Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain: design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]

van der Roer, Nicole, van Tulder, Maurits W., Barendse, Johanna M., van Mechelen, Willem, Franken, Willemien K., Ooms, Arjan C. and de Vet, Henrica C. W. (2004) Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain: design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]. BMC Musculoskeletal Disorders, 5 45: x-x. doi:10.1186/1471-2474-5-45


Author van der Roer, Nicole
van Tulder, Maurits W.
Barendse, Johanna M.
van Mechelen, Willem
Franken, Willemien K.
Ooms, Arjan C.
de Vet, Henrica C. W.
Title Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain: design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]
Journal name BMC Musculoskeletal Disorders   Check publisher's open access policy
ISSN 1471-2474
Publication date 2004-11-23
Sub-type Article (original research)
DOI 10.1186/1471-2474-5-45
Open Access Status DOI
Volume 5
Issue 45
Start page x
End page x
Total pages 9
Place of publication London
Publisher BioMed Central
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
Background
Low back pain is a common disorder in western industrialised countries and the type of treatments for low back pain vary considerably.

Methods
In a randomised controlled trial the cost-effectiveness and cost-utility of an intensive group training protocol versus physiotherapy guideline care for sub-acute and chronic low back pain patients is evaluated. Patients with back pain for longer than 6 weeks who are referred to physiotherapy care by their general practitioner or medical specialist are included in the study. The intensive group training protocol combines exercise therapy with principles of behavioural therapy ("graded activity") and back school. This training protocol is compared to physiotherapy care according to the recently published Low Back Pain Guidelines of the Royal Dutch College for Physiotherapy. Primary outcome measures are general improvement, pain intensity, functional status, work absenteeism and quality of life. The direct and indirect costs will be assessed using cost diaries. Patients will complete questionnaires at baseline and 6, 13, 26 and 52 weeks after randomisation.

Discussion
No trials are yet available that have evaluated the effect of an intensive group training protocol including behavioural principles and back school in a primary physiotherapy care setting and no data on cost-effectiveness and cost-utility are available.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes Received: 6 August 2004; Accepted: 23 November 2004; Published: 23 November 2004

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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