Effectiveness of a risk-tailored short intervention to prevent chronic low back pain : A cluster-randomized study in general practice

Der Schmerz
Jean-François ChenotC O Schmidt

Abstract

A subgroup of patients with acute low back pain (LBP) will develop chronic LBP. Risk factors summarized as yellow flags are fear-avoidance beliefs, depression, catastrophizing, and work-related problems. The aim was to evaluate the effectiveness of screening for yellow flags in general practice followed by a risk-tailored group intervention compared to care as usual. This is a cluster-randomized controlled trial in 35 general practices with 354 patients with acute LBP. Information or a standardized group intervention was offered to patients in the intervention group according to the screening algorithm with a short questionnaire for physical and psychosocial risk factors for chronic LBP. Standardized group information contained education concerning back pain and strategies for physical activities and planning of actions. Primary outcome was functional capacity assessed after 6 and 12 months with a questionnaire. Secondary outcomes were pain severity, fear avoidance beliefs, depression score, self-rated health and health service utilization. The intervention had no clinically relevant effect on the primary outcome functional capacity and secondary outcomes, although the course was consistently slightly better. Adherence to the o...Continue Reading

References

Aug 1, 1992·Pain·Michael Von KorffSamuel F Dworkin
Sep 14, 2000·European Journal of Pain : EJP·M PfingstenJ Hildebrandt
Apr 24, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Lise HestbaekClaus Manniche
Aug 9, 2003·BMJ : British Medical Journal·Liset H M PengelKathryn M Refshauge
Dec 16, 2004·The Clinical Journal of Pain·Katja Boersma, Steven J Linton
Apr 18, 2008·Family Practice·Eva Hummers-PradierWolfgang Himmel
Apr 1, 2011·Physical Therapy·Michael K NicholasUNKNOWN "Decade of the Flags" Working Group
Sep 7, 2012·BMJ : British Medical Journal·Marion K CampbellUNKNOWN CONSORT Group
Aug 28, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Carsten Oliver SchmidtJ F Chenot

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