Influence of Patient-Informed Choice in a Novel Treatment Model for LBP
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Back Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/27/2013 |
| Start Date: | April 2013 |
| End Date: | July 2016 |
| Contact: | Chad E Cook, PhD |
| Email: | ccook@walsh.edu |
| Phone: | 330 490 7370 |
Influence of Patient-Informed Choice in a Novel Treatment Model for LBP: A Randomized Controlled Trial
1. (Primary) To compare the effectiveness of a patient guided choice of care using a
patient decision support tool to clinical guided care within a novel care process for
non-specific low back pain.
(We hypothesize that the patient guided choice model will demonstrate significant
improvements when compared to the clinician guided care approach)
2. (Secondary) To qualitatively investigate which components of the patient choice
educational methods were most effective for informed decision making among patients who
participate in the patient guided choice of care approach (We hypothesize that dialogue
method of patient guided choice will be identified as most useful)
The purpose of this research study proposal is to evaluate patient choice within this
physical therapist-led model for non-specific low back pain. Evidence exists that patients
are eager to play an active role in decisions concerning their health. Recent evidence from
research supports the benefit of decision aides for consumers, especially those that were
accurate and refined to the specific problems of each patient. In our proposed randomized
controlled trial (RCT), one group of patients in the study will have the opportunity to
drive choices within their healthcare model; but only after receiving useful information on
what the consequences of their selections will be. Patients will receive decision making
information to assist in making an informed choice. The structured information will organize
known results from the research literature to assist patients in understanding the likely
outcome of their condition and what they need to adequately manage their own care. The
control group of patients will receive the Physical therapist-directed care model that is
presently used and has shown success. Patient outcomes will involve patient self report of
improvement and whether or not the patient pursued care for the same condition over a 1 year
period of time.
Inclusion Criteria:
- 18 years of age or older with mechanically producible LBP
Exclusion Criteria:
- the presence of any red flags (i.e., tumor, metabolic diseases, RA, osteoporosis,
prolonged history of steroid use, etc.), or signs consistent with nerve root
compression (reproduction of low back or leg pain with straight leg raise at less
than 45°, muscle weakness involving a major muscle group of the lower extremity,
diminished lower extremity muscle stretch reflex, or diminished or absent sensation
to pinprick in any lower extremity dermatome). Other exclusion criteria include prior
surgery to the lumbar spine and current pregnancy.
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