Evidence map›Paper›PMID 41338641›Full record

ArticleBMJ open2025

Implementation of an Australian helpline for low back pain: protocol of a type 2 hybrid effectiveness-implementation trial.

James Zouch, Katharine Roberts, Adrian Bauman, Helen Jentz, Emma K Ho, Paul Hodges, Chris Maher, Melissa T Baysari, Julia Thompson, Rosemary Calder and 13 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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

23 authors.

James ZouchSydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia jzou3929@uni.sydney.edu.au.ORCID http://orcid.org/0000-0001-5596-1923
Katharine RobertsSydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Adrian BaumanCharles Perkins Centre, School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Helen JentzMusculoskeletal Health Australia, Melbourne, Victoria, Australia.
Emma K HoSydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-2479-0081
Paul HodgesCentre for Innovation in Pain and Health Research, The University of Queensland Faculty of Health and Behavioural Sciences, Brisbane, Queensland, Australia.
Chris MaherSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1628-7857
Melissa T BaysariThe University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-1645-9126
Julia ThompsonNew South Wales Agency for Clinical Innovation, St Leonards, New South Wales, Australia.
Rosemary CalderVictoria University Institute for Health and Sport, Melbourne, Victoria, Australia.
Georgina LuscombeSchool of Rural Health, Sydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Dragana CeprnjaDepartment of Physiotherapy, Westmead Hospital, Westmead, New South Wales, Australia.
Katherine MakaDepartment of Physiotherapy, Westmead Hospital, Westmead, New South Wales, Australia.
Ye TianSydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Yanyu ChenSydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Michelle ChenVirtual Care and Hospital in the Home Services, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
Paul Jarle MorkDepartment of Public Health and Nursing, Norges teknisk-naturvitenskapelige universitet, Trondheim, Norway.ORCID http://orcid.org/0000-0003-3355-2680
Qiang LiThe George Institute for Global Health, Sydney, New South Wales, Australia.
Sarah WiseSchool of Public Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Melissa GilbertOlga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia.
Michelle HallMusculoskeletal Pain Hub, Charles Perkins Centre, Kolling Institute, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Manuela L FerreiraThe George Institute for Global Health, Sydney, New South Wales, Australia.
Paulo FerreiraMusculoskeletal Pain Hub, Charles Perkins Centre, Sydney Musculoskeletal Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow back pain (LBP) is the leading contributor to disability globally. It has a substantial impact on the lives of those who experience it, and places considerable economic burden on healthcare systems. Despite these impacts, and the consistency of guideline recommendations, many individuals do not receive recommended LBP management. Structural barriers to accessing timely, evidence-based care, as well as public uncertainty about where to seek appropriate management, can influence the care individuals receive. Telephone and digitally based helplines assist to overcome many traditional barriers to accessing care and offer a scalable platform to improve the delivery of guideline recommended management for LBP. However, uptake of such services can be limited without targeted promotion and patient-centred design. This project aims to codesign, implement and evaluate an upgraded component of an existing Australian helpline service, tailored for people with back pain and supported by a media awareness campaign. This protocol outlines the codesign process, implementation and planned evaluation of the helpline. METHODS AND ANALYSES: This protocol uses three complementary frameworks-an iterative codesign process, the Practical Robust Implementation Sustainability Model, and the Reach, Effectiveness, Adoption, Implementation and Maintenance framework-to guide the codesign and development, implementation and evaluation of an upgraded helpline for people with LBP. The codesign process involves key stakeholders, including consumers and clinicians, to inform the development and implementation of both the upgraded helpline service and the media campaign to raise awareness and uptake of the helpline. Data sources will include a pre-post cohort of helpline service users, routinely collected service data (eg, monthly call rate) and health system data to evaluate the broader population level impact (eg, rates of emergency department presentations for LBP in the Australian region targeted by the media campaign). Implementation evaluation will include Reach, Effectiveness, Adoption, Implementation and Maintenance as well as internal and external environmental factors that influence the success of these outcome measures. ETHICS AND DISSEMINATION: The project was approved by the University of Sydney's Human Research Ethics Committee (HE001081). This project involves collaboration with consumers, clinicians and other stakeholders to interpret, translate and disseminate research findings to relevant audiences.

Indexed as

HotlinesLow Back PainAustraliaHumansBack painHealth ServicesImplementation ScienceMusculoskeletal disordersPrimary Health CareSelf-Management

Identifiers

PMID41338641
PMCPMC12673535

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.