Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
300 participants
INTERVENTIONAL
2006-10-31
2009-05-31
Brief Summary
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We would therefore like to identify the patients specific problems regarding the patients biomedical, psychological, and social needs.
Detailed Description
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A Norwegian project has shown that when one divides the patients into 3 levels of severity, then the interdisciplinary biopsychosocial intervention had best effect in the intermediary and severe groups. Conversely the mono disciplinary intervention had best effect on the least severe patient group.
Therefore we would like to combine elements from the typical clinical investigation with a screening for psychosocial factors in order to sort patients according to their individual needs.
Even though the bio-psycho-social elements are a coherent continuum one can arbitrarily combine them in 4 groups of increasing complexity.
* mainly biological
* both biological and psychological
* both biological and social
* both biological, psychological and social It is probably not good enough to give more or less the same type of somatic treatment to all unspecific low back pain patients. It is important to take into account all three elements, the severity of the elements, and the combination of elements. To be able to do this it is important to use a combination of screening instruments that can isolate and quantify the manifestations of the three elements in the patients.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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1
psychosocial intervention
Biopsychosocial intervention
Psychosocial versus usual care
2
Usual care
Biopsychosocial intervention
Psychosocial versus usual care
Interventions
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Biopsychosocial intervention
Psychosocial versus usual care
Eligibility Criteria
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Inclusion Criteria
* Level of low back pain must be at least equal to leg pain
* Patients must have been sick listed during the past 12 months
* Age \> 17 years and \< than 60
Exclusion Criteria
* Direct or progressive paresis or Cauda equina syndrome
* Known MB Bechterew or Sacroiliitis
* Suspicion of other serious malignancy
* Alcohol or medicine abuse
* A screening result of more than 30 in the Beck Depression Inventory
18 Years
59 Years
ALL
Yes
Sponsors
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European Commission
OTHER
The Back Research Center, Denmark
OTHER
Responsible Party
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The Back Research Center, Denmark
Principal Investigators
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Bendt Johansen, MHS
Role: PRINCIPAL_INVESTIGATOR
Affiliated with University of Southern Denmark
Locations
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The Back Research Center
Ringe, , Denmark
Countries
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References
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Johansen B, Mainz J, Sabroe S, Manniche C, Leboeuf-Yde C. Quality improvement in an outpatient department for subacute low back pain patients: prospective surveillance by outcome and performance measures in a health technology assessment perspective. Spine (Phila Pa 1976). 2004 Apr 15;29(8):925-31. doi: 10.1097/00007632-200404150-00021.
Haldorsen EM, Grasdal AL, Skouen JS, Risa AE, Kronholm K, Ursin H. Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment, and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain. Pain. 2002 Jan;95(1-2):49-63. doi: 10.1016/s0304-3959(01)00374-8.
Other Identifiers
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258
Identifier Type: -
Identifier Source: org_study_id