the rationale and design of an ongoing RCT study that potentially offers an easily implemented treatment strategy for LBP patients in primary care. The results will be available in 2012. TRIAL REGISTRATION: ISRCTN04323845 |
format | Text |
id | pubmed-2839981 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28399812010-03-17 The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care Werner, Erik L Storheim, Kjersti Løchting, Ida Grotle, Margreth BMC Musculoskelet Disord Study protocol BACKGROUND: Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neurophysiological education. The primary aim of this study is to evaluate whether a specific cognitive based education programme for patients with LBP in primary care is more effective than normal care in terms of increased function. The secondary aims of the study are to evaluate whether this intervention also results in earlier return to work, decreased pain, increased patient satisfaction, increased quality-of-life, and cost utility. METHODS/DESIGN: Cluster randomised controlled trial with 20 general practitioners and 20 physiotherapists in primary care as the unit of randomisation. Each practitioner will recruit up to 10 patients, aged 20 to 55 years, with non-specific sub-acute/chronic LBP of more than four weeks but less than 1 year's duration. Practitioners in the intervention arm will provide cognitive patient education intervention in up to four weekly sessions, each lasting 30 minutes. Practitioners in the control arm will provide normal treatment, but have to make four appointments for the patients. Patients, outcome assessors, and study statistician will be blinded to group allocation. DISCUSSION: We present the rationale and design of an ongoing RCT study that potentially offers an easily implemented treatment strategy for LBP patients in primary care. The results will be available in 2012. TRIAL REGISTRATION: ISRCTN04323845 BioMed Central 2010-02-16 /pmc/articles/PMC2839981/ /pubmed/20158897 http://dx.doi.org/10.1186/1471-2474-11-33 Text en Copyright ©2010 Werner 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 Werner, Erik L Storheim, Kjersti Løchting, Ida Grotle, Margreth The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care |
title | The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care |
title_full | The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care |
title_fullStr | The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care |
title_full_unstemmed | The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care |
title_short | The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care |
title_sort | cope lbp trial: cognitive patient education for low back pain - a cluster randomized controlled trial in primary care |
topic | Study protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839981/ https://www.ncbi.nlm.nih.gov/pubmed/20158897 http://dx.doi.org/10.1186/1471-2474-11-33 |
work_keys_str_mv | AT wernererikl thecopelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT storheimkjersti thecopelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT løchtingida thecopelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT grotlemargreth thecopelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT wernererikl copelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT storheimkjersti copelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT løchtingida copelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare AT grotlemargreth copelbptrialcognitivepatienteducationforlowbackpainaclusterrandomizedcontrolledtrialinprimarycare |