- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04463043
An App-based Versus a Web-based Self-management Intervention or Usual Care in People With Low Back and/or Neck Pain on a Waiting List for Hospital-based Outpatient Rehabilitation
The Effectiveness of an App-based (selfBACK) Versus a Web-based (e-Help) Self-management Intervention or Usual Care in People With Low Back and/or Neck Pain on a Waiting List for Hospital-based Outpatient Rehabilitation: a Three Arm Randomised Controlled Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Patients on waiting list for treatment at the multidisciplinary outpatient clinic for back, neck and shoulder rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Norway, due to low back and/or neck pain are the target group for this study. The average waiting time for receiving treatment is 8-10 weeks. The use of digital solutions can be a beneficial approach to support self-management during the waiting period. Therefore, the effectiveness of these tools in this patients group needs to be evaluated.
A total of 279 participants will be recruited and randomly allocated to one of the three groups: 1) the selfBACK app in addition to usual care; 2) the e-Help webpage in addition to usual care; and 3) usual care only. Participants who receive either the selfBACK app and the e-Help webpage will be allowed to seek care, treatment or help elsewhere as usual.
Self-reported outcome measures will be collected through web-based questionnaires at three follow-up time points: 1) 6 weeks; 2) 3 months (primary endpoint); and 3) 6 months. In addition, participants receiving the selfBACK app will be asked a set of weekly tailoring questions to individualize self-management plans. Objective registry based data linked to social security number in Norway will be used to investigate health care consumption and sickness absence at 1 year (and up to 5 years).
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Trondheim, Norway
- Tverrfaglig poliklinikk rygg/nakke/skulder, St. Olavs Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- On waiting list for treatment at the multidisciplinary outpatient clinic for back, neck and shoulder rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Norway due to low back pain and/or neck pain
- Own and use a smartphone with internet access to download the mobile application
- Able to provide informed consent
Exclusion Criteria:
- Less than 4 weeks waiting time until scheduled appointment at clinic (i.e., patients prioritized for urgent treatment/examination)
- Unable to take part in exercise/physical activity, e.g. non-ambulatory patients, use of walking aids, unable to get up and down the floor independently
- Unable to speak and/or read Norwegian
- Unable to complete the baseline questionnaire
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: SelfBACK app
The selfBACK app in addition to usual care
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The selfBACK is an evidence-based and data-driven decision support system (DSS) to support self-management of low back and neck pain delivered via a smartphone app.
The selfBACK app provides individually tailored self-management plans to participants on a weekly basis by matching the participant's health information with targeted educational messages, physical activity advices and exercise recommendations via the DSS.
Usual care refers to seeking care or receiving treatments or help as usual.
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Active Comparator: e-Help webpage
The e-Help webpage in addition to usual care
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Usual care refers to seeking care or receiving treatments or help as usual.
The e-Help is an evidence-based web-based resource to support self-management of low back and neck pain.
The e-Help webpage provides evidence-based self-management content equivalent to the selfBACK including educational messages, physical activity and exercise recommendations.
Instructions on how to compose exercise programs will be given to participants, however no tailored self-management support will be offered in this solution.
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Active Comparator: Usual care
Usual care only
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Usual care refers to seeking care or receiving treatments or help as usual.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Musculoskeletal Health Questionnaire (MSK-HQ)
Time Frame: Change from baseline to 3 months
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The MSK-HQ is used to measure musculoskeletal health status.
The MSK-HQ contains 14 items scored from 0 to 4. The final score ranges from 0 to 56 (sum of all items), with higher scores indicating better musculoskeletal health status.
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Change from baseline to 3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain-related disability for low back pain
Time Frame: Change from baseline to 3 months
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Pain-related disability is measured by the Roland Morris Disability Questionnaire (RMDQ) ranging from 0 to 24.
Higher scores indicate higher pain-related disability.
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Change from baseline to 3 months
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Pain-related disability for neck pain
Time Frame: Change from baseline to 3 months
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Pain-related disability is measured by the Neck Disability Index (NDI) ranging from 0 to 50.
Higher scores indicate higher pain-related disability.
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Change from baseline to 3 months
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Average pain intensity
Time Frame: Change from baseline to 3 months
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The average pain intensity within the past week is measured by a 11-point numerical rating scale (NRS) ranging from 0='no pain' to 10='worst pain imaginable'.
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Change from baseline to 3 months
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Worst pain intensity
Time Frame: Change from baseline to 3 months
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The worst pain intensity within the past week is measured by a 11-point numerical rating scale (NRS) ranging from 0='no pain' to 10='worst pain imaginable'.
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Change from baseline to 3 months
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Health related quality of life
Time Frame: Change from baseline to 3 months
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The EuroQoL 5-dimension (EQ-5D) questionnaire is used to assess health-related quality of life.
5 items scored 0 - 5 plus visual analogue scale scored 0- 100.
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Change from baseline to 3 months
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Pain self-efficacy
Time Frame: Change from baseline to 3 months
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The Pain Self-Efficacy Questionnaire (PSEQ) is used to assess participants' level of confidence in carrying out specific activities despite their pain.
10 items scored 0 - 6.
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Change from baseline to 3 months
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Illness perception
Time Frame: Change from baseline to 3 months
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The Brief Illness Perception Questionnaire (BIPQ) is used to evaluate participants' illness perception.
8 items scored 0 - 10.
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Change from baseline to 3 months
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Fear avoidance belief
Time Frame: Change from baseline to 3 months
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The Fear-Avoidance Belief Questionnaire (FABQ) - physical activity subscale is used to measure participant's beliefs about how physical activity affect their low back and/or neck pain.
5 items scored 0 - 6
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Change from baseline to 3 months
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Stress symptoms
Time Frame: Change from baseline to 3 months
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The Perceived Stress Scale (PSS) is used to evaluate stress levels.
10 items scored 0 - 4.
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Change from baseline to 3 months
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Depressive symptoms
Time Frame: Change from baseline to 3 months
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The Patient Health Questionnaire-2 (PHQ-2) is used to evaluate patients' depressive symptoms.
2 items scored 0 - 3.
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Change from baseline to 3 months
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Functional change
Time Frame: Change from baseline to 3 months
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The Patient Specific Functional Scale (PSFS) is used to evaluate changes in participant's ability to perform up to two self-selected activities regarded as important by them.
Ability levels scored 0 - 10.
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Change from baseline to 3 months
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Self-reported physical activity
Time Frame: Change from baseline to 3 months
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The modernised Saltin-Grimby Physical Activity Level Scale is used to evaluate self-reported leisure time physical activity.
1 item (4 options).
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Change from baseline to 3 months
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Self-reported sleep
Time Frame: Change from baseline to 3 months
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Sleep problems are assessed by four self-report items which provide information needed to diagnose insomnia according to the DSM-V criteria.
4 items scored 0 - 2.
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Change from baseline to 3 months
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Work ability
Time Frame: Change from baseline to 3 months
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Work ability index (WAI) is used to assess work ability.
1-item rated on an 11-point numeric rating scale (0='completely unable to work' to 10='work ability at its best').
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Change from baseline to 3 months
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Satisfaction with intervention
Time Frame: 3 months
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Patient Acceptable Symptom State (PASS) is used to determine if patients consider themselves well and, as such, are satisfied with the treatment.
1 item (yes/no)
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3 months
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Perceived effect
Time Frame: 3 months
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Patient's Global Perceived Effect is used to investigate participants' perception of effect from the intervention they received.
1 item scored -5 to 5
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3 months
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Health care consumption
Time Frame: 1 year
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Objective registry based data linked to social security number in Norway are used to investigate health care consumption.
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1 year
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Sickness absence
Time Frame: 1 year
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Objective registry based data linked to social security number in Norway are used to investigate sickness absence.
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1 year
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Collaborators and Investigators
Collaborators
Investigators
- Study Director: Siri Forsmo, phd prof, Norwegian University of Science and Technology
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 64084
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Informed Consent Form (ICF)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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