Theory-driven group-based complex intervention to support self-management of osteoarthritis and low back pain in primary care physiotherapy: protocol for a cluster randomised controlled feasibility trial (SOLAS)

BMJ Open
Deirdre A HurleySOLAS Trial Team

Abstract

International clinical guidelines consistently endorse the promotion of self-management (SM), including physical activity for patients with chronic low back pain (CLBP) and osteoarthritis (OA). Patients frequently receive individual treatment and advice to self-manage from physiotherapists in primary care, but the successful implementation of a clinical and cost-effective group SM programme is a key priority for health service managers in Ireland to maximise long-term outcomes and efficient use of limited and costly resources. This protocol describes an assessor-blinded cluster randomised controlled feasibility trial of a group-based education and exercise intervention underpinned by self-determination theory designed to support an increase in SM behaviour in patients with CLBP and OA in primary care physiotherapy. The primary care clinic will be the unit of randomisation (cluster), with each clinic randomised to 1 of 2 groups providing the Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) intervention or usual individual physiotherapy. Patients are followed up at 6 weeks, 2 and 6 months. The primary outcomes are the (1) acceptability and demand of the intervention to patients and physiothe...Continue Reading

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Citations

Dec 21, 2017·BMC Health Services Research·Margo van MolErwin Ista
Dec 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Elaine Toomey, Wendy Hardeman
Jun 12, 2018·British Journal of Health Psychology·Alison KeoghDeirdre A Hurley
May 27, 2020·Pain·Julia M Hush
Jun 13, 2021·Brazilian Journal of Physical Therapy·Alice KongstedJan Hartvigsen

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Software Mentioned

Statistical Package for the Social Sciences
SOLAS
PowerPoint

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