Low Back Pain Clinical Trial
Official title:
Community Based Secondary Prevention of Back Pain Flare-ups (Back2LiveWell): a Randomized Controlled Trial
The primary objective of this study is to compare the effectiveness and cost-effectiveness of an individualized group based exercise and education program supported in the community to a control group of usual care in preventing back pain flare-ups and to mitigate the negative consequences of subsequent episodes if they occur.
Secondary objectives are to:
• To compare the effectiveness of the two interventions in preventing an activity-limiting
LBP flare up at 12 and 24 months.
Secondary objectives are to:
- To compare the effectiveness of the interventions in mitigating the negative
consequences of LBP.
- To evaluate the cost-effectiveness of the interventions in preventing activity-limiting
LBP flare-up.
- To identify subgroups of individuals that may best respond to each one of the two
interventions.
Exploratory objectives include:
- evaluate the fluctuating nature of back pain using a smart phone application to collect
pain measures once a week for 1 year (trajectories will also be evaluated to compare
between group effects)
- assess adherence to physical activity using activity monitors.
- evaluate the relationship between activity levels and flare-ups as a method for
understanding pain triggers and impact of activity pacing.
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