Trial Summary
What is the purpose of this trial?The goal of this two-group randomized trial is to determine the feasibility and acceptability of a remotely-delivered health coaching intervention offered in conjunction with usual care for patients with an acute exacerbation of chronic low back pain who present to the emergency department (ED).
The main questions this feasibility trial aims to answer are:
* Is our health coaching intervention and randomized trial methodology feasible to conduct?
* Is our health coaching intervention acceptable to participants and ED providers?
Participants will be randomized to one of two groups (usual ED care plus health coaching or usual ED care plus education) and complete outcome assessments at 3 and 6 months after ED discharge. Participants and ED providers will also complete an interview.
What data supports the idea that Health Coaching for Lower Back Pain is an effective treatment?The available research shows that health coaching can help people with chronic low back pain by supporting them to stay active and manage their symptoms after treatment. This approach may reduce the need for further medical care. While the studies focus on different conditions, they suggest that health coaching empowers patients to reach their health goals, which can be beneficial for managing low back pain.268910
What safety data exists for health coaching for low back pain?The provided research abstracts do not specifically mention safety data for health coaching for low back pain. They focus on the effectiveness, diversity of interventions, and outcomes related to health coaching. For detailed safety data, further investigation into full studies or specific safety-focused research would be necessary.123410
Do I have to stop taking my current medications for the trial?The trial protocol does not specify whether you need to stop taking your current medications. It seems likely that you can continue your usual care, but please confirm with the trial organizers.
Is Health Coaching a promising treatment for Lower Back Pain?Yes, Health Coaching is a promising treatment for Lower Back Pain. It helps people stay active and manage their symptoms, which can reduce the need for more medical care. It empowers patients to reach their health goals and can improve their overall well-being.257910
Eligibility Criteria
This trial is for patients who have had an acute episode of chronic low back pain and visited the emergency department. Participants should be willing to receive health coaching or education after discharge, and able to complete follow-ups at 3 and 6 months. Specific inclusion or exclusion criteria are not provided.Inclusion Criteria
I am 18 years old or older.
I am experiencing lower back pain.
I have had lower back pain for more than 3 months, with pain on most days in the last 6 months.
Exclusion Criteria
I am currently hospitalized for a serious health issue.
Treatment Details
The study is testing if a remotely-delivered health coaching program, along with usual care from the ED, can help people with chronic low back pain. It compares this approach to just getting educational materials plus usual care. The success will be measured by how feasible and acceptable these methods are.
2Treatment groups
Experimental Treatment
Active Control
Group I: Usual ED Care plus Health CoachingExperimental Treatment1 Intervention
Group II: Usual ED Care plus EducationActive Control1 Intervention
Find a clinic near you
Research locations nearbySelect from list below to view details:
Vanderbilt University Medical CenterNashville, TN
Loading ...
Who is running the clinical trial?
Vanderbilt University Medical CenterLead Sponsor
References
The impact of Telephonic Health Coaching on Health Outcomes in a High-risk Population. [2022]Health coaching is a client-centric process to increase motivation and self-efficacy that supports sustainable lifestyle behavior changes and active management of health conditions. This study describes an intervention offered as a benefit to health plan members and examines health and behavioral outcomes of participants.
Health coaching for low back pain: a systematic review of the literature. [2018]To systematically review the evidence for health coaching for patients with low back pain and describe the diversity of health coach training and interventions.
How effective is health coaching in reducing health services expenditures? [2022]Health coaching interventions aim to identify high-risk enrollees and encourage them to play a more proactive role in improving their health, improve their ability to navigate the health care system, and reduce costs.
Wellness Coaching for People With Prediabetes: A Randomized Encouragement Trial to Evaluate Outreach Methods at Kaiser Permanente, Northern California, 2013. [2019]Health coaching can improve lifestyle behaviors known to prevent or manage chronic conditions. Little is known about effective ways to encourage health and wellness coaching among people who might benefit. The purpose of this randomized encouragement trial was to assess the relative success of 3 outreach methods (secured email message, telephone message, and mailed letter) on the use of wellness coaching by people with prediabetes.
Using a CBT approach to manage low back pain. [2021]Low back pain is not only commonplace the world over, but also costly to treat. A training programme was developed so health professionals from many different specialties, from nursing to occupational health, can have a positive impact on patients with the condition, easing their disability and consequently also, the financial burden on healthcare institutions and systems. This article describes the programme and outlines how NHS nurses can train to use the programme no matter where they are based.
A new complementary approach for oral health and diabetes management: health coaching. [2022]Health coaching (HC) is based on 'partnering with clients in a thought-provoking and creative process that inspires them to maximise their personal and professional potential' to adopt healthy lifestyles through 'building awareness and empowerment'. This study's objective is to assess, for the first time to our knowledge, the effectiveness of HC compared with health education (HE) using clinical and subjective measures among type 2 diabetes (DM2) patients in Turkey and Denmark.
Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial. [2020]Low back pain is one of the most prevalent musculoskeletal conditions and the highest contributor to disability in the world. It is characterized by frequent relapses leading to additional care-seeking. Engagement in leisure physical activity is associated with lower recurrences and better prognosis and potentially reduced care-seeking. Our aim was to investigate the feasibility and preliminary efficacy of a patient-centred physical activity intervention, supported by health coaching and mobile health, to reduce care-seeking, pain and disability in patients with chronic low back pain after treatment discharge.
Current trends in health coaching for chronic conditions: A systematic review and meta-analysis of randomized controlled trials. [2023]Chronic conditions are placing a serious burden on individuals as well as the health care system. Health coaching (HC) has emerged as a promising approach that can support effective lifestyle interventions for chronic conditions. However, until now there is no particularly comprehensive systematic review of HC impact on a chronic condition from the angle of patient improvement and detail coaching characteristics reported.
Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial. [2021]Although many people with chronic low back pain (LBP) improve following conservative treatment, one in five will experience worsening symptoms after discharge from treatment and seek health care again. The current LBP clinical care pathway in many health services lacks a well-integrated, systematic approach to support patients to remain physically active and self-manage their symptoms following discharge from treatment. Health coaching can support people to improve physical activity levels and may potentially reduce health care utilisation for LBP. The primary aim of this study is to evaluate the effect of introducing a coordinated support system (linking hospital outpatient physiotherapy services to a public health coaching service) at discharge from LBP treatment, on the future use of hospital, medical, and health services for LBP, compared with usual care provided at discharge.
Health Coaching for Low Back Pain and Hip and Knee Osteoarthritis: A Systematic Review with Meta-Analysis. [2023]Health coaching aims to empower people to reach their goals and is increasingly used in health care settings. Whether health coaching improves pain and disability for people with hip or knee osteoarthritis (OA) or low back pain (LBP) is unknown.