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Comparing satisfaction with a participatory driven web-application and a standard website for patients with low back pain: a study protocol for a randomised controlled trial (part of the ADVIN Back Trial).
Trials. 2018 Jul 25; 19(1):399.T

Abstract

BACKGROUND

Low back pain (LBP) is the most common musculoskeletal disorder and a leading cause of disability worldwide. It impacts daily life and work capacity and is the most common reason for consulting a general practitioner (GP). According to international guidelines, information, reassurance, and advice are key components in the management of people with LBP; however, the consultation time available in general practice for each patient is often limited. Therefore, new methods to support the delivery of information and advice are needed and online technologies provide new opportunities to extend the consultation beyond the GP's office. However, it is not known whether GPs and people consulting their GP because of LBP will accept online technologies as part of the consultation. By involving patients in the development of online information, we may produce more user-friendly content and design, and improve patient acceptance and usage, optimising satisfaction and clinical outcomes. The purpose is to study satisfaction in people consulting their GP with LBP depending on whether they are randomised to receive supporting information through a new participant-driven web application or a standard reference website containing guideline-based information on LBP. It is hypothesised that patients offered information in a new web application will be more satisfied with the online information after 12 weeks compared to patients allocated to a standard website.

METHODS

Two hundred patients with LBP aged ≥ 18 years consulting Danish general practice will be randomly allocated 1:1 to either the new web application or standard online information in permuted blocks of two, four, and six. Patients with serious spinal diseases (cancer, fractures, spinal stenosis, spondyloarthritis), those without Danish reading skills or without online access, and pregnant women will not be included in the trial. Patient satisfaction measured by the Net Promotor Score after 12 weeks is the primary outcome. Patients will be aware of their allocation. GPs will be blinded unless informed by the patient. Assessors are blinded.

DISCUSSION

To our knowledge, this is the first trial evaluating whether involving LBP patients in the development of an online web application will result in higher patient satisfaction.

TRIAL REGISTRATION

ClinicalTrials.gov NCT03088774 . Registered on 23 March 2017. Last updated on 14 March 2018.

Authors+Show Affiliations

Department of Clinical Medicine, Research Unit for General Practice in Aalborg, Aalborg University, Fyrkildevej 7, 1. Sal, 9220, Aalborg, Denmark. ariis@dcm.aau.dk.Department of Sports Science and Clinical Biomechanics, Center for Muscle and Joint Health, University of Southern Denmark, Campusvej 55, 5230, OdenseM, Denmark. Nordic Institute of Chiropractic and Clinical Biomechanics, Campusvej 55, 5230, Odense, Denmark.Department of Clinical Medicine, Research Unit for General Practice in Aalborg, Aalborg University, Fyrkildevej 7, 1. Sal, 9220, Aalborg, Denmark.Department of Clinical Medicine, Research Unit for General Practice in Aalborg, Aalborg University, Fyrkildevej 7, 1. Sal, 9220, Aalborg, Denmark.Department of Clinical Medicine, Research Unit for General Practice in Aalborg, Aalborg University, Fyrkildevej 7, 1. Sal, 9220, Aalborg, Denmark.

Pub Type(s)

Clinical Trial Protocol
Journal Article

Language

eng

PubMed ID

30045749

Citation

Riis, Allan, et al. "Comparing Satisfaction With a Participatory Driven Web-application and a Standard Website for Patients With Low Back Pain: a Study Protocol for a Randomised Controlled Trial (part of the ADVIN Back Trial)." Trials, vol. 19, no. 1, 2018, p. 399.
Riis A, Hartvigsen J, Rathleff MS, et al. Comparing satisfaction with a participatory driven web-application and a standard website for patients with low back pain: a study protocol for a randomised controlled trial (part of the ADVIN Back Trial). Trials. 2018;19(1):399.
Riis, A., Hartvigsen, J., Rathleff, M. S., Afzali, T., & Jensen, M. B. (2018). Comparing satisfaction with a participatory driven web-application and a standard website for patients with low back pain: a study protocol for a randomised controlled trial (part of the ADVIN Back Trial). Trials, 19(1), 399. https://doi.org/10.1186/s13063-018-2795-0
Riis A, et al. Comparing Satisfaction With a Participatory Driven Web-application and a Standard Website for Patients With Low Back Pain: a Study Protocol for a Randomised Controlled Trial (part of the ADVIN Back Trial). Trials. 2018 Jul 25;19(1):399. PubMed PMID: 30045749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparing satisfaction with a participatory driven web-application and a standard website for patients with low back pain: a study protocol for a randomised controlled trial (part of the ADVIN Back Trial). AU - Riis,Allan, AU - Hartvigsen,Jan, AU - Rathleff,Michael Skovdal, AU - Afzali,Tamana, AU - Jensen,Martin Bach, Y1 - 2018/07/25/ PY - 2017/10/10/received PY - 2018/07/09/accepted PY - 2018/7/27/entrez PY - 2018/7/27/pubmed PY - 2019/3/15/medline KW - Advice KW - General practice KW - Health information technology KW - Low back pain KW - Participatory design KW - Patient education KW - Patient satisfaction SP - 399 EP - 399 JF - Trials JO - Trials VL - 19 IS - 1 N2 - BACKGROUND: Low back pain (LBP) is the most common musculoskeletal disorder and a leading cause of disability worldwide. It impacts daily life and work capacity and is the most common reason for consulting a general practitioner (GP). According to international guidelines, information, reassurance, and advice are key components in the management of people with LBP; however, the consultation time available in general practice for each patient is often limited. Therefore, new methods to support the delivery of information and advice are needed and online technologies provide new opportunities to extend the consultation beyond the GP's office. However, it is not known whether GPs and people consulting their GP because of LBP will accept online technologies as part of the consultation. By involving patients in the development of online information, we may produce more user-friendly content and design, and improve patient acceptance and usage, optimising satisfaction and clinical outcomes. The purpose is to study satisfaction in people consulting their GP with LBP depending on whether they are randomised to receive supporting information through a new participant-driven web application or a standard reference website containing guideline-based information on LBP. It is hypothesised that patients offered information in a new web application will be more satisfied with the online information after 12 weeks compared to patients allocated to a standard website. METHODS: Two hundred patients with LBP aged ≥ 18 years consulting Danish general practice will be randomly allocated 1:1 to either the new web application or standard online information in permuted blocks of two, four, and six. Patients with serious spinal diseases (cancer, fractures, spinal stenosis, spondyloarthritis), those without Danish reading skills or without online access, and pregnant women will not be included in the trial. Patient satisfaction measured by the Net Promotor Score after 12 weeks is the primary outcome. Patients will be aware of their allocation. GPs will be blinded unless informed by the patient. Assessors are blinded. DISCUSSION: To our knowledge, this is the first trial evaluating whether involving LBP patients in the development of an online web application will result in higher patient satisfaction. TRIAL REGISTRATION: ClinicalTrials.gov NCT03088774 . Registered on 23 March 2017. Last updated on 14 March 2018. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/30045749/Comparing_satisfaction_with_a_participatory_driven_web_application_and_a_standard_website_for_patients_with_low_back_pain:_a_study_protocol_for_a_randomised_controlled_trial__part_of_the_ADVIN_Back_Trial__ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-2795-0 DB - PRIME DP - Unbound Medicine ER -