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dc.contributor.authorKarppinen, Jaro
dc.contributor.authorSimula, Anna Sofia
dc.contributor.authorHolopainen, Riikka
dc.contributor.authorLausmaa, Mikko
dc.contributor.authorRemes, Jouko
dc.contributor.authorPaukkunen, Maija
dc.contributor.authorUssing, Kasper
dc.contributor.authorBooth, Neill
dc.contributor.authorRyynänen, Katja
dc.contributor.authorKoski, Tomi
dc.contributor.authorAbbott, Allan
dc.contributor.authorÖberg, Birgitta
dc.contributor.authorLinton, Steven J.
dc.contributor.authorSmith, Anne
dc.contributor.authorO'Sullivan, Peter
dc.contributor.authorMalmivaara, Antti
dc.date.accessioned2021-03-10T07:22:51Z
dc.date.available2021-03-10T07:22:51Z
dc.date.issued2021
dc.identifier.citationKarppinen, J., Simula, A. S., Holopainen, R., Lausmaa, M., Remes, J., Paukkunen, M., Ussing, K., Booth, N., Ryynänen, K., Koski, T., Abbott, A., Öberg, B., Linton, S. J., Smith, A., O'Sullivan, P., & Malmivaara, A. (2021). Evaluation of training in guideline‐oriented biopsychosocial management of low back pain in occupational health services : Protocol of a cluster randomized trial. <i>Health Science Reports</i>, <i>4</i>(1), Article e251. <a href="https://doi.org/10.1002/hsr2.251" target="_blank">https://doi.org/10.1002/hsr2.251</a>
dc.identifier.otherCONVID_51845312
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/74566
dc.description.abstractBackground To 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. Methods The 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. Discussion The 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.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherJohn Wiley & Sons
dc.relation.ispartofseriesHealth Science Reports
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherbiopsychosocial approach
dc.subject.othercluster randomized controlled study
dc.subject.otherimplementation research
dc.subject.otherlowback pain
dc.subject.otheroccupational health services
dc.subject.otherÖrebro musculoskeletal pain screening questionnaire
dc.subject.otherrisk stratification
dc.subject.otherSTarT Back tool
dc.titleEvaluation of training in guideline‐oriented biopsychosocial management of low back pain in occupational health services : Protocol of a cluster randomized trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202103101918
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.relation.issn2398-8835
dc.relation.numberinseries1
dc.relation.volume4
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC.
dc.rights.accesslevelopenAccessfi
dc.subject.ysotyöterveys
dc.subject.ysoehkäisevä lääketiede
dc.subject.ysofysioterapia
dc.subject.ysoselkäsairaudet
dc.subject.ysopsykofyysinen fysioterapia
dc.subject.ysopsykososiaaliset tekijät
dc.subject.ysokrooninen kipu
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p2891
jyx.subject.urihttp://www.yso.fi/onto/yso/p17163
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
jyx.subject.urihttp://www.yso.fi/onto/yso/p2499
jyx.subject.urihttp://www.yso.fi/onto/yso/p25345
jyx.subject.urihttp://www.yso.fi/onto/yso/p4391
jyx.subject.urihttp://www.yso.fi/onto/yso/p16952
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1002/hsr2.251
jyx.fundinginformationThe study wass funded by the Finnish Work Environment Fund (#117139/2017); the Finnish Institute of Occupational Health; the Rokua Health and Rehabilitation Foundation; the Finnish Cultural Foundation; and the University of Oulu, Oulu, Finland. Bodies of the Finnish Work Environment Fund and the Finnish Institute of Occupational Health peer‐reviewed the study as part of the funding application.


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