Ibedrift- A Trial Comparing a New Approach to Musculoskeletal Pain Consisting of Education and Peer Involvement to Treatment as Usual (Ibedrift)

Ibedrift- Health Related Coping. A Randomized Controlled Trial Comparing a Worksite Educational Intervention With or Without Referral to Treatment as Usual.

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.

Study Overview

• Status: Completed
• Conditions: Neck Pain Musculoskeletal; Back Pain Lower Back
• Intervention / Treatment: Behavioral: Information and Peer advisor; Behavioral: Information, peer advisor and fast referral

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.

• Study Type: Interventional
• Enrollment (Actual): 2097
• Phase: Phase 2; Phase 3

Contacts and Locations

Study Locations

• Norway
  • Stavern, Norway, 3294
    • Spesialsykehuset for Rehabilitering

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• All employees above 18 years

Exclusion Criteria:

• Cancer
• Known congenital musculoskeletal disease
• Cauda equina syndrome

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 1; Information and peer advisor	Behavioral: Information and Peer advisor; Information at work place and recruitment and training of one employee as a peer advisor who help colleagues who experience musculoskeletal pain with reasons to stay active, help with adjustment in the work situation to allow individuals to stay at work.
Experimental: 2; Information, peer advisor and referral to further treatment	Behavioral: Information, peer advisor and fast referral; Information at work place and recruitment and training of one employee as a peer advisor who help colleagues who experience musculoskeletal pain with reasons to stay active, help with adjustment in the work situation to allow individuals to stay at work. In addition, the peer advisor can refer employees who do not improve to a two day educational program that also includes a medical exam and individual counselling. In addition,
No Intervention: 3; Treatment as usual

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Sick Leave	1 year and 2 year after start of intervention

Secondary Outcome Measures

Outcome Measure	Time Frame
Low Back pain	1 year and 2 years after intervention
Subjective Health complaints	1 year and 2 years after intervention

Collaborators and Investigators

• Sponsor: NORCE Norwegian Research Centre AS
• Collaborators: Helse Sor-Ost; Sykehuset i Vestfold HF
• Investigators: Principal Investigator: Aage Indahl, Ph.d, The Hospital of Vestfold

Publications and helpful links

General Publications

• 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.
• 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.

Study record dates

Study Major Dates

• Study Start: September 1, 2008
• Primary Completion (Actual): October 1, 2011
• Study Completion (Actual): December 1, 2012

Study Registration Dates

• First Submitted: August 25, 2008
• First Submitted That Met QC Criteria: August 25, 2008
• First Posted (Estimate): August 26, 2008

Study Record Updates

• Last Update Posted (Estimate): February 26, 2015
• Last Update Submitted That Met QC Criteria: February 25, 2015
• Last Verified: February 1, 2015

More Information

Terms related to this study

• Keywords: Cognitive behavior therapy; Intervention Study; Musculoskeletal pain; workplace intervention; Brief cognitive intervention; Health prevention
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Musculoskeletal Diseases; Muscular Diseases; Neck Pain; Musculoskeletal Pain
• Other Study ID Numbers: 801622-611704; 18997 (Other Identifier: NSD); S-08054b (Other Identifier: REK)