Direct access to physiotherapy for acute low back pain in Belgium: Protocol for a pragmatic pilot trial (The Direct-Physio Trial).
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| Title: | Direct access to physiotherapy for acute low back pain in Belgium: Protocol for a pragmatic pilot trial (The Direct-Physio Trial). |
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| Authors: | Severijns, P., Denis, C., Dankaerts, W., Roussel, N., Pitance, L., Timmermans, A., Marneffe, W., Luyten, J., Fourré, A., Goossens, N., Janssens, L. |
| Source: | Pain Practice. 2022 Supplement, Vol. 22, p53-54. 2p. |
| Subjects: | Lumbar pain, Health services accessibility, Physical therapy, Medical care costs, Conferences & conventions, Acute diseases |
| Geographic Terms: | Belgium, Netherlands |
| Abstract: | Introduction: In several countries1, direct access to physiotherapy (PT) for acute low back pain (aLBP) had a positive impact on clinical outcomes2 and health-care usage and costs3. The aim of this study is to investigate the effect of direct PT access on pain, disability and costs compared to usual care by the general practitioner (GP) for aLBP within the Belgian care system. Methods: Six hundred adults (French-speaking: n = 300; Dutch-speaking: n = 300) with aLBP (>24 hours and <6 weeks) will be recruited and semi-randomly allocated to the usual care or the direct PT pathway in this ethically approved study (CME2021/066). Primary outcomes include pain intensity, pain location and disability. Secondary, a cost-effectiveness analysis will evaluate the patient-and societal costs associated with aLBP and its treatment. Other secondary outcomes include beliefs and cognitions related to LBP, quality of life, work disability, amount of flare ups and perceived effect of change. All outcomes will be evaluated through validated questionnaires at baseline, during and at the end of intervention and at 3 months, 1 and 2 years following enrolment. Effects and relations will be investigated using, respectively, linear mixed models and multiple linear regression. Results: It is hypothesized that direct PT access will result in higher reductions in pain and disability and lower costs compared to usual care for aLBP. Discussion: The study results will be used to optimize the Belgian care pathway for aLBP. Process evaluation: Challenges to this trial include an unbiased organization within the Belgian care and political system and patient recruitment in the direct PT pathway. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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