Implementation of back to living well, a community-based program for the tertiary prevention of low back pain: a study protocol.
Macedo, L
Di Pelino, S
Santos, VS
Richardson, J
MacDermid, J
Hancock, M
Battie, MC
Saragiotto, BT
Hayden, JA
Rushton, A
Packham, T
Freman, M
Bray, S
Griffin, M
Hladysh, G
Miller, P
Attwell, S
- Publisher:
- Springer Nature
- Publication Type:
- Journal Article
- Citation:
- BMC Musculoskelet Disord, 2024, 25, (1), pp. 593
- Issue Date:
- 2024-07-27
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Macedo, L | |
dc.contributor.author | Di Pelino, S | |
dc.contributor.author | Santos, VS | |
dc.contributor.author | Richardson, J | |
dc.contributor.author | MacDermid, J | |
dc.contributor.author | Hancock, M | |
dc.contributor.author | Battie, MC | |
dc.contributor.author | Saragiotto, BT | |
dc.contributor.author | Hayden, JA | |
dc.contributor.author | Rushton, A | |
dc.contributor.author | Packham, T | |
dc.contributor.author | Freman, M | |
dc.contributor.author | Bray, S | |
dc.contributor.author | Griffin, M | |
dc.contributor.author | Hladysh, G | |
dc.contributor.author | Miller, P | |
dc.contributor.author | Attwell, S | |
dc.date.accessioned | 2024-08-21T03:51:16Z | |
dc.date.available | 2024-07-19 | |
dc.date.available | 2024-08-21T03:51:16Z | |
dc.date.issued | 2024-07-27 | |
dc.identifier.citation | BMC Musculoskelet Disord, 2024, 25, (1), pp. 593 | |
dc.identifier.issn | 1471-2474 | |
dc.identifier.issn | 1471-2474 | |
dc.identifier.uri | http://hdl.handle.net/10453/180453 | |
dc.description.abstract | BACKGROUND: The current literature supports the effectiveness of exercise, education, and self-management interventions for the long-term management of persistent low back pain. However, there is significant uncertainty about the implementation of interventions related to barriers, facilitators, and patient's preferences. This study will evaluate the Back to Living Well program implementation from a participant and organizational perspective. More specifically we address the following objectives: 1) identify program barriers and facilitators from participants' perspectives, 2) identify factors related to program, personal and contextual factors that contribute to negative and positive outcomes, and outcome trajectories, 3) identify factors influencing participants' selection of an in-person or e-health program, and 4) evaluate program specific barriers and facilitators from the organization and care delivery perspectives. METHODS: This study will utilize a mixed-method convergent design including a longitudinal cohort strand and a longitudinal qualitative interview strand. The RE-AIM framework will be used to assess program implementation. Participants (n = 90, 1:1: in person or virtual) who choose to register in the program as well as staff (n = 10 to 15) involved in the delivery of the program will be invited to participate. Participants will participate in a 12-week physical activity, education, and self-management program. Implementation outcomes will be measured at 3-, 6-, 12-months, and six months after the end of the follow-ups. Interview scripts and directed content analysis will be constructed based on the Theoretical Domains Framework and the Neuromatrix Model of Pain, Theoretical Domains Framework. Staff interviews will be constructed and analyzed using the Consolidated Framework for Implementation Research. Participants will also complete pain, disability, quality of life and psychological questionnaires, wear an activity tracker at all time points, and complete weekly pain and activity limitation questions using a mobile application. DISCUSSION: The study results will provide evidence to inform potential future implementation of the program. An effective, appropriately targeted, and well implemented exercise program for the long-term management (i.e., tertiary prevention) of LBP could minimize the burden of the condition on patients, the health care system and society. TRIAL REGISTRATION: ClinicalTrials.gov NCT05929846. This (Registration Date: July 3 2023) study has been approved by the Hamilton Integrated Research Ethics Board Project ID#15,354. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | Springer Nature | |
dc.relation.ispartof | BMC Musculoskelet Disord | |
dc.relation.isbasedon | 10.1186/s12891-024-07712-7 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 1103 Clinical Sciences | |
dc.subject.classification | Orthopedics | |
dc.subject.classification | 3202 Clinical sciences | |
dc.subject.classification | 4201 Allied health and rehabilitation science | |
dc.subject.classification | 4207 Sports science and exercise | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Low Back Pain | |
dc.subject.mesh | Tertiary Prevention | |
dc.subject.mesh | Exercise Therapy | |
dc.subject.mesh | Patient Education as Topic | |
dc.subject.mesh | Self-Management | |
dc.subject.mesh | Community Health Services | |
dc.subject.mesh | Longitudinal Studies | |
dc.subject.mesh | Program Evaluation | |
dc.subject.mesh | Female | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Pain Measurement | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Low Back Pain | |
dc.subject.mesh | Pain Measurement | |
dc.subject.mesh | Exercise Therapy | |
dc.subject.mesh | Longitudinal Studies | |
dc.subject.mesh | Program Evaluation | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Community Health Services | |
dc.subject.mesh | Female | |
dc.subject.mesh | Patient Education as Topic | |
dc.subject.mesh | Tertiary Prevention | |
dc.subject.mesh | Self-Management | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Low Back Pain | |
dc.subject.mesh | Tertiary Prevention | |
dc.subject.mesh | Exercise Therapy | |
dc.subject.mesh | Patient Education as Topic | |
dc.subject.mesh | Self-Management | |
dc.subject.mesh | Community Health Services | |
dc.subject.mesh | Longitudinal Studies | |
dc.subject.mesh | Program Evaluation | |
dc.subject.mesh | Female | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Pain Measurement | |
dc.title | Implementation of back to living well, a community-based program for the tertiary prevention of low back pain: a study protocol. | |
dc.type | Journal Article | |
utslib.citation.volume | 25 | |
utslib.location.activity | England | |
utslib.for | 1103 Clinical Sciences | |
pubs.organisational-group | University of Technology Sydney | |
pubs.organisational-group | University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | open_access | * |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.date.updated | 2024-08-21T03:51:12Z | |
pubs.issue | 1 | |
pubs.publication-status | Published online | |
pubs.volume | 25 | |
utslib.citation.issue | 1 |
Abstract:
BACKGROUND: The current literature supports the effectiveness of exercise, education, and self-management interventions for the long-term management of persistent low back pain. However, there is significant uncertainty about the implementation of interventions related to barriers, facilitators, and patient's preferences. This study will evaluate the Back to Living Well program implementation from a participant and organizational perspective. More specifically we address the following objectives: 1) identify program barriers and facilitators from participants' perspectives, 2) identify factors related to program, personal and contextual factors that contribute to negative and positive outcomes, and outcome trajectories, 3) identify factors influencing participants' selection of an in-person or e-health program, and 4) evaluate program specific barriers and facilitators from the organization and care delivery perspectives. METHODS: This study will utilize a mixed-method convergent design including a longitudinal cohort strand and a longitudinal qualitative interview strand. The RE-AIM framework will be used to assess program implementation. Participants (n = 90, 1:1: in person or virtual) who choose to register in the program as well as staff (n = 10 to 15) involved in the delivery of the program will be invited to participate. Participants will participate in a 12-week physical activity, education, and self-management program. Implementation outcomes will be measured at 3-, 6-, 12-months, and six months after the end of the follow-ups. Interview scripts and directed content analysis will be constructed based on the Theoretical Domains Framework and the Neuromatrix Model of Pain, Theoretical Domains Framework. Staff interviews will be constructed and analyzed using the Consolidated Framework for Implementation Research. Participants will also complete pain, disability, quality of life and psychological questionnaires, wear an activity tracker at all time points, and complete weekly pain and activity limitation questions using a mobile application. DISCUSSION: The study results will provide evidence to inform potential future implementation of the program. An effective, appropriately targeted, and well implemented exercise program for the long-term management (i.e., tertiary prevention) of LBP could minimize the burden of the condition on patients, the health care system and society. TRIAL REGISTRATION: ClinicalTrials.gov NCT05929846. This (Registration Date: July 3 2023) study has been approved by the Hamilton Integrated Research Ethics Board Project ID#15,354.
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