Clinical trial NCT00741650: Ibedrift- A Trial Comparing a New Approach to Musculoskeletal Pain Consisting of Education and Peer Involvement to Treatment as Usual
Official title: Ibedrift- Health Related Coping. A Randomized Controlled Trial Comparing a Worksite Educational Intervention With or Without Referral to Treatment as Usual.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
PHASE3
Conditions: Neck Pain Musculoskeletal
Back Pain Lower Back
Keywords: Musculoskeletal pain
Brief cognitive intervention
Cognitive behavior therapy
Intervention Study
Health prevention
workplace intervention
Lead sponsor: NORCE Norwegian Research Centre AS
Sponsor class: OTHER
Collaborators: name: Sykehuset i Vestfold HF
name: Helse Sor-Ost
First posted: 2008-08-26
Enrollment: 2097
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: A randomized controlled trial comparing a new approach to musculoskeletal pain consisting of education and peer involvement to treatment as usual. All local government employees in 1-3 Norwegian municipalities will be invited to participate.

Detailed description: The purpose of the study is to systematically test a new treatment method for musculoskeletal pain in Norway. The intervention focuses on attempting to treat musculoskeletal pain outside the traditional medical system as much as possible, to avoid the establishment of a patient identity and passive patient behavior. In addition, participants are given reasons to stay active, and not advice to stay active.

Ibedrift is a randomized controlled trial with the aim of studying the effect of a new treatment regime for musculoskeletal pain, focusing on didactic information about low back pain with peer support. Those participants not in the control group will have the option of contacting a peer advisor, a non health professional trained by the iBedrift crew to give information about back pain and reasons to stay active. For those who have not recovered within a short period of time, and who are randomized to full treatment, the peer advisor can send them directly to health personnel for a brief intervention consisting of a medical examination with screening for conditions that need treatment, counseling and education.

The intervention was done in 2 Norwegian municipalities for all local government employees. Randomization was done at the level of working units (schools, offices etc) which allows for more message containment.

Eligibility criteria: Inclusion Criteria:

* All employees above 18 years

Exclusion Criteria:

* Cancer
* Known congenital musculoskeletal disease
* Cauda equina syndrome

Primary outcomes:
measure: Sick Leave
timeFrame: 1 year and 2 year after start of intervention
Secondary outcomes:
measure: Low Back pain
timeFrame: 1 year and 2 years after intervention
measure: Subjective Health complaints
timeFrame: 1 year and 2 years after intervention
Other outcomes:
Locations:
city: Stavern
country: Norway
facility: Spesialsykehuset for Rehabilitering
Study officials:
affiliation: The Hospital of Vestfold
name: Aage Indahl, Ph.d
role: PRINCIPAL_INVESTIGATOR
References:
citation: Odeen M, Ihlebaek C, Indahl A, Wormgoor ME, Lie SA, Eriksen HR. Effect of peer-based low back pain information and reassurance at the workplace on sick leave: a cluster randomized trial. J Occup Rehabil. 2013 Jun;23(2):209-19. doi: 10.1007/s10926-013-9451-z.
citation: Ree E, Odeen M, Eriksen HR, Indahl A, Ihlebaek C, Hetland J, Harris A. Subjective health complaints and self-rated health: are expectancies more important than socioeconomic status and workload? Int J Behav Med. 2014 Jun;21(3):411-20. doi: 10.1007/s12529-013-9329-7.