Management of low back pain in occupational health care using an approach that considers biological, psychological, and social factors

Effectiveness of biopsychosocially oriented management of low back pain in occupational health care

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN11875357

Enrollment

600

Registered

2019-05-13

Start date

2017-09-25

Completion date

Unknown

Last updated

2026-03-16

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

Conditions

Low back pain Musculoskeletal Diseases

Interventions

Implementation of classification-based biopsychosocial approach for low back pain patients in occupational health care. Professionals The intervention consists of education of professionals with in-h

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. 18 - 65 years of age 2. LBP with or without radicular pain 3. Signed consent form

Exclusion criteria

Exclusion criteria: 1. Age under 18 or over 65 years 2. Serious cause for LBP or LBP requiring urgent care

Design outcomes

Primary

Measure	Time frame
Change in Oswestry Disability Index (ODI) from baseline to 12-month follow-up.	—

Secondary

Measure	Time frame
1. Pain and disability: 1.1 Oswestry Disability Index, change from baseline to 3-month follow-up 1.2 Roland Morris disability questionnaire change from baseline to 12-month follow-up 1.3 PROMIS (Patient-Reported Outcomes Measurement Information System) (short form 20a) change from baseline to 3- and 12-month follow-ups 1.4 Frequency of LBP during past 3 months change from baseline to 3- and 12-month follow-ups 1.5 LBP intensity (NRS, numerical rating scale) during past week change from baseline to 3- and 12-month follow-ups 1.6 Leg pain intensity (NRS) during past week change from baseline to 3- and 12-month follow-ups 1.7 SBT (STarT Back Tool) change from baseline to 12-month follow-up. 2. Health-related quality of life: EQ-5D (EuroQol five dimensions) change from baseline to 12-month follow-up. 3. Direct costs: 3.1 Physician visits during past year 3.2 Physiotherapist visits during past year 3.3 Nurse visits during past year 3.4 Other health care professional visits (e.g. psychologist) during past year 3.5 Imaging due to LBP (x-ray/MRI/CT) during past year 3.6 Pain medication over the first year and 3 years; Back operations and other invasive procedures. 4. Indirect costs 4.1 Days on sick leave during past year (LBP-related and all) 4.2 Disability pensions over the first year and at 3 years	—

Measure

Time frame

1. Pain and disability: 1.1 Oswestry Disability Index, change from baseline to 3-month follow-up 1.2 Roland Morris disability questionnaire change from baseline to 12-month follow-up 1.3 PROMIS (Patient-Reported Outcomes Measurement Information System) (short form 20a) change from baseline to 3- and 12-month follow-ups 1.4 Frequency of LBP during past 3 months change from baseline to 3- and 12-month follow-ups 1.5 LBP intensity (NRS, numerical rating scale) during past week change from baseline to 3- and 12-month follow-ups 1.6 Leg pain intensity (NRS) during past week change from baseline to 3- and 12-month follow-ups 1.7 SBT (STarT Back Tool) change from baseline to 12-month follow-up. 2. Health-related quality of life: EQ-5D (EuroQol five dimensions) change from baseline to 12-month follow-up. 3. Direct costs: 3.1 Physician visits during past year 3.2 Physiotherapist visits during past year 3.3 Nurse visits during past year 3.4 Other health care professional visits (e.g. psychologist) during past year 3.5 Imaging due to LBP (x-ray/MRI/CT) during past year 3.6 Pain medication over the first year and 3 years; Back operations and other invasive procedures. 4. Indirect costs 4.1 Days on sick leave during past year (LBP-related and all) 4.2 Disability pensions over the first year and at 3 years

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Countries

Finland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 20, 2026