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Study protocol: improving patient choice in treating low back pain (IMPACT-LBP): a randomised controlled trial of a decision support package for use in physical therapy

Study protocol: improving patient choice in treating low back pain (IMPACT-LBP): a randomised controlled trial of a decision support package for use in physical therapy
Study protocol: improving patient choice in treating low back pain (IMPACT-LBP): a randomised controlled trial of a decision support package for use in physical therapy
BACKGROUND: Low back pain is a common and costly condition. There are several treatment options for people suffering from back pain, but there are few data on how to improve patients' treatment choices. This study will test the effects of a decision support package (DSP), designed to help patients seeking care for back pain to make better, more informed choices about their treatment within a physiotherapy department. The package will be designed to assist both therapist and patient.

METHODS/DESIGN: Firstly, in collaboration with physiotherapists, patients and experts in the field of decision support and decision aids, we will develop the DSP. The work will include: a literature and evidence review; secondary analysis of existing qualitative data; exploration of patients' perspectives through focus groups and exploration of experts' perspectives using a nominal group technique and a Delphi study.Secondly, we will carry out a pilot single centre randomised controlled trial within NHS Coventry Community Physiotherapy. We will randomise physiotherapists to receive either training for the DSP or not. We will randomly allocate patients seeking treatment for non specific low back pain to either a physiotherapist trained in decision support or to receive usual care. Our primary outcome measure will be patient satisfaction with treatment at three month follow-up. We will also estimate the cost-effectiveness of the intervention, and assess the value of conducting further research.

DISCUSSION: Informed shared decision-making should be an important part of any clinical consultation, particularly when there are several treatments, which potentially have moderate effects. The results of this pilot will help us determine the benefits of improving the decision-making process in clinical practice on patient satisfaction.

TRIAL REGISTRATION: Current Controlled Trials ISRCTN46035546.
choice behavior, cost-benefit analysis, decision support systems, clinical/economics, humans low back pain/therapy outcome assessment, (health care) patient participation/trends, patient satisfaction, physical therapy, modalities, pilot, projects, treatment, outcome
52
Patel, S.
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Brown, S.
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Friede, T.
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Griffiths, F.
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Lord, J.
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Ngunjiri, A.
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Thistlethwaite, J.
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Tysall, C.
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Woolvine, M.
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Underwood, M.
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Patel, S.
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Brown, S.
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Friede, T.
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Griffiths, F.
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Lord, J.
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Ngunjiri, A.
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Thistlethwaite, J.
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Tysall, C.
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Woolvine, M.
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Underwood, M.
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Patel, S., Brown, S., Friede, T., Griffiths, F., Lord, J., Ngunjiri, A., Thistlethwaite, J., Tysall, C., Woolvine, M. and Underwood, M. (2011) Study protocol: improving patient choice in treating low back pain (IMPACT-LBP): a randomised controlled trial of a decision support package for use in physical therapy. BMC Musculoskeletal Disorders, 12 (52), 52. (doi:10.1186/1471-2474-12-52). (PMID:21352528)

Record type: Article

Abstract

BACKGROUND: Low back pain is a common and costly condition. There are several treatment options for people suffering from back pain, but there are few data on how to improve patients' treatment choices. This study will test the effects of a decision support package (DSP), designed to help patients seeking care for back pain to make better, more informed choices about their treatment within a physiotherapy department. The package will be designed to assist both therapist and patient.

METHODS/DESIGN: Firstly, in collaboration with physiotherapists, patients and experts in the field of decision support and decision aids, we will develop the DSP. The work will include: a literature and evidence review; secondary analysis of existing qualitative data; exploration of patients' perspectives through focus groups and exploration of experts' perspectives using a nominal group technique and a Delphi study.Secondly, we will carry out a pilot single centre randomised controlled trial within NHS Coventry Community Physiotherapy. We will randomise physiotherapists to receive either training for the DSP or not. We will randomly allocate patients seeking treatment for non specific low back pain to either a physiotherapist trained in decision support or to receive usual care. Our primary outcome measure will be patient satisfaction with treatment at three month follow-up. We will also estimate the cost-effectiveness of the intervention, and assess the value of conducting further research.

DISCUSSION: Informed shared decision-making should be an important part of any clinical consultation, particularly when there are several treatments, which potentially have moderate effects. The results of this pilot will help us determine the benefits of improving the decision-making process in clinical practice on patient satisfaction.

TRIAL REGISTRATION: Current Controlled Trials ISRCTN46035546.

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More information

Published date: 2011
Additional Information: Patel, Shilpa Brown, Sally Friede, Tim Griffiths, Frances Lord, Joanne Ngunjiri, Anne Thistlethwaite, Jill Tysall, Colin Woolvine, Mark Underwood, Martin eng PB-PG-0808-17039/Department of Health/United Kingdom Randomized Controlled Trial Research Support, Non-U.S. Gov't England 2011/03/01 06:00 BMC Musculoskelet Disord. 2011 Feb 25;12:52. doi: 10.1186/1471-2474-12-52.
Keywords: choice behavior, cost-benefit analysis, decision support systems, clinical/economics, humans low back pain/therapy outcome assessment, (health care) patient participation/trends, patient satisfaction, physical therapy, modalities, pilot, projects, treatment, outcome
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 382204
URI: http://eprints.soton.ac.uk/id/eprint/382204
PURE UUID: 0ef9e9b0-b210-473d-97b8-39cdc45ac53f
ORCID for J. Lord: ORCID iD orcid.org/0000-0003-1086-1624

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Date deposited: 22 Jan 2016 13:03
Last modified: 15 Mar 2024 03:52

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Contributors

Author: S. Patel
Author: S. Brown
Author: T. Friede
Author: F. Griffiths
Author: J. Lord ORCID iD
Author: A. Ngunjiri
Author: J. Thistlethwaite
Author: C. Tysall
Author: M. Woolvine
Author: M. Underwood

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