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Effectiveness of a telephone-based weight management program in overweight or obese patients with lower back pain waiting for orthopedic consultation.

In overweight or obese patients with lower back pain, who are waiting for consultation with an orthopedic surgeon, does a telephone-based weight management program, result in decreased patient pain, compared to usual patient care.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12615000478516
Enrollment
160
Registered
2015-05-14
Start date
2015-05-18
Completion date
2015-10-27
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Many patients with chronic low back pain are referred for orthopaedic surgical consultation despite most having no indication for surgical intervention. A high percentage of these patients are overweight or obese and would likely benefit from weight management care, however such care is rarely offered to these patients. Instead, patients wait for extended periods of time for consultation during which their pain symptoms and health decline. This study aims to evaluate the effectiveness of a telephone-based weight management program in decreasing weight and pain in overweight or obese patients with chronic low back pain waiting for consultation with an orthopaedic surgeon. We hypotheses that the patients who receive the telephone-based weight management program will achieve an average weight loss of 5kg and decrease their pain score by an average of 1.5 out of 10 from baseline, compared to the control group receiving usual care.

Interventions

Patients will be assessed and provided advice/education by a trained physiotherapist and undertake a telephone-based healthy lifestyle coaching program, the ‘Get Healthy Service’ (GHS). The GHS involves 10 individually tailored coaching calls delivered over a 6 month period by a qualified health professional and aims to support participants to make positive lifestyle behaviour changes regarding healthy eating, physical activity and achieving and maintaining a healthy weight. The frequency of c

Patients will be assessed and provided advice/education by a trained physiotherapist and undertake a telephone-based healthy lifestyle coaching program, the ‘Get Healthy Service’ (GHS). The GHS involves 10 individually tailored coaching calls delivered over a 6 month period by a qualified health professional and aims to support participants to make positive lifestyle behaviour changes regarding healthy eating, physical activity and achieving and maintaining a healthy weight. The frequency of coaching calls is individually tailored to each participant, however calls are generally provided on a tapered schedule, with a higher intensity of calls made within the first 3 months of the program. Participants also receive an information booklet that provides additional information to support them during the program to achieve their goals, a coaching journal to record goals and actions, and access to online services to help track their progress. To ensure participants are suitable for the ongoing coaching calls a number of screening and assessment questions are asked during the initial telephone call.

Sponsors

Hunter New England Population Health, Hunter New England Local Health District
Lead SponsorGovernment body

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

*Primary complaint of pain in the lower back area (i.e. between the 12th rib and buttock crease) with or without leg pain *Pain duration of longer than 3 months since the onset of pain *Average back pain intensity of 3 or greater out of 10 over the past week on a numerical rating scale of 0 to 10 *Moderate level of interference in activities of daily living (adaptation of item 8 on SF36) *Aged 18 years or over *Classified as overweight or obese with a self-reported body mass index (BMI) between 27 or greater and less than 40 *Have access to and can use a telephone

Exclusion criteria

*A known or suspected serious pathology as the underlying cause of back pain (e.g. fracture, cancer, infection) *A previous history of obesity surgery *Currently participating in any prescribed, medically supervised or commercial weight loss program *Back surgery in the last six months or planned surgery in the next 6 months *Unable to comply with the study protocol, adapt meals or exercise, due to non-independent living arrangements *Any medical or physical impairment apart from back pain precluding safe participation in exercise such as uncontrolled hypertension, or morbid obesity (BMI>40) *Cannot speak and read English

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 14, 2026