What Are Persistent Lower Back Pain Patients' Views of Sleep Health Within an Outpatient Musculoskeletal Physiotherapy Setting?

NCT06094517 | Unknown

• 1 other identifier: PLBP paitent view sleep Phyiso
• Study Type: observational
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this qualitative is to understand the views and opinions of patients with persistent lower back pain patients who are awaiting physiotherapy treatment with regards sleep their sleep health. The main questions it aims to answer are:

• Identify whether Patients with persistent lower back pain awaiting physiotherapy consider sleep health relevant to their condition.
• Understand whether persistent lower back pain patients awaiting physiotherapy consider sleep health within the remit of Physiotherapy?
• Understand how persistent lower back pain patients may want sleep health to be assessed or managed within an outpatient musculoskeletal Physiotherapy Setting? Participants will undertake one semi structured interview and complete two secondary outcome measures: Pittsburgh Sleep Quality Index and Pain, Enjoyment of Life and General Activity Scale. Data will be analysed via Thematic Analysis.

Conditions

Persistent Lower Back Pain; Sleep Disturbance; Lower Back Pain; Chronic Low-back Pain

Keywords

Physiotherapy; Persistent Lower Back Pain; Sleep Disturbance; Lower Back Pain; Chronic Low-back Pain

Outcome Measures

Primary Outcomes (1)

• Thematic Analysis

  Thematic Analysis of Data from semi structured interview

  Completed one within 2 week of recruitment to trial

Secondary Outcomes (2)

• Pittsburgh Sleep Quality Index

  Completed one within 2 week of recruitment to trial

• Pain, Enjoyment of Life and General Activity Scale (PEG Scale)

  Completed one within 2 week of recruitment to trial

Study Arms (1)

Observed Group

Patients with persistent lower back pain awaiting Physiotherapy care, undergoing interviews to assess their views of sleep health within and musculoskeletal outpatient Physiotherapy setting.

Other: Interview

Interventions

Interview OTHER

Persistent Lower Back Pain Patients on waiting list under going a usual care pathway following referral to Physiotherapy will be interviewed for views on sleep health

Observed Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants will be identified from self-referrals and General Practitioner (GP) referrals to outpatient Musculoskeletal Physiotherapy at Chesterfield Royal Hospital NHS Foundation Trust, Meeting the Inclusion / exclusion criteria.

You may qualify if:

• On waiting list for Outpatient MSK Physiotherapy at Chesterfield Royal Hospital NHS Foundation Trust
• PLBP (present ≥ 3 months)
• Patients ≥ 18 years

You may not qualify if:

• Not fluent in English
• Failure to understand study
• Previous spinal surgery
• Serous spinal pathology such as fractures or metastasis
• Inflammatory Arthritis
• Referral of pain below buttock
• Acute mental health episode

Sponsors & Collaborators

• Sheffield Hallam University: lead
• Chesterfield Royal Hospital NHS Foundation Trust: collaborator

Related Publications (12)

• National Institute of Clinical Excellence. (2022). Insomnia. CKS. https://cks.nice.org.uk/topics/insomnia/background-information/prevalence

  BACKGROUND

• Morphy H, Dunn KM, Lewis M, Boardman HF, Croft PR. Epidemiology of insomnia: a longitudinal study in a UK population. Sleep. 2007 Mar;30(3):274-80.

  PMID: 17425223 BACKGROUND

• Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017 May 19;9:151-161. doi: 10.2147/NSS.S134864. eCollection 2017.

  PMID: 28579842 BACKGROUND

• Roseen EJ, Gerlovin H, Femia A, Cho J, Bertisch S, Redline S, Sherman KJ, Saper R. Yoga, Physical Therapy, and Back Pain Education for Sleep Quality in Low-Income Racially Diverse Adults with Chronic Low Back Pain: a Secondary Analysis of a Randomized Controlled Trial. J Gen Intern Med. 2020 Jan;35(1):167-176. doi: 10.1007/s11606-019-05329-4. Epub 2019 Oct 30.

  PMID: 31667747 BACKGROUND

• Eadie J, van de Water AT, Lonsdale C, Tully MA, van Mechelen W, Boreham CA, Daly L, McDonough SM, Hurley DA. Physiotherapy for sleep disturbance in people with chronic low back pain: results of a feasibility randomized controlled trial. Arch Phys Med Rehabil. 2013 Nov;94(11):2083-92. doi: 10.1016/j.apmr.2013.04.017. Epub 2013 May 2.

  PMID: 23643716 BACKGROUND

• Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage

  BACKGROUND

• Caudwell, L., Himani, H., Khaw, A., Taylor, R., White, J., Rhodes, S., & Skinner, M. (2020). Attitudes and perceptions of health professionals towards sleep health: A systematic review. Physical Therapy Reviews, 25(5-6), 361-380.

  BACKGROUND

• Siengsukon CF, Nelson E, Turkowitch D. Barriers and Facilitators to Implementing Sleep Health into Outpatient Physical Therapist Practice: A Survey Study. J Allied Health. 2023 Summer;52(2):e55-e61.

  PMID: 37269038 BACKGROUND

• DeJonckheere M, Vaughn LM. Semistructured interviewing in primary care research: a balance of relationship and rigour. Fam Med Community Health. 2019 Mar 8;7(2):e000057. doi: 10.1136/fmch-2018-000057. eCollection 2019.

  PMID: 32148704 BACKGROUND

• Dickerson SS, Klingman KJ, Jungquist CR. Common meanings of good and bad sleep in a healthy population sample. Sleep Health. 2016 Sep;2(3):253-259. doi: 10.1016/j.sleh.2016.06.004. Epub 2016 Jul 30.

  PMID: 29073430 BACKGROUND

• Malterud K, Siersma VD, Guassora AD. Sample Size in Qualitative Interview Studies: Guided by Information Power. Qual Health Res. 2016 Nov;26(13):1753-1760. doi: 10.1177/1049732315617444. Epub 2016 Jul 10.

  PMID: 26613970 BACKGROUND

• Campbell, K. A., Orr, E., Durepos, P., Nguyen, L., Li, L., Whitmore, C., ... & Jack, S. M. (2021). Reflexive thematic analysis for applied qualitative health research. The Qualitative Report, 26(6), 2011-2028.

  BACKGROUND

MeSH Terms

Conditions

Parasomnias; Low Back Pain

Interventions

Interviews as Topic

Condition Hierarchy (Ancestors)

Sleep Wake Disorders; Nervous System Diseases; Mental Disorders; Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Central Study Contacts

Clive Smith, BSc

CONTACT

01246512178; clivesmith1@nhs.net

Simon O'Shea, MSc

CONTACT

0114 237 1030; simonoshea@nhs.net

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 16, 2023
• First Posted: October 23, 2023
• Study Start: December 1, 2023
• Primary Completion: March 15, 2024
• Study Completion: April 17, 2024
• Last Updated: October 23, 2023

Record last verified: 2023-10