Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial
Abstract Background Although many people with chronic low back pain (LBP) improve following conservative treatment, one in five will experience worsening symptoms after discharge from treatment and seek health care again. The current LBP clinical care pathway in many health services lacks a well-int...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-021-04479-z |
| _version_ | 1819103042873589760 |
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| author | Emma K. Ho Manuela L. Ferreira Adrian Bauman Paul W. Hodges Christopher G. Maher Milena Simic Rachael L. Morton Chris Lonsdale Qiang Li Melissa T. Baysari Anita B. Amorim Dragana Ceprnja Ornella Clavisi Mark Halliday Matthew Jennings Alice Kongsted Katherine Maka Kate Reid Tahlia Reynolds Paulo H. Ferreira |
| author_facet | Emma K. Ho Manuela L. Ferreira Adrian Bauman Paul W. Hodges Christopher G. Maher Milena Simic Rachael L. Morton Chris Lonsdale Qiang Li Melissa T. Baysari Anita B. Amorim Dragana Ceprnja Ornella Clavisi Mark Halliday Matthew Jennings Alice Kongsted Katherine Maka Kate Reid Tahlia Reynolds Paulo H. Ferreira |
| author_sort | Emma K. Ho |
| collection | DOAJ |
| description | Abstract Background Although many people with chronic low back pain (LBP) improve following conservative treatment, one in five will experience worsening symptoms after discharge from treatment and seek health care again. The current LBP clinical care pathway in many health services lacks a well-integrated, systematic approach to support patients to remain physically active and self-manage their symptoms following discharge from treatment. Health coaching can support people to improve physical activity levels and may potentially reduce health care utilisation for LBP. The primary aim of this study is to evaluate the effect of introducing a coordinated support system (linking hospital outpatient physiotherapy services to a public health coaching service) at discharge from LBP treatment, on the future use of hospital, medical, and health services for LBP, compared with usual care provided at discharge. Methods Three hundred and seventy-four adults with chronic non-specific LBP will be recruited from the outpatient physiotherapy departments of public hospitals in New South Wales, Australia. Participants will be individually randomised to a support system (n = 187) or usual care group (n = 187). All participants will receive usual care provided at discharge from treatment. Participants allocated to the support system will also receive up to 10 telephone-based health coaching sessions, delivered by the Get Healthy Service®, over a 6-month period. Health coaches will monitor and support participants to improve physical activity levels and achieve personal health-related goals. The primary outcome is the total number of encounters with hospital, medical, and health services for LBP, at 12 months from baseline. A within-trial economic evaluation will quantify the incremental costs and benefits of the support system from a health system perspective, to support reimbursement decision making. Discussion This study will establish the effect of a coordinated support system, introduced at discharge from treatment, on the future use of hospital, medical, and health services for LBP and various health outcomes. Conclusion Innovative community-driven solutions to support people with chronic LBP after discharge from treatment are urgently needed. Study findings will help inform health care policy and clinical practice in Australia. Trial Registration Prospectively registered on the Australian New Zealand Clinical Trials Registry ( ACTRN12620000889954 ) on 10/09/2020. |
| first_indexed | 2024-12-22T01:44:10Z |
| format | Article |
| id | doaj.art-7a5f71fe43044042b2543987394b9bba |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-22T01:44:10Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-7a5f71fe43044042b2543987394b9bba2022-12-21T18:43:07ZengBMCBMC Musculoskeletal Disorders1471-24742021-07-0122111610.1186/s12891-021-04479-zEffectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trialEmma K. Ho0Manuela L. Ferreira1Adrian Bauman2Paul W. Hodges3Christopher G. Maher4Milena Simic5Rachael L. Morton6Chris Lonsdale7Qiang Li8Melissa T. Baysari9Anita B. Amorim10Dragana Ceprnja11Ornella Clavisi12Mark Halliday13Matthew Jennings14Alice Kongsted15Katherine Maka16Kate Reid17Tahlia Reynolds18Paulo H. Ferreira19The University of Sydney, Faculty of Medicine and HealthThe University of Sydney, Faculty of Medicine and HealthThe University of Sydney, Faculty of Medicine and HealthThe University of Queensland, School of Health and Rehabilitation SciencesInstitute for Musculoskeletal Health, The University of Sydney and Sydney Local Health DistrictThe University of Sydney, Faculty of Medicine and HealthNHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of SydneyFaculty of Health Sciences, Australian Catholic UniversityThe George Institute for Global Health, University of New South WalesDiscipline of Biomedical Informatics and Digital Health, School of Medical Sciences, Charles Perkins Centre, Faculty of Medicine and Health, The University of SydneyThe University of Sydney, Faculty of Medicine and HealthPhysiotherapy Department, Westmead HospitalMusculoskeletal Australia, Muscle Bone & Joint Health LtdConcord Repatriation General HospitalSouth Western Sydney Local Health DistrictDepartment of Sports Sciences and Clinical Biomechanics, University of Southern DenmarkPhysiotherapy Department, Westmead HospitalThe Centre for Population Health, NSW Ministry of HealthThe Centre for Population Health, NSW Ministry of HealthThe University of Sydney, Faculty of Medicine and HealthAbstract Background Although many people with chronic low back pain (LBP) improve following conservative treatment, one in five will experience worsening symptoms after discharge from treatment and seek health care again. The current LBP clinical care pathway in many health services lacks a well-integrated, systematic approach to support patients to remain physically active and self-manage their symptoms following discharge from treatment. Health coaching can support people to improve physical activity levels and may potentially reduce health care utilisation for LBP. The primary aim of this study is to evaluate the effect of introducing a coordinated support system (linking hospital outpatient physiotherapy services to a public health coaching service) at discharge from LBP treatment, on the future use of hospital, medical, and health services for LBP, compared with usual care provided at discharge. Methods Three hundred and seventy-four adults with chronic non-specific LBP will be recruited from the outpatient physiotherapy departments of public hospitals in New South Wales, Australia. Participants will be individually randomised to a support system (n = 187) or usual care group (n = 187). All participants will receive usual care provided at discharge from treatment. Participants allocated to the support system will also receive up to 10 telephone-based health coaching sessions, delivered by the Get Healthy Service®, over a 6-month period. Health coaches will monitor and support participants to improve physical activity levels and achieve personal health-related goals. The primary outcome is the total number of encounters with hospital, medical, and health services for LBP, at 12 months from baseline. A within-trial economic evaluation will quantify the incremental costs and benefits of the support system from a health system perspective, to support reimbursement decision making. Discussion This study will establish the effect of a coordinated support system, introduced at discharge from treatment, on the future use of hospital, medical, and health services for LBP and various health outcomes. Conclusion Innovative community-driven solutions to support people with chronic LBP after discharge from treatment are urgently needed. Study findings will help inform health care policy and clinical practice in Australia. Trial Registration Prospectively registered on the Australian New Zealand Clinical Trials Registry ( ACTRN12620000889954 ) on 10/09/2020.https://doi.org/10.1186/s12891-021-04479-zChronic low back painRandomised controlled trialHealth coaching |
| spellingShingle | Emma K. Ho Manuela L. Ferreira Adrian Bauman Paul W. Hodges Christopher G. Maher Milena Simic Rachael L. Morton Chris Lonsdale Qiang Li Melissa T. Baysari Anita B. Amorim Dragana Ceprnja Ornella Clavisi Mark Halliday Matthew Jennings Alice Kongsted Katherine Maka Kate Reid Tahlia Reynolds Paulo H. Ferreira Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial BMC Musculoskeletal Disorders Chronic low back pain Randomised controlled trial Health coaching |
| title | Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial |
| title_full | Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial |
| title_fullStr | Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial |
| title_full_unstemmed | Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial |
| title_short | Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial |
| title_sort | effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain protocol for a randomised controlled trial |
| topic | Chronic low back pain Randomised controlled trial Health coaching |
| url | https://doi.org/10.1186/s12891-021-04479-z |
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