Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain: design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]

Nicole van der Roer, Maurits W van Tulder, Johanna M Barendse, Willem van Mechelen, Willemien K Franken, Arjan C Ooms, Henrica C W de Vet

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Low back pain is a common disorder in western industrialised countries and the type of treatments for low back pain vary considerably.

METHODS: In a randomised controlled trial the cost-effectiveness and cost-utility of an intensive group training protocol versus physiotherapy guideline care for sub-acute and chronic low back pain patients is evaluated. Patients with back pain for longer than 6 weeks who are referred to physiotherapy care by their general practitioner or medical specialist are included in the study. The intensive group training protocol combines exercise therapy with principles of behavioural therapy ("graded activity") and back school. This training protocol is compared to physiotherapy care according to the recently published Low Back Pain Guidelines of the Royal Dutch College for Physiotherapy. Primary outcome measures are general improvement, pain intensity, functional status, work absenteeism and quality of life. The direct and indirect costs will be assessed using cost diaries. Patients will complete questionnaires at baseline and 6, 13, 26 and 52 weeks after randomisation.

DISCUSSION: No trials are yet available that have evaluated the effect of an intensive group training protocol including behavioural principles and back school in a primary physiotherapy care setting and no data on cost-effectiveness and cost-utility are available.

Original languageEnglish
Pages (from-to)45
JournalBMC Musculoskeletal Disorders
Volume5
DOIs
Publication statusPublished - 23 Nov 2004

Cite this

@article{04818b2a3c814fbcaefe02546f399705,
title = "Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain: design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]",
abstract = "BACKGROUND: Low back pain is a common disorder in western industrialised countries and the type of treatments for low back pain vary considerably.METHODS: In a randomised controlled trial the cost-effectiveness and cost-utility of an intensive group training protocol versus physiotherapy guideline care for sub-acute and chronic low back pain patients is evaluated. Patients with back pain for longer than 6 weeks who are referred to physiotherapy care by their general practitioner or medical specialist are included in the study. The intensive group training protocol combines exercise therapy with principles of behavioural therapy ({"}graded activity{"}) and back school. This training protocol is compared to physiotherapy care according to the recently published Low Back Pain Guidelines of the Royal Dutch College for Physiotherapy. Primary outcome measures are general improvement, pain intensity, functional status, work absenteeism and quality of life. The direct and indirect costs will be assessed using cost diaries. Patients will complete questionnaires at baseline and 6, 13, 26 and 52 weeks after randomisation.DISCUSSION: No trials are yet available that have evaluated the effect of an intensive group training protocol including behavioural principles and back school in a primary physiotherapy care setting and no data on cost-effectiveness and cost-utility are available.",
keywords = "Absenteeism, Acute Disease, Back Pain/rehabilitation, Behavior Control/methods, Chronic Disease, Clinical Protocols, Cost-Benefit Analysis, Evidence-Based Medicine/economics, Exercise Therapy/economics, Health Behavior, Health Education/economics, Humans, Netherlands, Physical Therapy Modalities/economics, Practice Guidelines as Topic, Program Evaluation, Randomized Controlled Trials as Topic/methods, Research Design, Treatment Outcome",
author = "{van der Roer}, Nicole and {van Tulder}, {Maurits W} and Barendse, {Johanna M} and {van Mechelen}, Willem and Franken, {Willemien K} and Ooms, {Arjan C} and {de Vet}, {Henrica C W}",
year = "2004",
month = "11",
day = "23",
doi = "10.1186/1471-2474-5-45",
language = "English",
volume = "5",
pages = "45",
journal = "BMC Musculoskeletal Disorders",
issn = "1471-2474",
publisher = "BioMed Central",

}

Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain : design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]. / van der Roer, Nicole; van Tulder, Maurits W; Barendse, Johanna M; van Mechelen, Willem; Franken, Willemien K; Ooms, Arjan C; de Vet, Henrica C W.

In: BMC Musculoskeletal Disorders, Vol. 5, 23.11.2004, p. 45.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain

T2 - design of a randomised controlled trial with an economic evaluation. [ISRCTN45641649]

AU - van der Roer, Nicole

AU - van Tulder, Maurits W

AU - Barendse, Johanna M

AU - van Mechelen, Willem

AU - Franken, Willemien K

AU - Ooms, Arjan C

AU - de Vet, Henrica C W

PY - 2004/11/23

Y1 - 2004/11/23

N2 - BACKGROUND: Low back pain is a common disorder in western industrialised countries and the type of treatments for low back pain vary considerably.METHODS: In a randomised controlled trial the cost-effectiveness and cost-utility of an intensive group training protocol versus physiotherapy guideline care for sub-acute and chronic low back pain patients is evaluated. Patients with back pain for longer than 6 weeks who are referred to physiotherapy care by their general practitioner or medical specialist are included in the study. The intensive group training protocol combines exercise therapy with principles of behavioural therapy ("graded activity") and back school. This training protocol is compared to physiotherapy care according to the recently published Low Back Pain Guidelines of the Royal Dutch College for Physiotherapy. Primary outcome measures are general improvement, pain intensity, functional status, work absenteeism and quality of life. The direct and indirect costs will be assessed using cost diaries. Patients will complete questionnaires at baseline and 6, 13, 26 and 52 weeks after randomisation.DISCUSSION: No trials are yet available that have evaluated the effect of an intensive group training protocol including behavioural principles and back school in a primary physiotherapy care setting and no data on cost-effectiveness and cost-utility are available.

AB - BACKGROUND: Low back pain is a common disorder in western industrialised countries and the type of treatments for low back pain vary considerably.METHODS: In a randomised controlled trial the cost-effectiveness and cost-utility of an intensive group training protocol versus physiotherapy guideline care for sub-acute and chronic low back pain patients is evaluated. Patients with back pain for longer than 6 weeks who are referred to physiotherapy care by their general practitioner or medical specialist are included in the study. The intensive group training protocol combines exercise therapy with principles of behavioural therapy ("graded activity") and back school. This training protocol is compared to physiotherapy care according to the recently published Low Back Pain Guidelines of the Royal Dutch College for Physiotherapy. Primary outcome measures are general improvement, pain intensity, functional status, work absenteeism and quality of life. The direct and indirect costs will be assessed using cost diaries. Patients will complete questionnaires at baseline and 6, 13, 26 and 52 weeks after randomisation.DISCUSSION: No trials are yet available that have evaluated the effect of an intensive group training protocol including behavioural principles and back school in a primary physiotherapy care setting and no data on cost-effectiveness and cost-utility are available.

KW - Absenteeism

KW - Acute Disease

KW - Back Pain/rehabilitation

KW - Behavior Control/methods

KW - Chronic Disease

KW - Clinical Protocols

KW - Cost-Benefit Analysis

KW - Evidence-Based Medicine/economics

KW - Exercise Therapy/economics

KW - Health Behavior

KW - Health Education/economics

KW - Humans

KW - Netherlands

KW - Physical Therapy Modalities/economics

KW - Practice Guidelines as Topic

KW - Program Evaluation

KW - Randomized Controlled Trials as Topic/methods

KW - Research Design

KW - Treatment Outcome

U2 - 10.1186/1471-2474-5-45

DO - 10.1186/1471-2474-5-45

M3 - Article

VL - 5

SP - 45

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

SN - 1471-2474

ER -