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

S.E. Lamb, R. Lall, Z. Hansen, E.J. Withers, F.E. Griffiths, A. Szczepura, Julie H. Barlow, M. Underwood

    Research output: Contribution to journalArticle

    16 Citations (Scopus)
    105 Downloads (Pure)

    Abstract

    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.

    Keyw
    Original languageEnglish
    Number of pages8
    JournalBMC Musculoskeletal Disorders
    Volume8
    Issue number14
    DOIs
    Publication statusPublished - 22 Feb 2007

    Bibliographical note

    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.

    Keywords

    • low back pain
    • randomized controlled trial

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