Department of General Practice, University of Göttingen, Humboldtallee 38, D-37073 Göttingen, Germany.
BMC Musculoskelet Disord. 2010 Jan 5;11:5. doi: 10.1186/1471-2474-11-5.
Although most patients with low back pain (LBP) recover within a few weeks a significant proportion has recurrent episodes or will develop chronic low back pain. Several mainly psychosocial risk factors for developing chronic LBP have been identified. However, effects of preventive interventions aiming at behavioural risk factors and unfavourable cognitions have yielded inconsistent results. Risk tailored interventions may provide a cost efficient and effective means to take systematic account of the individual risk factors but evidence is lacking.
METHODS/DESIGN: This study will be a cluster-randomised controlled trial comparing screening and a subsequent risk tailored intervention for patients with low back pain to prevent chronic low back pain compared to treatment as usual in primary care. A total of 600 patients from 20 practices in each study arm will be recruited in Berlin and Goettingen. The intervention comprises the following elements: Patients will be assigned to one of four risk groups based on a screening questionnaire. Subsequently they receive an educational intervention including information and counselling tailored to the risk group. A telephone/email consulting service for back pain related problems are offered independent of risk group assignment. The primary outcomes will be functional capacity and sick leave.
This trial will evaluate the effectiveness of screening for risk factors for chronic low back pain followed by a risk tailored intervention to prevent chronic low back pain. This trial will contribute new evidence regarding the flexible use of individual physical and psychosocial risk factors in general practice.
ISRCTN 68205910.
尽管大多数腰痛（LBP）患者在数周内会康复，但仍有相当一部分患者会反复发作或发展为慢性腰痛。已经确定了几个主要的心理社会危险因素，可导致慢性 LBP 的发生。然而，针对行为危险因素和不利认知的预防干预效果并不一致。有针对性的风险干预措施可能是一种考虑个体风险因素的具有成本效益且有效的方法，但目前证据不足。
方法/设计：本研究将是一项集群随机对照试验，比较对腰痛患者进行筛查和随后的针对特定风险的干预措施，以预防慢性腰痛，与常规初级保健治疗相比。在柏林和哥廷根，每个研究组将从 20 个实践中招募总共 600 名患者。干预措施包括以下内容：根据筛查问卷，患者将被分配到四个风险组之一。随后，他们将接受针对特定风险组的教育干预，包括针对风险组的信息和咨询。提供与腰痛相关问题的电话/电子邮件咨询服务，与风险组分配无关。主要结果将是功能能力和病假。
本试验将评估针对慢性腰痛的危险因素进行筛查，随后进行针对特定风险的干预，以预防慢性腰痛的有效性。本试验将提供关于在一般实践中灵活使用个体身体和心理社会危险因素的新证据。
ISRCTN68205910。
