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Implementation of back to living well, a community-based program for the tertiary prevention of low back pain: a study protocol.
Macedo, Luciana; Di Pelino, Stephanie; Santos, Veronica Souza; Richardson, Julie; MacDermid, Joy; Hancock, Mark; Battie, Michele C; Saragiotto, Bruno T; Hayden, Jill A; Rushton, Alison; Packham, Tara; Freman, Matt; Bray, Steven; Griffin, Meridith; Hladysh, Genevieve; Miller, Pat; Attwell, Suzan.
Afiliación
  • Macedo L; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada. macedol@mcmaster.ca.
  • Di Pelino S; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Santos VS; School of Rehabilitation Science, McMaster University and Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Sao Paulo, Brazil.
  • Richardson J; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • MacDermid J; Western University, London, ON, Canada.
  • Hancock M; Macquarie University, Sydney, Australia.
  • Battie MC; Western University, London, ON, Canada.
  • Saragiotto BT; Discipline of Physiotherapy, Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
  • Hayden JA; Dalhousie University, Halifax, NS, Canada.
  • Rushton A; Western University, London, ON, Canada.
  • Packham T; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Freman M; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Bray S; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Griffin M; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Hladysh G; YMCA Hamilton, Burlington and Brandtford, Canada.
  • Miller P; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
  • Attwell S; , Hamilton, Canada.
BMC Musculoskelet Disord ; 25(1): 593, 2024 Jul 27.
Article en En | MEDLINE | ID: mdl-39068385
ABSTRACT

BACKGROUND:

The current literature supports the effectiveness of exercise, education, and self-management interventions for the long-term management of persistent low back pain. However, there is significant uncertainty about the implementation of interventions related to barriers, facilitators, and patient's preferences. This study will evaluate the Back to Living Well program implementation from a participant and organizational perspective. More specifically we address the following

objectives:

1) identify program barriers and facilitators from participants' perspectives, 2) identify factors related to program, personal and contextual factors that contribute to negative and positive outcomes, and outcome trajectories, 3) identify factors influencing participants' selection of an in-person or e-health program, and 4) evaluate program specific barriers and facilitators from the organization and care delivery perspectives.

METHODS:

This study will utilize a mixed-method convergent design including a longitudinal cohort strand and a longitudinal qualitative interview strand. The RE-AIM framework will be used to assess program implementation. Participants (n = 90, 11 in person or virtual) who choose to register in the program as well as staff (n = 10 to 15) involved in the delivery of the program will be invited to participate. Participants will participate in a 12-week physical activity, education, and self-management program. Implementation outcomes will be measured at 3-, 6-, 12-months, and six months after the end of the follow-ups. Interview scripts and directed content analysis will be constructed based on the Theoretical Domains Framework and the Neuromatrix Model of Pain, Theoretical Domains Framework. Staff interviews will be constructed and analyzed using the Consolidated Framework for Implementation Research. Participants will also complete pain, disability, quality of life and psychological questionnaires, wear an activity tracker at all time points, and complete weekly pain and activity limitation questions using a mobile application.

DISCUSSION:

The study results will provide evidence to inform potential future implementation of the program. An effective, appropriately targeted, and well implemented exercise program for the long-term management (i.e., tertiary prevention) of LBP could minimize the burden of the condition on patients, the health care system and society. TRIAL REGISTRATION ClinicalTrials.gov NCT05929846. This (Registration Date July 3 2023) study has been approved by the Hamilton Integrated Research Ethics Board Project ID#15,354.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Prevención Terciaria Límite: Adult / Female / Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Prevención Terciaria Límite: Adult / Female / Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido