None listed
Conditions
Brief summary
Objectives: 1 - To evaluate the effectiveness of a media-led intervention that includes evidence-based information on the management of low back pain (LBP), distributed and broadcasted at point-of-care in primary care settings (General Practice clinics), to change patient beliefs about LBP. Effectiveness will be measured in terms of patients’ beliefs and attitudes about LBP. 2 - To evaluate the delivery of care at a practice level to determine if the media-led intervention changes Medical Practitioner practice (i.e., prescriptions for opioid medication, referrals for medical imaging and Specialists). Target sample size: 30 GP practices 3780 participants Study Design: Stepped wedge cluster randomised clinical trial that will randomise 30 GP clinics into 5 clusters to receive the study information video intervention within their waiting rooms. The order by which each cluster receives the intervention will be randomised, and by the end of the study all 30 clinics will broadcast the media intervention. Patients attending GP clinics will be invited to participate in the study to capture their LBP beliefs at a single time-point either during the control period (no informative study video) or during the intervention period (during the delivery of the intervention video). GP key referral and prescriptions for LBP will be collected at 3 time points: pre, mid and post the delivery of the study intervention
Interventions
The study intervention consists of two two-minute videos presenting key messages about back pain management, informed by back pain guidelines, and reviewed by leading experts and clinicians in the field of back pain. The messages include information on the natural prognosis of LBP, the nature of LBP (e.g., pain does not equal harm), advice to stay active, and recommendations for referrals and medications.
The intervention videos will be played on television screens in participating General Pra
The study intervention consists of two two-minute videos presenting key messages about back pain management, informed by back pain guidelines, and reviewed by leading experts and clinicians in the field of back pain. The messages include information on the natural prognosis of LBP, the nature of LBP (e.g., pain does not equal harm), advice to stay active, and recommendations for referrals and medications. The intervention videos will be played on television screens in participating General Practitioner’s waiting rooms. Videos will be played 5 times per hour during the GP clinic’s usual consulting days and times. The frequency is to ensure adequate exposure to the educational video while patients wait for their appointments. Each step is a month in duration. All clusters will commence the study and progress through each of the 6 steps concurrently. The initial step is the control step where the intervention videos are not displayed at any GP clinic across all clusters. For each subsequent step, 1 cluster will be randomly allocated to the intervention while the other clusters remain in the control period. Subsequently, the addition of one cluster to the intervention at each step will occur until all 5 study clusters are provided with the intervention in the final step. The video will cease playing at all GP clinics once the final step is complete.
Sponsors
University of Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
GP clinic inclusion criteria: - Tonic Health Media subscribers - Practice contains 4 or more General Practitioners Participant Inclusion Criteria: - Age 18 or older - Any underlying medical condition - Attending GP for an episode of care for any health condition as indicated on the screening survey - Willing to complete online surveys
Exclusion criteria
GP clinic exclusion criteria: - Practice does not subscribe to or broadcast Tonic Health Media public health messages to patients in waiting room Participant exclusion criteria: - Unable to understand English written language - Not a patient of the practice - Prior completion of the study surveys as indicated by the screening survey
Outcome results
None listed