Evidence map›Paper›PMID 39068385›Full record

ArticleBMC musculoskeletal disorders2024

Implementation of back to living well, a community-based program for the tertiary prevention of low back pain: a study protocol.

Luciana Macedo, Stephanie Di Pelino, Veronica Souza Santos, Julie Richardson, Joy MacDermid, Mark Hancock, Michele C Battie, Bruno T Saragiotto, Jill A Hayden, Alison Rushton and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05929846 (Back to Living Well), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05929846 active not recruitingnot on this map

Back to Living Well: Implementation of a Community-based Program for the Secondary and Tertiary Prevention of Low Back Pain

TypeobservationalSponsorMcMaster UniversityRan2023 to 2026Enrolled90ConditionsLow Back PainArmsBack to Living Well Program
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Luciana MacedoSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada. macedol@mcmaster.ca.
Stephanie Di PelinoSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Veronica Souza SantosSchool of Rehabilitation Science, McMaster University and Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Sao Paulo, Brazil.
Julie RichardsonSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Joy MacDermidWestern University, London, ON, Canada.
Mark HancockMacquarie University, Sydney, Australia.
Michele C BattieWestern University, London, ON, Canada.
Bruno T SaragiottoDiscipline of Physiotherapy, Graduate School of Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Jill A HaydenDalhousie University, Halifax, NS, Canada.
Alison RushtonWestern University, London, ON, Canada.
Tara PackhamSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Matt FremanSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Steven BraySchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Meridith GriffinSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Genevieve HladyshYMCA Hamilton, Burlington and Brandtford, Canada.
Pat MillerSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Suzan Attwell, Hamilton, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current literature supports the effectiveness of exercise, education, and self-management interventions for the long-term management of persistent low back pain. However, there is significant uncertainty about the implementation of interventions related to barriers, facilitators, and patient's preferences. This study will evaluate the Back to Living Well program implementation from a participant and organizational perspective. More specifically we address the following objectives: 1) identify program barriers and facilitators from participants' perspectives, 2) identify factors related to program, personal and contextual factors that contribute to negative and positive outcomes, and outcome trajectories, 3) identify factors influencing participants' selection of an in-person or e-health program, and 4) evaluate program specific barriers and facilitators from the organization and care delivery perspectives.

methodsThis study will utilize a mixed-method convergent design including a longitudinal cohort strand and a longitudinal qualitative interview strand. The RE-AIM framework will be used to assess program implementation. Participants (n = 90, 1:1: in person or virtual) who choose to register in the program as well as staff (n = 10 to 15) involved in the delivery of the program will be invited to participate. Participants will participate in a 12-week physical activity, education, and self-management program. Implementation outcomes will be measured at 3-, 6-, 12-months, and six months after the end of the follow-ups. Interview scripts and directed content analysis will be constructed based on the Theoretical Domains Framework and the Neuromatrix Model of Pain, Theoretical Domains Framework. Staff interviews will be constructed and analyzed using the Consolidated Framework for Implementation Research. Participants will also complete pain, disability, quality of life and psychological questionnaires, wear an activity tracker at all time points, and complete weekly pain and activity limitation questions using a mobile application. DISCUSSION: The study results will provide evidence to inform potential future implementation of the program. An effective, appropriately targeted, and well implemented exercise program for the long-term management (i.e., tertiary prevention) of LBP could minimize the burden of the condition on patients, the health care system and society.

trial registrationClinicalTrials.gov NCT05929846. This (Registration Date: July 3 2023) study has been approved by the Hamilton Integrated Research Ethics Board Project ID#15,354.

Indexed as

Low Back PainTertiary PreventionAdultCommunity Health ServicesExercise TherapyFemaleHumansLongitudinal StudiesMaleObservational Studies as TopicPain MeasurementPatient Education as TopicProgram EvaluationQuality of LifeSelf-ManagementCommunity-based programsImplementationLow back painSelf-managementTertiary prevention

Identifiers

PMID39068385
PMCPMC11283700

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.