None listed
Conditions
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 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
Study design
Eligibility
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