An App-Delivered Self-Management Program for People With Low Back Pain: Protocol for the selfBACK Randomized Controlled Trial
Low back pain (LBP) is prevalent across all social classes, in all age groups, and across industrialized and developing countries. From a global perspective, LBP is considered the leading cause of disability and negatively impacts everyday life and well-being. Self-management is a recommended first-...
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| Veröffentlicht in: | JMIR research protocols 2019-12, Vol.8 (12), p.e14720 |
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| creator | Sandal, Louise Fleng Stochkendahl, Mette Jensen Svendsen, Malene Jagd Wood, Karen Øverås, Cecilie K Nordstoga, Anne Lovise Villumsen, Morten Rasmussen, Charlotte Diana Nørregaard Nicholl, Barbara Cooper, Kay Kjaer, Per Mair, Frances S Sjøgaard, Gisela Nilsen, Tom Ivar Lund Hartvigsen, Jan Bach, Kerstin Mork, Paul Jarle Søgaard, Karen |
| description | Low back pain (LBP) is prevalent across all social classes, in all age groups, and across industrialized and developing countries. From a global perspective, LBP is considered the leading cause of disability and negatively impacts everyday life and well-being. Self-management is a recommended first-line treatment, and mobile apps are a promising platform to support self-management of conditions like LBP. In the selfBACK project, we have developed a digital decision support system made available for the user via an app intended to support tailored self-management of nonspecific LBP.
The trial aims to evaluate the effectiveness of using the selfBACK app to support self-management in addition to usual care (intervention group) versus usual care only (control group) in people with nonspecific LBP.
This is a single-blinded, randomized controlled trial (RCT) with two parallel arms. The selfBACK app provides tailored self-management plans consisting of advice on physical activity, physical exercises, and educational content. Tailoring of plans is achieved by using case-based reasoning (CBR) methodology, which is a branch of artificial intelligence. The core of the CBR methodology is to use data about the current case (participant) along with knowledge about previous and similar cases to tailor the self-management plan to the current case. This enables a person-centered intervention based on what has and has not been successful in previous cases. Participants in the RCT are people with LBP who consulted a health care professional in primary care within the preceding 8 weeks. Participants are randomized to using the selfBACK app in addition to usual care versus usual care only. We aim to include a total of 350 participants (175 participants in each arm). Outcomes are collected at baseline, 6 weeks, and 3, 6, and 9 months. The primary end point is difference in pain-related disability between the intervention group and the control group assessed by the Roland-Morris Disability Questionnaire at 3 months.
The trial opened for recruitment in February 2019. Data collection is expected to be complete by fall 2020, and the results for the primary outcome are expected to be published in fall 2020.
This RCT will provide insights regarding the benefits of supporting tailored self-management of LBP through an app available at times convenient for the user. If successful, the intervention has the potential to become a model for the provision of tailored self-management support |
| doi_str_mv | 10.2196/14720 |
| format | Article |
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The trial aims to evaluate the effectiveness of using the selfBACK app to support self-management in addition to usual care (intervention group) versus usual care only (control group) in people with nonspecific LBP.
This is a single-blinded, randomized controlled trial (RCT) with two parallel arms. The selfBACK app provides tailored self-management plans consisting of advice on physical activity, physical exercises, and educational content. Tailoring of plans is achieved by using case-based reasoning (CBR) methodology, which is a branch of artificial intelligence. The core of the CBR methodology is to use data about the current case (participant) along with knowledge about previous and similar cases to tailor the self-management plan to the current case. This enables a person-centered intervention based on what has and has not been successful in previous cases. Participants in the RCT are people with LBP who consulted a health care professional in primary care within the preceding 8 weeks. Participants are randomized to using the selfBACK app in addition to usual care versus usual care only. We aim to include a total of 350 participants (175 participants in each arm). Outcomes are collected at baseline, 6 weeks, and 3, 6, and 9 months. The primary end point is difference in pain-related disability between the intervention group and the control group assessed by the Roland-Morris Disability Questionnaire at 3 months.
The trial opened for recruitment in February 2019. Data collection is expected to be complete by fall 2020, and the results for the primary outcome are expected to be published in fall 2020.
This RCT will provide insights regarding the benefits of supporting tailored self-management of LBP through an app available at times convenient for the user. If successful, the intervention has the potential to become a model for the provision of tailored self-management support to people with nonspecific LBP and inform future interventions for other painful musculoskeletal conditions.
ClinicalTrial.gov NCT03798288; https://clinicaltrials.gov/ct2/show/NCT03798288.
DERR1-10.2196/14720.</description><identifier>ISSN: 1929-0748</identifier><identifier>EISSN: 1929-0748</identifier><identifier>DOI: 10.2196/14720</identifier><identifier>PMID: 31793897</identifier><language>eng</language><publisher>Canada: JMIR Publications</publisher><subject>Back pain ; Clinical trials ; Decision support systems ; Disability ; Exercise ; Internet access ; Intervention ; Participation ; Patient-centered care ; Physical fitness ; Protocol ; Questionnaires ; Smartphones ; Systematic review</subject><ispartof>JMIR research protocols, 2019-12, Vol.8 (12), p.e14720</ispartof><rights>Louise Fleng Fleng Sandal, Mette Jensen Stochkendahl, Malene Jagd Svendsen, Karen Wood, Cecilie K Øverås, Anne Lovise Nordstoga, Morten Villumsen, Charlotte Diana Nørregaard Rasmussen, Barbara Nicholl, Kay Cooper, Per Kjaer, Frances S Mair, Gisela Sjøgaard, Tom Ivar Lund Nilsen, Jan Hartvigsen, Kerstin Bach, Paul Jarle Mork, Karen Søgaard. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 03.12.2019.</rights><rights>2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Louise Fleng Fleng Sandal, Mette Jensen Stochkendahl, Malene Jagd Svendsen, Karen Wood, Cecilie K Øverås, Anne Lovise Nordstoga, Morten Villumsen, Charlotte Diana Nørregaard Rasmussen, Barbara Nicholl, Kay Cooper, Per Kjaer, Frances S Mair, Gisela Sjøgaard, Tom Ivar Lund Nilsen, Jan Hartvigsen, Kerstin Bach, Paul Jarle Mork, Karen Søgaard. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 03.12.2019. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-eb35158670f05d1a9b093de1576e10269effc1e1f9f286399133b5ed8ec8986d3</citedby><cites>FETCH-LOGICAL-c360t-eb35158670f05d1a9b093de1576e10269effc1e1f9f286399133b5ed8ec8986d3</cites><orcidid>0000-0001-9780-1135 ; 0000-0001-6675-169X ; 0000-0003-3968-6364 ; 0000-0001-5639-0130 ; 0000-0002-5876-7410 ; 0000-0001-8251-3544 ; 0000-0002-4256-7676 ; 0000-0002-3671-0384 ; 0000-0002-4395-8265 ; 0000-0002-1769-717X ; 0000-0003-0297-8267 ; 0000-0002-2961-7800 ; 0000-0001-8436-1046 ; 0000-0002-4503-0663 ; 0000-0003-3355-2680 ; 0000-0001-9718-9425 ; 0000-0001-9958-2511 ; 0000-0001-5340-8649</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918200/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918200/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31793897$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sandal, Louise Fleng</creatorcontrib><creatorcontrib>Stochkendahl, Mette Jensen</creatorcontrib><creatorcontrib>Svendsen, Malene Jagd</creatorcontrib><creatorcontrib>Wood, Karen</creatorcontrib><creatorcontrib>Øverås, Cecilie K</creatorcontrib><creatorcontrib>Nordstoga, Anne Lovise</creatorcontrib><creatorcontrib>Villumsen, Morten</creatorcontrib><creatorcontrib>Rasmussen, Charlotte Diana Nørregaard</creatorcontrib><creatorcontrib>Nicholl, Barbara</creatorcontrib><creatorcontrib>Cooper, Kay</creatorcontrib><creatorcontrib>Kjaer, Per</creatorcontrib><creatorcontrib>Mair, Frances S</creatorcontrib><creatorcontrib>Sjøgaard, Gisela</creatorcontrib><creatorcontrib>Nilsen, Tom Ivar Lund</creatorcontrib><creatorcontrib>Hartvigsen, Jan</creatorcontrib><creatorcontrib>Bach, Kerstin</creatorcontrib><creatorcontrib>Mork, Paul Jarle</creatorcontrib><creatorcontrib>Søgaard, Karen</creatorcontrib><title>An App-Delivered Self-Management Program for People With Low Back Pain: Protocol for the selfBACK Randomized Controlled Trial</title><title>JMIR research protocols</title><addtitle>JMIR Res Protoc</addtitle><description>Low back pain (LBP) is prevalent across all social classes, in all age groups, and across industrialized and developing countries. From a global perspective, LBP is considered the leading cause of disability and negatively impacts everyday life and well-being. Self-management is a recommended first-line treatment, and mobile apps are a promising platform to support self-management of conditions like LBP. In the selfBACK project, we have developed a digital decision support system made available for the user via an app intended to support tailored self-management of nonspecific LBP.
The trial aims to evaluate the effectiveness of using the selfBACK app to support self-management in addition to usual care (intervention group) versus usual care only (control group) in people with nonspecific LBP.
This is a single-blinded, randomized controlled trial (RCT) with two parallel arms. The selfBACK app provides tailored self-management plans consisting of advice on physical activity, physical exercises, and educational content. Tailoring of plans is achieved by using case-based reasoning (CBR) methodology, which is a branch of artificial intelligence. The core of the CBR methodology is to use data about the current case (participant) along with knowledge about previous and similar cases to tailor the self-management plan to the current case. This enables a person-centered intervention based on what has and has not been successful in previous cases. Participants in the RCT are people with LBP who consulted a health care professional in primary care within the preceding 8 weeks. Participants are randomized to using the selfBACK app in addition to usual care versus usual care only. We aim to include a total of 350 participants (175 participants in each arm). Outcomes are collected at baseline, 6 weeks, and 3, 6, and 9 months. The primary end point is difference in pain-related disability between the intervention group and the control group assessed by the Roland-Morris Disability Questionnaire at 3 months.
The trial opened for recruitment in February 2019. Data collection is expected to be complete by fall 2020, and the results for the primary outcome are expected to be published in fall 2020.
This RCT will provide insights regarding the benefits of supporting tailored self-management of LBP through an app available at times convenient for the user. If successful, the intervention has the potential to become a model for the provision of tailored self-management support to people with nonspecific LBP and inform future interventions for other painful musculoskeletal conditions.
ClinicalTrial.gov NCT03798288; https://clinicaltrials.gov/ct2/show/NCT03798288.
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Stochkendahl, Mette Jensen ; Svendsen, Malene Jagd ; Wood, Karen ; Øverås, Cecilie K ; Nordstoga, Anne Lovise ; Villumsen, Morten ; Rasmussen, Charlotte Diana Nørregaard ; Nicholl, Barbara ; Cooper, Kay ; Kjaer, Per ; Mair, Frances S ; Sjøgaard, Gisela ; Nilsen, Tom Ivar Lund ; Hartvigsen, Jan ; Bach, Kerstin ; Mork, Paul Jarle ; Søgaard, Karen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-eb35158670f05d1a9b093de1576e10269effc1e1f9f286399133b5ed8ec8986d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Back pain</topic><topic>Clinical trials</topic><topic>Decision support systems</topic><topic>Disability</topic><topic>Exercise</topic><topic>Internet access</topic><topic>Intervention</topic><topic>Participation</topic><topic>Patient-centered care</topic><topic>Physical fitness</topic><topic>Protocol</topic><topic>Questionnaires</topic><topic>Smartphones</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sandal, Louise Fleng</creatorcontrib><creatorcontrib>Stochkendahl, Mette Jensen</creatorcontrib><creatorcontrib>Svendsen, Malene Jagd</creatorcontrib><creatorcontrib>Wood, Karen</creatorcontrib><creatorcontrib>Øverås, Cecilie K</creatorcontrib><creatorcontrib>Nordstoga, Anne Lovise</creatorcontrib><creatorcontrib>Villumsen, Morten</creatorcontrib><creatorcontrib>Rasmussen, Charlotte Diana Nørregaard</creatorcontrib><creatorcontrib>Nicholl, Barbara</creatorcontrib><creatorcontrib>Cooper, Kay</creatorcontrib><creatorcontrib>Kjaer, Per</creatorcontrib><creatorcontrib>Mair, Frances S</creatorcontrib><creatorcontrib>Sjøgaard, Gisela</creatorcontrib><creatorcontrib>Nilsen, Tom Ivar Lund</creatorcontrib><creatorcontrib>Hartvigsen, Jan</creatorcontrib><creatorcontrib>Bach, Kerstin</creatorcontrib><creatorcontrib>Mork, Paul Jarle</creatorcontrib><creatorcontrib>Søgaard, Karen</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JMIR research protocols</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sandal, Louise Fleng</au><au>Stochkendahl, Mette Jensen</au><au>Svendsen, Malene Jagd</au><au>Wood, Karen</au><au>Øverås, Cecilie K</au><au>Nordstoga, Anne Lovise</au><au>Villumsen, Morten</au><au>Rasmussen, Charlotte Diana Nørregaard</au><au>Nicholl, Barbara</au><au>Cooper, Kay</au><au>Kjaer, Per</au><au>Mair, Frances S</au><au>Sjøgaard, Gisela</au><au>Nilsen, Tom Ivar Lund</au><au>Hartvigsen, Jan</au><au>Bach, Kerstin</au><au>Mork, Paul Jarle</au><au>Søgaard, Karen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An App-Delivered Self-Management Program for People With Low Back Pain: Protocol for the selfBACK Randomized Controlled Trial</atitle><jtitle>JMIR research protocols</jtitle><addtitle>JMIR Res Protoc</addtitle><date>2019-12-03</date><risdate>2019</risdate><volume>8</volume><issue>12</issue><spage>e14720</spage><pages>e14720-</pages><issn>1929-0748</issn><eissn>1929-0748</eissn><abstract>Low back pain (LBP) is prevalent across all social classes, in all age groups, and across industrialized and developing countries. From a global perspective, LBP is considered the leading cause of disability and negatively impacts everyday life and well-being. Self-management is a recommended first-line treatment, and mobile apps are a promising platform to support self-management of conditions like LBP. In the selfBACK project, we have developed a digital decision support system made available for the user via an app intended to support tailored self-management of nonspecific LBP.
The trial aims to evaluate the effectiveness of using the selfBACK app to support self-management in addition to usual care (intervention group) versus usual care only (control group) in people with nonspecific LBP.
This is a single-blinded, randomized controlled trial (RCT) with two parallel arms. The selfBACK app provides tailored self-management plans consisting of advice on physical activity, physical exercises, and educational content. Tailoring of plans is achieved by using case-based reasoning (CBR) methodology, which is a branch of artificial intelligence. The core of the CBR methodology is to use data about the current case (participant) along with knowledge about previous and similar cases to tailor the self-management plan to the current case. This enables a person-centered intervention based on what has and has not been successful in previous cases. Participants in the RCT are people with LBP who consulted a health care professional in primary care within the preceding 8 weeks. Participants are randomized to using the selfBACK app in addition to usual care versus usual care only. We aim to include a total of 350 participants (175 participants in each arm). Outcomes are collected at baseline, 6 weeks, and 3, 6, and 9 months. The primary end point is difference in pain-related disability between the intervention group and the control group assessed by the Roland-Morris Disability Questionnaire at 3 months.
The trial opened for recruitment in February 2019. Data collection is expected to be complete by fall 2020, and the results for the primary outcome are expected to be published in fall 2020.
This RCT will provide insights regarding the benefits of supporting tailored self-management of LBP through an app available at times convenient for the user. If successful, the intervention has the potential to become a model for the provision of tailored self-management support to people with nonspecific LBP and inform future interventions for other painful musculoskeletal conditions.
ClinicalTrial.gov NCT03798288; https://clinicaltrials.gov/ct2/show/NCT03798288.
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| fulltext | fulltext |
| identifier | ISSN: 1929-0748 |
| ispartof | JMIR research protocols, 2019-12, Vol.8 (12), p.e14720 |
| issn | 1929-0748 1929-0748 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6918200 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central |
| subjects | Back pain Clinical trials Decision support systems Disability Exercise Internet access Intervention Participation Patient-centered care Physical fitness Protocol Questionnaires Smartphones Systematic review |
| title | An App-Delivered Self-Management Program for People With Low Back Pain: Protocol for the selfBACK Randomized Controlled Trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T23%3A26%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=An%20App-Delivered%20Self-Management%20Program%20for%20People%20With%20Low%20Back%20Pain:%20Protocol%20for%20the%20selfBACK%20Randomized%20Controlled%20Trial&rft.jtitle=JMIR%20research%20protocols&rft.au=Sandal,%20Louise%20Fleng&rft.date=2019-12-03&rft.volume=8&rft.issue=12&rft.spage=e14720&rft.pages=e14720-&rft.issn=1929-0748&rft.eissn=1929-0748&rft_id=info:doi/10.2196/14720&rft_dat=%3Cproquest_pubme%3E2320873522%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2508648461&rft_id=info:pmid/31793897&rfr_iscdi=true |