Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Facilitating and Inhibiting Factors and Effect of Interventions in Return to Work for Patients With Neck and Low Back Pain
Brief Summary: Low back pain is a usual condition in the western countries and several treatments available for patients with "non-specific low back pain". According to the European guidelines both Brief intervention and exercise/cognitive intervention are effective treatments with regard to pain and function (www.backpaineurope.org), but none have documented effect on return to work.

The challenges for health personnel is not cure of the patients back pain, but to build up rehabilitation programs which focus on disability and work incapacity, in patients which are at risk of loosing their work. Dr. P. Loisel, Montreal, Canada", has since 1995 treated patients with back pain according to the "The PREVICAP model - (PREVention of work handICAP)", where the main purpose with work-related program is to prevent prolonged disability and to help patients back to work. Loisel demonstrated that the PREVICAP models accelerated the "return to work" factor by a factor 2.4 (p=0.01). The PREVICAP model had also been evaluated in Amsterdam, by Dr. Anema with the same results.

At the Back Clinic, Ullevål University Hospital we are presently involved in a randomized controlled trial after the PREVICAP model, where patients are randomized to Brief intervention including a work-related intervention or usual care. All included patients in both groups, will have a clinical examination by specialist in Physical Medicine and Rehabilitation and advice from a physiotherapist. The current study replaces Brief intervention with an exercise - and a work-related program, so patients with non-specific LBP will be randomized to an exercise and work-related program or usual care.

The main purpose of this study

* to investigate if rehabilitation programs specifically focusing on the return to work process will reduce sickness absence and disability pension in patients with neck and low back pain.
* to assess the work-, individual- and health factors and their interrelationship predicting sickness absence and work disability.
* to compare results from the rehabilitation program with results from rehabilitation program in Toronto
* to which extent are the patients met by actions from employers and employment services, and does is influence sickness absence and disability.
* do these actions represent favourable cost benefit for the work places and the society


Options:
A: Arm Label: long rehabilitation; Type: EXPERIMENTAL; Interventions: Behavioral: long rehabilitation program | Arm Label: short rehabilitation; Type: EXPERIMENTAL; Interventions: Behavioral: short rehabilitation program | Arm Label: Acceptance and commitment therapy; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Acceptance and commitment therapy (ACT) | Arm Label: Untouched; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: long rehabilitation program; Assigned to Arm(s): long rehabilitation | Intervention Type: BEHAVIORAL; Name: short rehabilitation program; Assigned to Arm(s): short rehabilitation | Intervention Type: BEHAVIORAL; Name: Acceptance and commitment therapy (ACT); Assigned to Arm(s): Acceptance and commitment therapy
B: Arm Label: Intervention group; Type: EXPERIMENTAL; Interventions: Behavioral: Interdisciplinary intervention | Arm Label: Controll group; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Control Group, Brief Intervention | Intervention Type: BEHAVIORAL; Name: Interdisciplinary intervention; Assigned to Arm(s): Intervention group | Intervention Type: BEHAVIORAL; Name: Control Group, Brief Intervention; Assigned to Arm(s): Controll group
C: Intervention Type: BEHAVIORAL; Name: Care manager outreach and monitoring; Assigned to Arm(s): N/A
D: Arm Label: Work related rehabilitation; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Exercises and work related rehabilitation | Arm Label: Brief intervention; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Brief intervention | Arm Label: Multidisciplinary exercise group; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: multidisciplinary exercise group | Intervention Type: BEHAVIORAL; Name: Exercises and work related rehabilitation; Assigned to Arm(s): Work related rehabilitation | Intervention Type: BEHAVIORAL; Name: Brief intervention; Assigned to Arm(s): Brief intervention | Intervention Type: BEHAVIORAL; Name: multidisciplinary exercise group; Assigned to Arm(s): Multidisciplinary exercise group

Answer: D