Task-sharing and Shifting Model for Acute Low Back Pain
NCT ID: NCT05200533
Last Updated: 2023-06-27
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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UNKNOWN
NA
195 participants
INTERVENTIONAL
2022-03-01
2024-01-31
Brief Summary
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Design: Pragmatic cluster randomized controlled trial
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Task-sharing and shifting
In the task-sharing and shifting group, family physicians shifted acute low back pain consultations to physiotherapists. Patients with acute low back pain are seen by the physiotherapist instead of family physician. Physiotherapist diagnose acute low back pain, identify red and yellow flags, prescribe sick leave and medications and can refer the patient to additional physical therapy treatment.
Task-sharing and shifting model between family physicians and physiotherapists
Medical consultations for acute low back pain patients are shifted from family physicians to physiotherapists.
Usual care
In the usual care group, patients with acute low back pain are seen by their family physician.
Usual care
Medical consultations for acute low back pain patients are performed by family physicians
Interventions
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Task-sharing and shifting model between family physicians and physiotherapists
Medical consultations for acute low back pain patients are shifted from family physicians to physiotherapists.
Usual care
Medical consultations for acute low back pain patients are performed by family physicians
Eligibility Criteria
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Inclusion Criteria
* Suffering from acute low back pain since less than 4 weeks
* Able to understand and speak French
* Whose family physician is included in the task-sharing and shifting model (only in the intervention group)
Exclusion Criteria
* Patient unable to fill the survey,
* Non-availability of the physiotherapist to receive the patient (only in the intervention group)
20 Years
55 Years
ALL
No
Sponsors
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TIMC-IMAG
OTHER
University Hospital, Grenoble
OTHER
Responsible Party
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Principal Investigators
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Nicolas Pinsault, PhD
Role: STUDY_DIRECTOR
University Grenoble Alps
Locations
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Maison de santé pluriprofessionnelle de Cran Gévrier
Annecy, Auvergne-Rhône-Alpes, France
Maison de santé pluriprofessionnelle des Hauts de Chambéry
Chambéry, Auvergne-Rhône-Alpes, France
Maison de santé pluriprofessionnelle de Voiron-Sud
Coublevie, Auvergne-Rhône-Alpes, France
Maison de santé pluriprofessionnelle de Lans-en-Vercors - Pôle Santé en Vercors
Lans-en-Vercors, Auvergne-Rhône-Alpes, France
Maison de santé pluriprofessionnelle de Moirans
Moirans, Auvergne-Rhône-Alpes, France
Pôle de santé interprofessionnel de Saint-Martin d'Hères
Saint-Martin-d'Hères, Auvergne-Rhône-Alpes, France
Countries
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Central Contacts
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Facility Contacts
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References
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Babatunde OO, Bishop A, Cottrell E, Jordan JL, Corp N, Humphries K, Hadley-Barrows T, Huntley AL, van der Windt DA. A systematic review and evidence synthesis of non-medical triage, self-referral and direct access services for patients with musculoskeletal pain. PLoS One. 2020 Jul 6;15(7):e0235364. doi: 10.1371/journal.pone.0235364. eCollection 2020.
Demont A, Bourmaud A, Kechichian A, Desmeules F. The impact of direct access physiotherapy compared to primary care physician led usual care for patients with musculoskeletal disorders: a systematic review of the literature. Disabil Rehabil. 2021 Jun;43(12):1637-1648. doi: 10.1080/09638288.2019.1674388. Epub 2019 Oct 11.
Chiarotto A, Maxwell LJ, Terwee CB, Wells GA, Tugwell P, Ostelo RW. Roland-Morris Disability Questionnaire and Oswestry Disability Index: Which Has Better Measurement Properties for Measuring Physical Functioning in Nonspecific Low Back Pain? Systematic Review and Meta-Analysis. Phys Ther. 2016 Oct;96(10):1620-1637. doi: 10.2522/ptj.20150420. Epub 2016 Apr 14.
Desmeules F, Roy JS, MacDermid JC, Champagne F, Hinse O, Woodhouse LJ. Advanced practice physiotherapy in patients with musculoskeletal disorders: a systematic review. BMC Musculoskelet Disord. 2012 Jun 21;13:107. doi: 10.1186/1471-2474-13-107.
Hill JC, Whitehurst DG, Lewis M, Bryan S, Dunn KM, Foster NE, Konstantinou K, Main CJ, Mason E, Somerville S, Sowden G, Vohora K, Hay EM. Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial. Lancet. 2011 Oct 29;378(9802):1560-71. doi: 10.1016/S0140-6736(11)60937-9. Epub 2011 Sep 28.
Kechichian A, Lafrance S, Matifat E, Dube F, Lussier D, Benhaim P, Perreault K, Filiatrault J, Rainville P, Higgins J, Rousseau J, Masse J, Desmeules F. Multimodal Interventions Including Rehabilitation Exercise for Older Adults With Chronic Musculoskeletal Pain: A Systematic Review and Meta-analyses of Randomized Controlled Trials. J Geriatr Phys Ther. 2022 Jan-Mar 01;45(1):34-49. doi: 10.1519/JPT.0000000000000279.
Kechichian A, Desmeules F, Girard P, Terrisse H, Vermorel C, Pinsault N. Physiotherapists as first-contact practitioners for patients with low back pain in French primary care: a pragmatic cluster randomised controlled trial. BMC Health Serv Res. 2024 Nov 18;24(1):1427. doi: 10.1186/s12913-024-11814-2.
Other Identifiers
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38RC21.0259
Identifier Type: -
Identifier Source: org_study_id
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