Ibedrift- A Trial Comparing a New Approach to Musculoskeletal Pain Consisting of Education and Peer Involvement to Treatment as Usual

NCT ID: NCT00741650

Last Updated: 2015-02-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2/PHASE3
• Total Enrollment: 2097 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-09-30
• Study Completion Date: 2012-12-31

Brief Summary

A randomized controlled trial comparing a new approach to musculoskeletal pain consisting of education and peer involvement to treatment as usual. All local government employees in 1-3 Norwegian municipalities will be invited to participate.

Detailed Description

The purpose of the study is to systematically test a new treatment method for musculoskeletal pain in Norway. The intervention focuses on attempting to treat musculoskeletal pain outside the traditional medical system as much as possible, to avoid the establishment of a patient identity and passive patient behavior. In addition, participants are given reasons to stay active, and not advice to stay active.

Ibedrift is a randomized controlled trial with the aim of studying the effect of a new treatment regime for musculoskeletal pain, focusing on didactic information about low back pain with peer support. Those participants not in the control group will have the option of contacting a peer advisor, a non health professional trained by the iBedrift crew to give information about back pain and reasons to stay active. For those who have not recovered within a short period of time, and who are randomized to full treatment, the peer advisor can send them directly to health personnel for a brief intervention consisting of a medical examination with screening for conditions that need treatment, counseling and education.

The intervention was done in 2 Norwegian municipalities for all local government employees. Randomization was done at the level of working units (schools, offices etc) which allows for more message containment.

Conditions

Neck Pain Musculoskeletal; Back Pain Lower Back

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

1

Information and peer advisor

Group Type: EXPERIMENTAL

Information and Peer advisor

Intervention Type: BEHAVIORAL

Information at work place and recruitment and training of one employee as a peer advisor who help colleagues who experience musculoskeletal pain with reasons to stay active, help with adjustment in the work situation to allow individuals to stay at work.

2

Information, peer advisor and referral to further treatment

Group Type: EXPERIMENTAL

Information, peer advisor and fast referral

Intervention Type: BEHAVIORAL

Information at work place and recruitment and training of one employee as a peer advisor who help colleagues who experience musculoskeletal pain with reasons to stay active, help with adjustment in the work situation to allow individuals to stay at work.

In addition, the peer advisor can refer employees who do not improve to a two day educational program that also includes a medical exam and individual counselling.

In addition,

3

Treatment as usual

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Information and Peer advisor

Information at work place and recruitment and training of one employee as a peer advisor who help colleagues who experience musculoskeletal pain with reasons to stay active, help with adjustment in the work situation to allow individuals to stay at work.

Intervention Type: BEHAVIORAL

Information, peer advisor and fast referral

Information at work place and recruitment and training of one employee as a peer advisor who help colleagues who experience musculoskeletal pain with reasons to stay active, help with adjustment in the work situation to allow individuals to stay at work.

In addition, the peer advisor can refer employees who do not improve to a two day educational program that also includes a medical exam and individual counselling.

In addition,

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• All employees above 18 years

Exclusion Criteria

• Cancer
• Known congenital musculoskeletal disease
• Cauda equina syndrome

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sykehuset i Vestfold HF

OTHER

Sponsor Role: collaborator

Helse Sor-Ost

OTHER_GOV

Sponsor Role: collaborator

NORCE Norwegian Research Centre AS

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Aage Indahl, Ph.d

Role: PRINCIPAL_INVESTIGATOR

The Hospital of Vestfold

Locations

Spesialsykehuset for Rehabilitering

Stavern, , Norway

Countries

Norway

References

Odeen M, Ihlebaek C, Indahl A, Wormgoor ME, Lie SA, Eriksen HR. Effect of peer-based low back pain information and reassurance at the workplace on sick leave: a cluster randomized trial. J Occup Rehabil. 2013 Jun;23(2):209-19. doi: 10.1007/s10926-013-9451-z.

Reference Type: BACKGROUND

PMID: 23657490 (View on PubMed)

Ree E, Odeen M, Eriksen HR, Indahl A, Ihlebaek C, Hetland J, Harris A. Subjective health complaints and self-rated health: are expectancies more important than socioeconomic status and workload? Int J Behav Med. 2014 Jun;21(3):411-20. doi: 10.1007/s12529-013-9329-7.

Reference Type: BACKGROUND

PMID: 23868103 (View on PubMed)

Other Identifiers

18997

Identifier Type: OTHER

Identifier Source: secondary_id

S-08054b

Identifier Type: OTHER

Identifier Source: secondary_id

801622-611704

Identifier Type: -

Identifier Source: org_study_id