Lower back pain Musculoskeletal Diseases Dorsalgia
Conditions
Interventions
Physiotherapy-led treatment (control group):
Chronic low back pain is frequently managed within the physiotherapy departments either through one to one outpatient physiotherapy sessions involving indi
or group sessions incorporating some form of active exercise or through spine stabilisation training. A number of guidelines, including the recent NICE guidelines (2009), have supported this approach,
Sponsors
Royal Holloway, University of London (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients aged over 18 years (either sex) meeting the following criteria are eligible for trial entry: 1. Suffering from chronic musculoskeletal pain including lower back pain 2. Presenting pain has been present for at least 3 months 3. Suitable for physiotherapy-led treatment 4. Not requiring referral to any other department (e.g. PMP) 5. Classified as "avoidant" - indicated from responses to the Subgroups for Targeted Treatment BACK screening tool (STarT Back), The Photograph Series of Daily Activities - Short Electronic Version (PHODA-SeV) and the Chronic Pain Acceptance Questionnaire (CPAQ) assessment tools
Exclusion criteria
Exclusion criteria: 1. Actively receiving psychological treatment 2. Presence of sciatica 3. Presence of a progressive disorder such as cancer 4. Pregnancy 5. Insufficient proficiency in English 6. Involved in on-going litigation relating to the pain condition 7. Clinician discretion, where it is felt that treatment would not be appropriate (e.g. following spinal surgery, existing psychiatric condition which would interfere with trial participation)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at 10 weeks post-registration and 6 months post-registration: 1. An assessment of the acceptability and credibility of CCBT when compared to physiotherapy led intervention 2. An assessment of expectation and satisfaction of the treatment to patients 3. An evaluation of the recruitment rate and feasibility of recruitment process 4. An assessment of the burden associated with the completion of the assessment tools by patients 5. An assessment of the acceptability and credibility of the treatment to therapists 6. An evaluation of process of change between the two treatment arms | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient-reported quality of life as measured by a series of different patient completed questionnaires, measured at 10 weeks post-registration and 6 months post-registration. | — |
Countries
United Kingdom
Outcome results
None listed