Back pain Musculoskeletal Diseases Back pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Physiotherapists: 1. Registered with the Health and Care Professions Council 2. Band 6 grade working within the musculoskeletal outpatient service at Southern Health NHS Foundation Trust 3. Treating patients with back pain. Patients: 1. Aged 18 or over, either sex 2. Referred to the outpatient physiotherapy service 3. Reporting back pain 4. With or without referred leg pain 5. Not having received any physical therapy (NHS or private) in the previous three months
Exclusion criteria
Exclusion criteria: Physiotherapists: 1. Not fulfilling the inclusion criteria or 2. If they have been involved in either of the first two studies in this research programme, from which the content of the educational workshop was derived. Patients: 1. If they present with 'red flags' (signs / symptoms suggesting possible serious spinal pathology) 2. If they have received spinal surgery during this care episode 3. If they have another musculoskeletal disorder that is more troublesome than their back pain 4. If they have a serious psychiatric or psychological condition identified by the referring doctor; or 5. If they are unable to communicate in English without assistance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Consultation And Relational Empathy (CARE) measure. Primary and secondary measures are recorded at baseline (pre-workshops) and post-workshops (until a quota of 5 new patients have been assessed per participating physiotherapist). The semi-structured interviews to evaluate the workshops will take place within one week of the workshop and the focus group to discuss any impact on practice will be at 2 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intensity of pain (numerical rating scale) 2. The Patient Enablement Instrument (PEI) 3. Brief Illness Perceptions Questionnaire 4. Patient Feedback questionnaire (Chartered Society of Physiotherapy) 5. 7-point enablement scales 6. Roland-Morris Disability Questionnaire 7. EQ5D-5L 8. Satisfaction with the consultation scale | — |
Countries
United Kingdom