Testing the credibility, feasibility and acceptability of an optimised behavioural intervention (OBI) for avoidant chronic low back pain patients: protocol for a randomised feasibility study
Testing the credibility, feasibility and acceptability of an optimised behavioural intervention (OBI) for avoidant chronic low back pain patients: protocol for a randomised feasibility study
Chronic back pain continues to be a costly and prevalent condition. The latest NICE guidelines issued in 2009 state that for patients with persistent back pain (of between six weeks and twelve months duration), who are highly distressed and/or disabled and for whom exercise, manual therapy and acupuncture has not been beneficial, the evidence supports a combination of around 100 hours of combined physical and psychological treatment. This is costly, and may prove unacceptable to many patients. A key recommendation of these guidelines was for further randomised controlled trials (RCTs) of psychological treatment and to target treatment to specific sub-groups of patients. Recent trials that have included psychological interventions have shown only moderate improvement at best, and results are not maintained long term. There is therefore a need to test theoretically driven interventions that focus on specific high-risk sub-groups, in which the intervention is delivered at full integrity against a credible control.
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
Anwar, Shamaila
515f63aa-15a4-4efa-94c0-24001e5a7cff
McCracken, Lance
af8fedee-f2f6-4721-8cc6-7e3f209b4ec0
McGregor, Alison
fccf158f-85b0-4333-98f2-55bec69c5d94
Graham, Liz
6038a389-2fd8-4e65-9ed1-54a6940a45aa
Collinson, Michelle
35c245b1-0dd3-43f3-b8df-223ecd3590ff
Farrin, Amanda J
749f912a-cc03-4c8c-b625-2df703dd33fd
OBI Trial Management Team, Clinical Trials Research Unit, University of Leeds, UK
2013
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
Anwar, Shamaila
515f63aa-15a4-4efa-94c0-24001e5a7cff
McCracken, Lance
af8fedee-f2f6-4721-8cc6-7e3f209b4ec0
McGregor, Alison
fccf158f-85b0-4333-98f2-55bec69c5d94
Graham, Liz
6038a389-2fd8-4e65-9ed1-54a6940a45aa
Collinson, Michelle
35c245b1-0dd3-43f3-b8df-223ecd3590ff
Farrin, Amanda J
749f912a-cc03-4c8c-b625-2df703dd33fd
Pincus, Tamar, Anwar, Shamaila, McCracken, Lance, McGregor, Alison, Graham, Liz, Collinson, Michelle and Farrin, Amanda J
,
OBI Trial Management Team, Clinical Trials Research Unit, University of Leeds, UK
(2013)
Testing the credibility, feasibility and acceptability of an optimised behavioural intervention (OBI) for avoidant chronic low back pain patients: protocol for a randomised feasibility study.
Trials, 14, [172].
(doi:10.1186/1745-6215-14-172).
Abstract
Chronic back pain continues to be a costly and prevalent condition. The latest NICE guidelines issued in 2009 state that for patients with persistent back pain (of between six weeks and twelve months duration), who are highly distressed and/or disabled and for whom exercise, manual therapy and acupuncture has not been beneficial, the evidence supports a combination of around 100 hours of combined physical and psychological treatment. This is costly, and may prove unacceptable to many patients. A key recommendation of these guidelines was for further randomised controlled trials (RCTs) of psychological treatment and to target treatment to specific sub-groups of patients. Recent trials that have included psychological interventions have shown only moderate improvement at best, and results are not maintained long term. There is therefore a need to test theoretically driven interventions that focus on specific high-risk sub-groups, in which the intervention is delivered at full integrity against a credible control.
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Published date: 2013
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Local EPrints ID: 469370
URI: http://eprints.soton.ac.uk/id/eprint/469370
ISSN: 1745-6215
PURE UUID: cf5d4256-5888-4b36-80a0-b0f93c766dd4
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Date deposited: 13 Sep 2022 17:03
Last modified: 17 Mar 2024 04:11
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Contributors
Author:
Tamar Pincus
Author:
Shamaila Anwar
Author:
Lance McCracken
Author:
Alison McGregor
Author:
Liz Graham
Author:
Michelle Collinson
Author:
Amanda J Farrin
Corporate Author: OBI Trial Management Team, Clinical Trials Research Unit, University of Leeds, UK
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