Internet App to Self-Manage Occasional Low Back Pain

Study Overview
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Brief Summary
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Nonspecific low back pain (NLBP) is the diagnosis for 85% of low back pain sufferers with no underlying medical cause (e.g., herniated disc, spinal stenosis) that requires physician care. Treatment, however, is impractical for many physicians to implement during office visits, and there are relatively few providers for NLBP treatment that follow national pain control guidelines. This study evaluated the efficacy of an on-line intervention using desktop computers or mobile technology to help users self treat NLBP occurrences and to engage in activities to decrease future occurences.

Detailed Description
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Methods. A total of 606 adults, 18 years of age and older were recruited, screened, and consented online. They were assessed on-line at baseline, at two months weeks, and at four months After the baseline assessments, participants were randomized into NLBP treatment (TX), alternative website control (AWC), and no-contact control groups. The TX and AWC groups received 8 weekly emails prompt to visit their respective experimental websites. Add Details here.

Official Title
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Randomized Controlled Trial of Internet App to Self-Manage Occasional Low Back Pain

Conditions
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Low Back Pain

Intervention / Treatment
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* Behavioral: FitBack on-line intervention
* Other: Alternative Website Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: suffered low back pain in previous 3 months employed or family of employee Exclusion Criteria: on-going medical care for low back pain positive response to questions about symptoms which medically disqualify potential participant

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FitBack on-line intervention<br>On-line Fitback intervention: Self care for on-going pain; behaviors to lessen the chance of reoccurrence | Behavioral: FitBack on-line intervention<br>* On-line Fitback intervention: Self care for on-going pain; behaviors to lessen the chance of reoccurrence<br>* Other names: Fitback app;|
| Active Comparator: Alternative website control<br>Intervention is a Menu of links to 4 popular Websites offering back pain education | Other: Alternative Website Control<br>* Intervention is a Menu of links to 4 popular Websites offering back pain education<br>|
| No Intervention: Usual care control group<br>No contact; Control group | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in responses to the Modified Oswestry Low Back Pain Disability Questionnaire | Back pain history: intensity, frequency, duration | Baseline, 2 months, 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in responses to psycho-social measures (attitudes, knowledge, self efficacy, intentions); self treatment measures | Internally developed rating scales | baseline, 2 and 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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low back pain, internet, prevention, treatment, app