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| Name | Class |
|---|---|
| Saskatchewan Health Research Foundation | OTHER |
| Ralston Brothers Grant (Kelsey Trail Health Region) | UNKNOWN |
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The purpose of this project is to compare "usual care" for chronic low back disorders in a rural setting (nurse practitioner/NP) to two different means of integrating Physical Therapy (PT) into a rural health care team:
The project will evaluate health, systems and process outcomes, comparative effectiveness and costs of the three methods of assessment. The hypothesis is that an interprofessional Telehealth assessment with be as effective as an in-person PT assessment, but more effective than usual care.
The study design will include two intervention groups and a control group with 20 participants in each group: 1. interprofessional videoconferencing intervention, 2. in-person PT and, 3. "usual-care" provided by a NP. Due to the interprofessional nature of the intervention, the NP involved in the telehealth-based intervention group may alter their "usual care" practice; therefore, the control group participants will be drawn from the practices of 2 NPs not involved in the Telehealth intervention providing services out of a different clinic. Each PT and the NP alone will complete a standardized online diagnostic classification tool.Participants will be randomly assigned to one of the three groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual Care (NP) | Placebo Comparator | Rural NP with client in-person, usual care |
|
| PT in-person | Active Comparator | Urban PT travels to rural area to manage patient's back pain in-person. |
|
| PT/NP Telehealth | Active Comparator | Intervention: Rural NP is joined by PT via Telehealth for interprofessional videoconference with patient |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NP face to face management of Chronic Low Back Pain | Other | usual NP management of chronic low back disorder |
|
| Measure | Description | Time Frame |
|---|---|---|
| Short term impact of patient/provider satisfaction | questionnaire | up to 2 weeks after assessment |
| Short term outcome of patient experience with Telehealth | qualitative questionnaire | up to 2 weeks |
| Medium term outcome of patient and provider satisfaction | questionnaire | 3 months |
| Short term impact of patient function | Modified Oswestry Disability questionnaire | up to 2 weeks after assessment |
| Short term impact on pain | Numeric Pain Rating Scale - questionnaire | up to 2 weeks after assessment |
| Short term impact on quality of life | Euro-Qol health survey instrument (EQ-5D) | up to 2 weeks after assessment |
| Medium term impact on pain | Numeric Pain Rating Scale - questionnaire | 3 months |
| Medium term impact on quality of life | Euro-Qol health survey instrument (EQ-5D) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cost effectiveness of each of 3 arms of study | patient diaries | 6 months |
| Long term outcome on patient/provider satisfaction | questionnaire |
| Measure | Description | Time Frame |
|---|---|---|
| Barriers and facilitators to use of Telehealth | questionnaire | 2 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Brenna Bath, PhD | School of Physical Therapy, University of Saskatchewan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Saskatchewan | Saskatoon | Saskatchewan | S7J4W3 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38846367 | Derived | Lovo S, Imeah B, Sari N, O'Connell ME, Milosavljevic S, Angarita-Fonseca A, Bath B. Effectiveness of an interprofessional assessment and management approach for people with chronic low back disorders delivered via virtual care: A randomized controlled trial pilot intervention. Digit Health. 2024 Jun 5;10:20552076241260569. doi: 10.1177/20552076241260569. eCollection 2024 Jan-Dec. | |
| 27829573 |
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| PT face to face management of Chronic Low Back Pain | Other | Includes manual therapy, education, exercise |
|
| Interprofessional Videoconferencing for Chronic Low Back Pain | Other | Includes manual therapy, education, exercise. |
|
| Medium impact on patient function |
Modified Oswestry Disability Index questionnaire |
| 3 months |
| 6 months |
| Long term impact on quality of life | Euro-Qol health survey instrument (EQ-5D) | 6 months |
| Long term impact on function | Modified Oswestry Disability Index questionnaire | 6 months |
| Long term impact on pain | Numeric Pain Rating Scale | 6 months |
| Derived |
| Bath B, Lovo Grona S, Milosavljevic S, Sari N, Imeah B, O'Connell ME. Advancing Interprofessional Primary Health Care Services in Rural Settings for People with Chronic Low Back Disorders: Protocol of a Community-Based Randomized Controlled Trial. JMIR Res Protoc. 2016 Nov 9;5(4):e212. doi: 10.2196/resprot.5914. |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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