Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial.
selfBACK is an artificial intelligence based self-management app for low back pain (LBP) recently reported to reduce LBP-related disability. The aim of this study was to examine if age, gender, or education modify the effectiveness of the selfBACK intervention using secondary analysis of the selfBAC...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-09-01
|
| Series: | PLOS Digital Health |
| Online Access: | https://doi.org/10.1371/journal.pdig.0000302 |
| _version_ | 1797672697662013440 |
|---|---|
| author | Ellen Marie Bardal Louise Fleng Sandal Tom Ivar Lund Nilsen Barbara I Nicholl Paul Jarle Mork Karen Søgaard |
| author_facet | Ellen Marie Bardal Louise Fleng Sandal Tom Ivar Lund Nilsen Barbara I Nicholl Paul Jarle Mork Karen Søgaard |
| author_sort | Ellen Marie Bardal |
| collection | DOAJ |
| description | selfBACK is an artificial intelligence based self-management app for low back pain (LBP) recently reported to reduce LBP-related disability. The aim of this study was to examine if age, gender, or education modify the effectiveness of the selfBACK intervention using secondary analysis of the selfBACK randomized controlled trial. Persons seeking care for LBP were recruited from primary care in Denmark and Norway and an outpatient clinic (Denmark). The intervention group (n = 232) received the selfBACK app adjunct to usual care. The control group (n = 229) received usual care only. Analyses were stratified by age (18-34, 35-64, ≥65 years), gender (male, female), and education (≤12, >12 years) to investigate differences in effect at three and nine months follow-up on LBP-related disability (Roland-Morris Disability Questionnaire [RMDQ]), LBP intensity and pain self-efficacy. Overall, there was no effect modification for any of the sociodemographic factors. However, data on LBP-related disability suggest that the effect of the intervention was somewhat more beneficial in older than in younger participants. The difference between the intervention and control group due to interaction was 2.6 (95% CI: 0.4 to 4.9) RMDQ points for those aged ≥65 years as compared to those aged 35-64 years. In conclusion, age, gender, or education did not influence the effect of the selfBACK intervention on LBP-related disability. However, older participants may have an additional long-term positive effect compared to younger participants. Trial registration: ClinicalTrials.gov Identifier: NCT03798288. |
| first_indexed | 2024-03-11T21:33:58Z |
| format | Article |
| id | doaj.art-85af78113e5349d6a201f53a1d00c411 |
| institution | Directory Open Access Journal |
| issn | 2767-3170 |
| language | English |
| last_indexed | 2024-03-11T21:33:58Z |
| publishDate | 2023-09-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Digital Health |
| spelling | doaj.art-85af78113e5349d6a201f53a1d00c4112023-09-27T05:32:40ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702023-09-0129e000030210.1371/journal.pdig.0000302Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial.Ellen Marie BardalLouise Fleng SandalTom Ivar Lund NilsenBarbara I NichollPaul Jarle MorkKaren SøgaardselfBACK is an artificial intelligence based self-management app for low back pain (LBP) recently reported to reduce LBP-related disability. The aim of this study was to examine if age, gender, or education modify the effectiveness of the selfBACK intervention using secondary analysis of the selfBACK randomized controlled trial. Persons seeking care for LBP were recruited from primary care in Denmark and Norway and an outpatient clinic (Denmark). The intervention group (n = 232) received the selfBACK app adjunct to usual care. The control group (n = 229) received usual care only. Analyses were stratified by age (18-34, 35-64, ≥65 years), gender (male, female), and education (≤12, >12 years) to investigate differences in effect at three and nine months follow-up on LBP-related disability (Roland-Morris Disability Questionnaire [RMDQ]), LBP intensity and pain self-efficacy. Overall, there was no effect modification for any of the sociodemographic factors. However, data on LBP-related disability suggest that the effect of the intervention was somewhat more beneficial in older than in younger participants. The difference between the intervention and control group due to interaction was 2.6 (95% CI: 0.4 to 4.9) RMDQ points for those aged ≥65 years as compared to those aged 35-64 years. In conclusion, age, gender, or education did not influence the effect of the selfBACK intervention on LBP-related disability. However, older participants may have an additional long-term positive effect compared to younger participants. Trial registration: ClinicalTrials.gov Identifier: NCT03798288.https://doi.org/10.1371/journal.pdig.0000302 |
| spellingShingle | Ellen Marie Bardal Louise Fleng Sandal Tom Ivar Lund Nilsen Barbara I Nicholl Paul Jarle Mork Karen Søgaard Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial. PLOS Digital Health |
| title | Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial. |
| title_full | Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial. |
| title_fullStr | Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial. |
| title_full_unstemmed | Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial. |
| title_short | Do age, gender, and education modify the effectiveness of app-delivered and tailored self-management support among adults with low back pain?-Secondary analysis of the selfBACK randomised controlled trial. |
| title_sort | do age gender and education modify the effectiveness of app delivered and tailored self management support among adults with low back pain secondary analysis of the selfback randomised controlled trial |
| url | https://doi.org/10.1371/journal.pdig.0000302 |
| work_keys_str_mv | AT ellenmariebardal doagegenderandeducationmodifytheeffectivenessofappdeliveredandtailoredselfmanagementsupportamongadultswithlowbackpainsecondaryanalysisoftheselfbackrandomisedcontrolledtrial AT louiseflengsandal doagegenderandeducationmodifytheeffectivenessofappdeliveredandtailoredselfmanagementsupportamongadultswithlowbackpainsecondaryanalysisoftheselfbackrandomisedcontrolledtrial AT tomivarlundnilsen doagegenderandeducationmodifytheeffectivenessofappdeliveredandtailoredselfmanagementsupportamongadultswithlowbackpainsecondaryanalysisoftheselfbackrandomisedcontrolledtrial AT barbarainicholl doagegenderandeducationmodifytheeffectivenessofappdeliveredandtailoredselfmanagementsupportamongadultswithlowbackpainsecondaryanalysisoftheselfbackrandomisedcontrolledtrial AT pauljarlemork doagegenderandeducationmodifytheeffectivenessofappdeliveredandtailoredselfmanagementsupportamongadultswithlowbackpainsecondaryanalysisoftheselfbackrandomisedcontrolledtrial AT karensøgaard doagegenderandeducationmodifytheeffectivenessofappdeliveredandtailoredselfmanagementsupportamongadultswithlowbackpainsecondaryanalysisoftheselfbackrandomisedcontrolledtrial |