Back schools in occupational health care: design of a randomized controlled trial and cost-effectiveness study.
OBJECTIVE: To describe the design of a randomized controlled trial (RCT), including a cost-effectiveness analysis, comparing high-intensity and low-intensity back schools with usual care in occupational health care. DESIGN: RCT and cost-effectiveness analysis. STUDY POPULATION: Employees sick-listed...
| Publicado en: | Journal of Manipulative & Physiological Therapeutics Vol. 27; no. 7; pp. 457 - 466 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Sep2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106560072&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106560072 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Sep2004 vid: 27 iid: 7 pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 106560072 2005015248 10.1016/j.jmpt.2004.06.004 NLM15389177 106560072 ppf: 457 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Back schools in occupational health care: design of a randomized controlled trial and cost-effectiveness study. aug: au: Heymans MW Vet HCW Bongers PM Koes BW van Mechelen W affil: Department of Social Medicine, VU University Medical Center, Amsterdam, The Netherlands sug: subj: Low Back Pain Economics Low Back Pain Therapy Occupational Health Services Adult Randomized Controlled Trials Confidence Intervals Cox Proportional Hazards Model Descriptive Statistics Diaries Female Funding Source Low Back Pain Prognosis Male Middle Age Netherlands Questionnaires Research Instruments Scales Self Report Visual Analog Scaling Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: OBJECTIVE: To describe the design of a randomized controlled trial (RCT), including a cost-effectiveness analysis, comparing high-intensity and low-intensity back schools with usual care in occupational health care. DESIGN: RCT and cost-effectiveness analysis. STUDY POPULATION: Employees sick-listed for a period of 3 to 6 weeks because of nonspecific low back pain. Interventions High-intensity back school treatment consists of a training program based on the principles of cognitive-behavioral therapy. Low-intensity back school treatment is comparable to the original Swedish Back School. Usual care is provided by the occupational physician according to the Dutch guidelines for the occupational health treatment of patients with low back pain. OUTCOME MEASURES: Primary outcome measures are return to work, pain intensity, functional status, and general improvement. Secondary outcome measures are kinesiophobia and pain coping. The cost-effectiveness analysis includes the direct and indirect costs. The outcome measures are assessed before randomization and 3, 6, and 12 months after randomization. CONCLUSION: RCTs of different methodological quality have been conducted to examine the effectiveness of back schools in occupational health care. The large variation in type, content, and intensity of back schools has led to conflicting evidence. Therefore, 2 different forms of back schools are compared. Moreover, this is the first RCT to include a cost-effectiveness analysis comparing low-intensity and high-intensity back schools with usual care in occupational health care. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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