MOBile Instruction for Low Back Pain (MOBIL)
| Status: | Completed |
|---|---|
| Conditions: | Back Pain, Back Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - 50 |
| Updated: | 10/28/2018 |
| Start Date: | March 1, 2016 |
| End Date: | October 2017 |
Brief Mobile Education at the Point of Care to Influence Healthcare Decisions Related Low Back Pain Management in Primary Care
The purpose of this project is to measure the impact of a short educational session on
outcomes for patients consulting in primary care for low back pain. Subjects will be patients
consulting to their primary care provider for a primary complaint and new episode of low back
pain. Subjects will be randomized to receiving the educational tool versus usual care
(information only without an educational component) in the clinic immediately prior to seeing
their PCP. Patients will be followed for a 6-month period, and outcome measures will be
collected and compared across both groups.
outcomes for patients consulting in primary care for low back pain. Subjects will be patients
consulting to their primary care provider for a primary complaint and new episode of low back
pain. Subjects will be randomized to receiving the educational tool versus usual care
(information only without an educational component) in the clinic immediately prior to seeing
their PCP. Patients will be followed for a 6-month period, and outcome measures will be
collected and compared across both groups.
Patients that arrive for an initial evaluation for low back pain will be randomized to either
receive the video education via an application (app) on a tablet computer, or usual care
(which consists of information in the form of a handout but no further education prior to
seeing the Primary Care Provider - PCP). To control for exposure to the tablet computer,
subjects in both groups will use the tablet computer to fill out the self-reported outcome
measures.
This will all take place while the patient is waiting to see their PCP, who will be blinded
to the educational intervention that the patient received. After enrollment and completion of
baseline outcome measures and surveys, the subject will be randomized to one of the 2 arms,
receive the intervention, and then proceed to have their appointment with their PCP. The
appointment with the PCP will proceed per usual care standards, with no additional research
interventions. The subjects will be contacted for a follow-up at 1 and 6 months for
assessment of self-reported outcomes measuring pain, function, and disability. The
investigators will also abstract healthcare utilization from claims data and compare
variables of healthcare use between both groups over the 6-month period following enrollment
(radiographs, MRIs, prescription opioids, and specialty referrals).
receive the video education via an application (app) on a tablet computer, or usual care
(which consists of information in the form of a handout but no further education prior to
seeing the Primary Care Provider - PCP). To control for exposure to the tablet computer,
subjects in both groups will use the tablet computer to fill out the self-reported outcome
measures.
This will all take place while the patient is waiting to see their PCP, who will be blinded
to the educational intervention that the patient received. After enrollment and completion of
baseline outcome measures and surveys, the subject will be randomized to one of the 2 arms,
receive the intervention, and then proceed to have their appointment with their PCP. The
appointment with the PCP will proceed per usual care standards, with no additional research
interventions. The subjects will be contacted for a follow-up at 1 and 6 months for
assessment of self-reported outcomes measuring pain, function, and disability. The
investigators will also abstract healthcare utilization from claims data and compare
variables of healthcare use between both groups over the 6-month period following enrollment
(radiographs, MRIs, prescription opioids, and specialty referrals).
Inclusion Criteria:
1. A Tricare beneficiary with a primary complaint of low back pain consulting in a
primary care clinic
2. Between the age of 18 - 50 years
3. Read and speak English well enough to interact with the mobile education technology,
provide informed consent and follow study instructions
Exclusion Criteria:
1. History of prior surgery to the lumbosacral spine
2. Medical "red flags" of a potentially serious condition including cauda equina
syndrome, major or rapidly progressing neurological deficit, fracture, cancer,
infection, or systemic disease
3. Known current pregnancy or history of pregnancy in the last 6 months
4. Already seen in primary care for an episode of low back pain within the last 3 months
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