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The COPE LBP trial: cognitive patient education for low back pain--a cluster randomized controlled trial in primary care.
BMC Musculoskelet Disord. 2010 Feb 16; 11:33.BM

Abstract

BACKGROUND

Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neurophysiological education. The primary aim of this study is to evaluate whether a specific cognitive based education programme for patients with LBP in primary care is more effective than normal care in terms of increased function. The secondary aims of the study are to evaluate whether this intervention also results in earlier return to work, decreased pain, increased patient satisfaction, increased quality-of-life, and cost utility.

METHODS/DESIGN

Cluster randomised controlled trial with 20 general practitioners and 20 physiotherapists in primary care as the unit of randomisation. Each practitioner will recruit up to 10 patients, aged 20 to 55 years, with non-specific sub-acute/chronic LBP of more than four weeks but less than 1 year's duration. Practitioners in the intervention arm will provide cognitive patient education intervention in up to four weekly sessions, each lasting 30 minutes. Practitioners in the control arm will provide normal treatment, but have to make four appointments for the patients. Patients, outcome assessors, and study statistician will be blinded to group allocation.

DISCUSSION

We present the rationale and design of an ongoing RCT study that potentially offers an easily implemented treatment strategy for LBP patients in primary care. The results will be available in 2012.

TRIAL REGISTRATION

ISRCTN04323845.

Authors+Show Affiliations

Research Unit for General Practice, Uni Health, Bergen, Norway. loewern@online.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20158897

Citation

Werner, Erik L., et al. "The COPE LBP Trial: Cognitive Patient Education for Low Back Pain--a Cluster Randomized Controlled Trial in Primary Care." BMC Musculoskeletal Disorders, vol. 11, 2010, p. 33.
Werner EL, Storheim K, Løchting I, et al. The COPE LBP trial: cognitive patient education for low back pain--a cluster randomized controlled trial in primary care. BMC Musculoskelet Disord. 2010;11:33.
Werner, E. L., Storheim, K., Løchting, I., & Grotle, M. (2010). The COPE LBP trial: cognitive patient education for low back pain--a cluster randomized controlled trial in primary care. BMC Musculoskeletal Disorders, 11, 33. https://doi.org/10.1186/1471-2474-11-33
Werner EL, et al. The COPE LBP Trial: Cognitive Patient Education for Low Back Pain--a Cluster Randomized Controlled Trial in Primary Care. BMC Musculoskelet Disord. 2010 Feb 16;11:33. PubMed PMID: 20158897.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The COPE LBP trial: cognitive patient education for low back pain--a cluster randomized controlled trial in primary care. AU - Werner,Erik L, AU - Storheim,Kjersti, AU - Løchting,Ida, AU - Grotle,Margreth, Y1 - 2010/02/16/ PY - 2009/09/12/received PY - 2010/02/16/accepted PY - 2010/2/18/entrez PY - 2010/2/18/pubmed PY - 2010/7/10/medline SP - 33 EP - 33 JF - BMC musculoskeletal disorders JO - BMC Musculoskelet Disord VL - 11 N2 - BACKGROUND: Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neurophysiological education. The primary aim of this study is to evaluate whether a specific cognitive based education programme for patients with LBP in primary care is more effective than normal care in terms of increased function. The secondary aims of the study are to evaluate whether this intervention also results in earlier return to work, decreased pain, increased patient satisfaction, increased quality-of-life, and cost utility. METHODS/DESIGN: Cluster randomised controlled trial with 20 general practitioners and 20 physiotherapists in primary care as the unit of randomisation. Each practitioner will recruit up to 10 patients, aged 20 to 55 years, with non-specific sub-acute/chronic LBP of more than four weeks but less than 1 year's duration. Practitioners in the intervention arm will provide cognitive patient education intervention in up to four weekly sessions, each lasting 30 minutes. Practitioners in the control arm will provide normal treatment, but have to make four appointments for the patients. Patients, outcome assessors, and study statistician will be blinded to group allocation. DISCUSSION: We present the rationale and design of an ongoing RCT study that potentially offers an easily implemented treatment strategy for LBP patients in primary care. The results will be available in 2012. TRIAL REGISTRATION: ISRCTN04323845. SN - 1471-2474 UR - https://www.unboundmedicine.com/medline/citation/20158897/The_COPE_LBP_trial:_cognitive_patient_education_for_low_back_pain__a_cluster_randomized_controlled_trial_in_primary_care_ L2 - https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-11-33 DB - PRIME DP - Unbound Medicine ER -