None listed
Conditions
Brief summary
This study is testing a new online program, MoreGoodDays, designed to help people manage persistent low back pain. The program runs for 8 weeks and includes short weekly modules with videos, readings, guided movements, and activities such as goal setting and mindfulness, which participants can complete at home in their own time. Participants will also virtual one-on-one sessions with a physiotherapist and psychologist who specialise in persistent pain, to personalise and support what is learned in the program. We will measure changes in pain, function, and wellbeing through questionnaires before, after, and up to 12 months following the program. The results will help us understand whether this type of digital program can improve access to effective care for people living with long-term back pain.
Interventions
Brief name:
Multidisciplinary biopsychosocial pain education and management program (MoreGoodDays)
Description of the intervention:
The intervention is an 8-week, multidisciplinary biopsychosocial program focused on pain education, psychological therapies, and self-management, delivered digitally and supported by individual health professional consultations. Clinicians are required to be qualified and registered physiotherapists and psychologists and are not required to have specific formal tra
Brief name: Multidisciplinary biopsychosocial pain education and management program (MoreGoodDays) Description of the intervention: The intervention is an 8-week, multidisciplinary biopsychosocial program focused on pain education, psychological therapies, and self-management, delivered digitally and supported by individual health professional consultations. Clinicians are required to be qualified and registered physiotherapists and psychologists and are not required to have specific formal training. However, all clinicians are employees of MoreGoodDays, and as such have experience in persistent pain management in a Telehealth environment, and are familiar with the MoreGoodDays content and approach. Materials Participants access the program via the MoreGoodDays website or mobile app (publicly accessible via www.moregooddays.com). Content includes short educational videos, audio resources (e.g., expert and lived experience interviews), written articles, guided movement practices, and interactive tasks (e.g., goal setting, reflection exercises). Automated reminders are provided to support adherence. Procedures and activities • Online program: 8 sequential modules, each containing ~5–15 minute components, designed to be completed flexibly by participants within approximately 1 hour per week. Content covers pain science, movement retraining, emotional coping, and strategies for long-term resilience. Modules combine active elements (e.g., guided movement, mindfulness, goal setting, educational tasks) with passive elements (e.g., videos, readings). • Professional support: Participants receive a total of 8 individual telehealth sessions with clinicians: o Physiotherapist: 3 core clinical sessions plus 2 additional sessions — one introductory session at program commencement (to welcome participants, clarify goals/barriers, and start the program) and one concluding session at program completion (to plan ongoing progress and long-term self-care). o Psychologist: 3 core clinical sessions. Each session typically lasts 30–50 minutes and is designed to reinforce program content, personalise strategies, and address participant questions. Mode of delivery • Online modules: self-directed, delivered via internet (MoreGoodDays website/app), completed individually. • Health professional sessions: delivered individually via secure video-conferencing. Schedule, duration, and intensity • Online modules: 8 × ~1-hour modules, delivered weekly over 8 consecutive weeks (with flexibility within each week). • Professional sessions: 8 × 30–50 minute individual telehealth sessions (5 physiotherapist, 3 psychologist), scheduled across the 8-week program. Location All intervention activities occur remotely, in participants’ homes or preferred private locations, via digital access. Personalisation / adaptation Health professional sessions are tailored to individual participant needs, based on their progress through the online program and specific questions or challenges. The online program content itself is standardised and delivered uniformly to all participants. Adherence and fidelity • Adherence is monitored automatically through the MoreGoodDays platform, which records module completion. • Fidelity of professional consultations is supported by structured session guides to encourage alignment with program content.
Sponsors
University of South Australia
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Participants will be adults aged 18–65 years with low back pain as their primary pain site, of at least three months’ duration, and with an average pain intensity of at least 4/10. Eligible participants must have sufficient proficiency in English to understand and respond to questionnaires and engage with the intervention, and must also have reliable access to the internet.
Exclusion criteria
Exclusion criteria include the presence of neurological comorbidities (e.g., stroke, spinal cord injury), psychiatric or cognitive comorbidities that would prevent successful participation, or uncontrolled mental health conditions that preclude engagement. Participants will also be excluded if they have rheumatic disease (e.g., rheumatoid arthritis), have undergone lumbar surgical intervention in the past 12 months, have scheduled surgery during the intervention or follow-up period, or have a known or suspected diagnosis of serious lumbar pathology (e.g., fracture, radiculopathy, tumour). Pregnancy or being less than six months postpartum will also be grounds for exclusion.
Outcome results
None listed