National Recommendations and the Actual Rehabilitation Provided for Low Back Pain Patients

Study Overview
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Brief Summary
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Purpose and background: The purpose of the study is to investigate physiotherapeutic courses of rehabilitation in the primary sector for low back pain patients. This is done by identifying both how physiotherapeutic rehabilitation is organized in the primary sector and further what different types of physiotherapeutic interventions are offered for this patient group. Furthermore the study aims to evaluate to what extent existing physiotherapeutic rehabilitation practice adheres with the national and international guidelines and recommendations for low back pain rehabilitation. Methods: A quantitative survey is carried out, which includes development and validation of a questionnaire for the purpose, and this is subsequently distributed electronically to private and public providers of physiotherapy rehabilitation in all 19 municipalities in Central Denmark Region. Approximately 500 physiotherapists will be asked to participate in the survey in the period February to March 2018.

Official Title
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Concordance Between the National Recommendations and the Actual Rehabilitation Provided for Low Back Pain Patients Referred to Primary Care Rehabilitation. A Survey of Public and Private Health Care Providers in Denmark

Conditions
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Guideline Adherence, Low Back Pain

Intervention / Treatment
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* Other: Survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: physical therapists working with low back pain rehabilitation in the primary sector in Central Denmark Region Exclusion Criteria: physical therapists that have less than 1 consultation per week with low back pain patients.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Survey|Electronic survey containing a questionnaire regarding knowledge and use of national guidelines of low back pain rehabilitation, type and frequency of cross sectional communication, attitudes and beliefs about back pain and two patient vignettes.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Guideline adherence | Adherence to guidelines is assessed on the basis of the responses given to the two patient vignettes in the questionnaire. Thus, for each vignette there is a total 3 questions with four possible answers for each question. For each question 1 answer is correct, 1 partly correct and 2 are wrong. Adherence to guidelines is ultimately defined as: Strictly adheres = 3 correct answers OR 2 correct and 1 partly correct answer. Partly adheres: 1 correct and 2 partly correct answers OR 2 correct and 1 wrong answer OR 3 partly correct answers. Does not adhere: any other combination of answers than the above mentioned. | 1 month |