Patient Education for Patients With Back Pain Referred to Physical Therapy

NCT02648373 | Completed

• 1 other identifier: IRB00072901
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate patients with low back pain who are scheduled to begin physical therapy but have not yet had their first appointment to better understand their beliefs and attitudes and to evaluate the effects of an educational session about low back pain.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (2)

• Oswestry Disability Index

  Self-report measure of low back pain-related disability

  6 weeks

• Pain as measured by the Numeric Pain Rating Scale

  Self-report measure of pain intensity on 0-10 rating scale

  6 weeks

Secondary Outcomes (9)

• Fear Avoidance beliefs Questionnaire

  baseline, 6 weeks, 3 months

• Pain Catastrophizing Scale

  baseline, 6 weeks, 3 months

• Pain Beliefs Questionnaire

  baseline, 6 weeks, 3 months

• Global Rating of Change

  6 weeks, 3 months

• Physical Therapy Visits: Number of physical therapy episodes attended after baseline

  6 weeks, 3 months

Study Arms (2)

Education

EXPERIMENTAL

Patients receive an educational video about low back pain based on the Consumer Reports Choosing Wisely recommendation for patients with back pain to avoid early imaging and remain as active as possible. After the video the evaluator and patient discussed key themes from the video and the patient was able to ask any questions. Previously scheduled physical therapy then began with treatment at the therapist's discretion.

Behavioral: Patient Education

Control

ACTIVE COMPARATOR

Previously scheduled physical therapy was provided with treatment at the therapist's discretion. No educational intervention was provided before beginning physical therapy

Other: Control

Interventions

Patient Education BEHAVIORAL

An educational video was watched based on Consumer Reports Choosing Wisely patient education supporting the recommendation that imaging is not helpful early for low back pain and the best strategy is to remain as active as possible. Key themes were discussed with a physical therapist and the patient's questions were answered.

Education

Control OTHER

Patients receive no additional intervention. They will begin physical therapy and receive care at the therapist's discretion.

Control

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chief complaint of non-specific low back pain scheduled to receive outpatient physical therapy
• age 18-60
• duration of current symptoms \< 8weeks
• referred to physical therapy from a non-surgeon provider
• no treatment received for low back pain in past year other than physician office visits.

You may not qualify if:

• Diagnosis provided by the referral source indicating a specific pathoanatomical source for LBP including fracture, spondylolesthesis, ankylosing spondylitis, radiculopathy
• any red flags in the patient's general medical screening questionnaire (i.e. tumor, metabolic diseases etc.).

Sponsors & Collaborators

• University of Utah: lead

Study Sites (1)

The University of Utah Healthcare System

Salt Lake City, Utah, 84108, United States

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Patient Education as Topic

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ph.D.

Study Record Dates

• First Submitted: May 27, 2015
• First Posted: January 7, 2016
• Study Start: October 1, 2014
• Primary Completion: October 1, 2015
• Study Completion: October 1, 2015
• Last Updated: January 7, 2016

Record last verified: 2016-01

Locations

US (1)