At a glance
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Optimized Multidisciplinary Treatment Programs for Nonspecific Chronic Low Back Pain
In Brief
A clinical study evaluating Physical Therapy, Cognitive Behavioral Therapy, and 3 other interventions for Low Back Pain and Chronic Pain. Completed, enrolled 749 participants across 3 sites.
Detailed Summary
The objective of this study is to improve health care for patients with chronic LBP and increase the likelihood that patients obtain outcomes that matter most to them. The investigators will accomplish our goal using a sequential multiple randomization (SMART) design comparing the effectiveness of Phase 1 (PT v. CBT) treatments for patients with chronic LBP; and among patient non-responsive to Phase I treatment, compare the effectiveness of Phase II treatments (switching to PT or CBT v. mindfulness). Effectiveness will be based on patient-centered outcomes. Sub-aims will compare main effects of Phase 1 and 2 treatment options and the sequencing effects of different treatment combinations.
Study Details
Timeline
Interventions
Evidence-based physical therapy provided in 8 individual sessions including patient education, exercise instruction and manual therapy.
Evidence-based cognitive behavioral therapy provided in 8 individual sessions focused on key components of CBT; 1) identifying and monitoring maladaptive cognitions, 2) developing coping strategies (e.g., distraction, relaxation, etc.), 3) setting and working towards behavioral goals, especially focused on physical activity, and 4) focusing on self-management skills and home instruction
Mindfulness is provided in 8 individual sessions. Focus of sessions is cognitive reappraisal, positive savoring and mindfulness practices.
Includes all participants receiving any Phase I intervention
Includes all participants receiving Switching as Phase II intervention