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Study protocol : improving patient choice in treating low back pain (IMPACT - LBP) : a randomised controlled trial of a decision support package for use in physical therapy
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Patel, Shilpa, Brown, Sally, Friede, Tim, Griffiths, Frances, Lord, J., Ngunjiri, Anne, Thistlethwaite, Jill, Tysall, Colin, Woolvine, Mark and Underwood, Martin (2011) Study protocol : improving patient choice in treating low back pain (IMPACT - LBP) : a randomised controlled trial of a decision support package for use in physical therapy. BMC Musculoskeletal Disorders, Vol.12 (No.52). doi:10.1186/1471-2474-12-52 ISSN 1471-2474.
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WRAP_Patel_study_protocol_BMC.pdf - Draft Version Download (281Kb) |
Official URL: http://dx.doi.org/10.1186/1471-2474-12-52
Abstract
Background: Low back pain is a common and costly condition. There are several treatment options for people
suffering from back pain, but there are few data on how to improve patients’ treatment choices. This study will
test the effects of a decision support package (DSP), designed to help patients seeking care for back pain to make
better, more informed choices about their treatment within a physiotherapy department. The package will be
designed to assist both therapist and patient.
Methods/Design: Firstly, in collaboration with physiotherapists, patients and experts in the field of decision
support and decision aids, we will develop the DSP. The work will include: a literature and evidence review;
secondary analysis of existing qualitative data; exploration of patients’ perspectives through focus groups and
exploration of experts’ perspectives using a nominal group technique and a Delphi study.
Secondly, we will carry out a pilot single centre randomised controlled trial within NHS Coventry Community
Physiotherapy. We will randomise physiotherapists to receive either training for the DSP or not. We will randomly
allocate patients seeking treatment for non specific low back pain to either a physiotherapist trained in decision
support or to receive usual care. Our primary outcome measure will be patient satisfaction with treatment at three
month follow-up. We will also estimate the cost-effectiveness of the intervention, and assess the value of
conducting further research.
Discussion: Informed shared decision-making should be an important part of any clinical consultation, particularly
when there are several treatments, which potentially have moderate effects. The results of this pilot will help us
determine the benefits of improving the decision-making process in clinical practice on patient satisfaction.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RA Public aspects of medicine | ||||
Divisions: | Faculty of Social Sciences > School of Health and Social Studies Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) |
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Library of Congress Subject Headings (LCSH): | Backache -- Treatment, Decision support systems, Physical therapy -- Decision making -- Computer programs | ||||
Journal or Publication Title: | BMC Musculoskeletal Disorders | ||||
Publisher: | BioMed Central Ltd. | ||||
ISSN: | 1471-2474 | ||||
Official Date: | 25 February 2011 | ||||
Dates: |
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Volume: | Vol.12 | ||||
Number: | No.52 | ||||
DOI: | 10.1186/1471-2474-12-52 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Funder: | National Institute for Health Research (Great Britain) (NIHR), Advantage West Midlands (AWM), Birmingham Science City | ||||
Grant number: | PB-PG-0808-17039 (NIHR) |
Data sourced from Thomson Reuters' Web of Knowledge
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