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Physiotherapist-Led Care for Back Pain

N/A

Recruiting

Led By Jordan Miller, PhD

Research Sponsored by Jordan Miller, PT, PhD

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Must not have

Patients for whom the cause of their back pain is cancer

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 6-week, 12-week, 6-month, 9-month, and 12-month follow-up

Awards & highlights

No Placebo-Only Group

Summary

This trial will test a new primary care model for back pain that involves physiotherapists. It will evaluate the impacts of this model on individuals and the healthcare system in Canada.

Who is the study for?

This trial is for adults over 19 with low back pain seeking primary care at a participating site. It's not for those who can't consent, don't understand English, or have cancer-related back pain.

What is being tested?

The study compares a new physiotherapist-led primary care model against usual care to see how it affects individuals and the healthcare system in managing low back pain.

What are the potential side effects?

Since this trial involves physiotherapy rather than medication, side effects may include temporary increased discomfort or muscle soreness following treatment.

Eligibility Criteria

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

Select...

My back pain is caused by cancer.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 6-week, 12-week, 6-month, 9-month, and 12-month follow-up

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~6-week, 12-week, 6-month, 9-month, and 12-month follow-up

This trial's timeline: 3 weeks for screening, Varies for treatment, and 6-week, 12-week, 6-month, 9-month, and 12-month follow-up for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Adverse Events

Catastrophic Thinking

Depressive Symptoms

+8 more

Secondary study objectives

Access to Physiotherapy Services

Costs

Education Provided by Health Care Provider

+12 more

Other study objectives

Baseline characteristics

Comorbidity

Participant Treatment Fidelity

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Physiotherapist-led primary care model for back painExperimental Treatment1 Intervention

The index intervention will incorporate a PT within the primary care team and make them available at the first point of contact for people with low back pain. There will be 4 key components of this intervention: 1) Initial assessment and screening; 2) Brief individualized intervention at first visit; 3) Health services navigation; 4) Providing additional PT care for people with an unmet need (e.g., no insurance coverage for PT).

Group II: Usual careActive Control1 Intervention

The physician-led primary care intervention will be unstandardized to best reflect standard clinical practice in Canada. This usually includes a visit to a primary care physician, who would perform a history and physical examination, provide LBP education, order diagnostic imaging, prescribe medications and/or refer based on their assessment findings and patient preferences.

Treatment

First Studied

Drug Approval Stage

How many patients have taken this drug

Physiotherapist-led primary care model for back pain

2017

N/A

~100

0 / 1Eligibility criteria met