Comachio Josielli, Halliday Mark, Ferreira Paulo H, Patterson Thomas, Roberts David, Ho Emma Kwan-Yee, Beckenkamp Paula R
The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia
The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia.
BMJ Open. 2024 Dec 20;14(12):e087614. doi: 10.1136/bmjopen-2024-087614.
People experiencing low back pain (LBP) could potentially benefit from multimedia educational resources that integrate self-management strategies and improve awareness of the benefits of staying active and about medications that offer limited benefits, such as paracetamol. Primary care waiting rooms are potential spaces for presenting health promotion resources to improve health literacy through the dissemination of easily accessible health information. This feasibility study aims to explore the feasibility of conducting a large-scale trial to investigate the benefits of multimedia educational resources delivered at outpatient physiotherapy waiting rooms of public hospitals to support patients to participate in physical activity and reduce paracetamol intake for LBP.
A hybrid type III feasibility study will be conducted at a public hospital in Sydney, Australia, from March to September 2024. The multimedia strategy development (pre-implementation) involves collaborative planning among healthcare professionals, policymakers and community stakeholders in physiotherapy practice. Phase II (implementation) will evaluate the acceptability and implementation processes of delivering the multimedia educational resources in the physiotherapy waiting room following the RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework. Findings from the quantitative data will be reported descriptively, and categorical data by counts and percentages. Qualitative (open-ended questions) will be integrated with the feasibility trial outcomes to inform the design of a full-scale randomised controlled trial.
This study has ethical approval from the Sydney Local Health District Human Research Ethics Committee (2023/ETH02683). The findings will be disseminated via peer-reviewed publications, articles in relevant newsletters and presentations at national and international conferences. Social media platforms including X will also be used to generate awareness.
经历腰痛（LBP）的人可能会从整合自我管理策略并提高对保持运动益处以及对诸如扑热息痛等益处有限的药物认识的多媒体教育资源中受益。基层医疗候诊室是通过传播易于获取的健康信息来展示健康促进资源以提高健康素养的潜在场所。这项可行性研究旨在探讨开展一项大规模试验的可行性，该试验旨在研究在公立医院门诊物理治疗候诊室提供多媒体教育资源以支持患者参与体育活动并减少腰痛患者扑热息痛摄入量的益处。
将于2024年3月至9月在澳大利亚悉尼的一家公立医院进行一项混合型III期可行性研究。多媒体策略制定（实施前）涉及医疗保健专业人员、政策制定者和物理治疗实践中的社区利益相关者之间的协作规划。第二阶段（实施）将根据RE-AIM（覆盖范围、有效性、采用率、实施和维持）框架评估在物理治疗候诊室提供多媒体教育资源的可接受性和实施过程。定量数据的结果将进行描述性报告，分类数据按计数和百分比报告。定性（开放式问题）将与可行性试验结果相结合，为全面随机对照试验的设计提供信息。
本研究已获得悉尼地方卫生区人类研究伦理委员会的伦理批准（2023/ETH02683）。研究结果将通过同行评审出版物、相关时事通讯中的文章以及在国内和国际会议上的报告进行传播。包括X在内的社交媒体平台也将用于提高认知度。
