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Spine Pain INtervention to Enhance Care Quality And Reduce Expenditure — SPINE CARE  

Neck Pain Clinical Trial

Official title:
Spine Pain INtervention to Enhance Care Quality And Reduce Expenditure - Randomized Clinical Trial

Clinical Trial Summary

Low back and neck pain are among the leading causes of medical visits, lost productivity and disability. There is an urgent need to identify effective and efficient ways of helping subjects with acute spine pain while guiding practitioners towards high-value care. This trial will be a block and cluster-randomized open-label multi-centered pragmatic randomized clinical trial comparing healthcare spending and clinical outcomes for subjects with spine pain of less than three months' duration, in whom there are no red flag signs or symptoms. Subjects will be randomized to one of three treatment strategies: (1) usual primary care provider-led care; (2) usual PCP-led care with spine pain treatment directed by the Identify, Coordinate, and Enhanced decision making (ICE) care model, and (3) usual PCP-led care with spine pain treatment directed by the Individualized Postural Therapy (IPT) care model. Our outcomes of interest will be spine-related healthcare utilization at one year as well as pain and functionality of the study participants.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT03083886
Study type Interventional
Source Brigham and Women's Hospital
Contact
Status Completed
Phase N/A
Start date June 5, 2017
Completion date June 30, 2021
View Details
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