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Evaluation of train...
Evaluation of training in guideline‐oriented biopsychosocial management of low back pain in occupational health services : Protocol of a cluster randomized trial
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- Karppinen, Jaro (författare)
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Finnish Institute of Occupational Health, Oulu, Finland
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- Simula, Ann Sofia (författare)
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland, Department of General Medicine, The South Savo Social and Health Care Authority, Mikkeli, Finland
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- Holopainen, Riikka (författare)
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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- Lausmaa, Mikko (författare)
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden
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- Remes, Jouko (författare)
- Finnish Institute of Occupational Health, Oulu, Finland
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- Paukkunen, Maija (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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- Ussing, Kasper (författare)
- Spine and Mind Fysio, Odense, Denmark; Spine Center of Southern Denmark, Lillebaelt Hospital, Middelfart, Denmark
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- Booth, Neill (författare)
- Faculty of Social Sciences (Health Sciences), Tampere University, Tampere, Finland
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- Ryynänen, Katja (författare)
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Mehiläinen Corporation, Oulu, Finland
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- Koski, Tomi (författare)
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Työterveys Virta Oy, Oulu, Finland
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- Abbott, Allan, 1978- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för prevention, rehabilitering och nära vård,Region Östergötland, Ortopedkliniken i Linköping,Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden
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- Öberg, Birgitta, 1951- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för prevention, rehabilitering och nära vård,Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden
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- Linton, Steven J., 1952- (författare)
- Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Department of Law, Psychology, and Social Work, Center for Health and Medical Psychology, Örebro University, Örebro, Sweden
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- Smith, Ann (författare)
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia
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- O'Sullivan, Peter (författare)
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia; Body Logic Physiotherapy, Perth, Western Australia, Australia
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- Malmivaara, Antti (författare)
- Centre for Health and Social Economics, Finnish Institute for Health and Welfare, Helsinki, Finland
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(creator_code:org_t)
- 2021-03-04
- 2021
- Engelska.
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Ingår i: Health Science Reports. - : John Wiley & Sons. - 2398-8835. ; 4:1
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://onlinelibrar...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundTo prevent low back pain (LBP) from developing into a prolonged disabling condition, clinical guidelines advocate early stage assessment, risk‐screening, and tailored interventions. Occupational health services recommend guideline‐oriented biopsychosocial screening and individualized assessment and management. However, it is not known whether training a limited number of health care professionals improves the management process. The primary objective of this study is to investigate whether training in the biopsychosocial practice model is effective in reducing disability. Furthermore, we aim to evaluate health‐economic impacts of the training intervention in comparison to usual medical care.MethodsThe occupational health service units will be allocated into a training or control arm in a two‐arm cluster randomized controlled design. The training of occupational physiotherapists and physicians will include the assessment of pain‐related psychosocial factors using the STarT Back Tool and the short version of the Örebro Musculoskeletal Pain Screening Questionnaire, the use of an evidence‐based patient education booklet as part of the management of LBP, and tailored individualized management of LBP according to risk stratification. The control units will receive no training. The study population will include patients aged 18–65 with nonspecific LBP. The primary outcome is a patient‐reported Oswestry Disability Index from baseline to 12 months. By estimating group differences over time, we aim to evaluate the effectiveness of the training intervention in comparison to usual medical care, and to undertake an economic evaluation using individual patients' health care records (participant‐level data) and the participating units' registries (cluster‐level data). In addition, through interviews and questionnaires, we will explore the health care professionals' conceptions of the adoption of, the barriers to, and the facilitators of the implementation of the practice model.DiscussionThe evaluation of training in the guideline‐oriented biopsychosocial management of LBP in occupational health services is justified because LBP represents an enormous burden in terms of work disability.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- biopsychosocial approach
- cluster randomized controlled study
- implementation research
- lowback pain
- occupational health services
- Örebro musculoskeletal pain screening questionnaire
- risk stratification
- STarT Back tool
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Karppinen, Jaro
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Simula, Ann Sofi ...
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Holopainen, Riik ...
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Lausmaa, Mikko
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Remes, Jouko
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Paukkunen, Maija
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Ussing, Kasper
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Booth, Neill
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Ryynänen, Katja
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Koski, Tomi
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Abbott, Allan, 1 ...
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Öberg, Birgitta, ...
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Linton, Steven J ...
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Smith, Ann
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O'Sullivan, Pete ...
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Malmivaara, Antt ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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Linköpings universitet
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