Supporting self-management with an internet intervention for low back pain in primary care: a RCT (SupportBack 2)

作者：Adam W A Geraghty, Taeko Becque, Lisa Roberts, Jonathan Hill, Nadine E. Foster, Lucy Yardley, Beth Stuart, David Turner, Gareth Griffiths, Frances Webley, Lorraine Durcan, Alannah Morgan, Stephanie Hughes, Sarah Bathers, Stephanie Butler-Walley, Simon Wathall, Gemma Mansell, Malcolm White, Firoza Davies, Paul Little · 发表于：Health Technology Assessment · 年份：2025 · DOI：10.3310/gdps2418 · 被引用次数：4 · 研究领域：Musculoskeletal pain and rehabilitation、Telemedicine and Telehealth Implementation、Stroke Rehabilitation and Recovery

Background Low back pain is highly prevalent and a leading cause of disability. Internet-delivered interventions may provide rapid and scalable support for behavioural self-management. There is a need to determine the effectiveness of highly accessible, internet-delivered support for self-management of low back pain. Objective To determine the clinical and cost-effectiveness of an accessible internet intervention, with and without physiotherapist telephone support, on low back pain-related disability. Design A multicentre, pragmatic, three parallel-arm randomised controlled trial with parallel economic evaluation. Setting Participants were recruited from 179 United Kingdom primary care practices. Participants Participants had current low back pain without indicators of serious spinal pathology. Interventions Participants were block randomised by a computer algorithm (stratified by severity and centre) to one of three trial arms: (1) usual care, (2) usual care + internet intervention and (3) usual care + internet intervention + telephone support. ‘SupportBack’ was an accessible internet intervention. A physiotherapist telephone support protocol was integrated with the internet programme, creating a combined intervention with three brief calls from a physiotherapist. Outcomes The primary outcome was low back pain-related disability over 12 months using the Roland–Morris Disability Questionnaire with measures at 6 weeks, 3, 6 and 12 months. Analyses used repeated measures over 1...