TY - JOUR

T1 - Retention in physically demanding jobs of individuals with low back pain

T2 - study protocol for a randomised controlled trial

AU - Brandt Hansen, Bjarke

AU - Kirkeskov, Lilli

AU - Christensen, Robin

AU - Begtrup, Luise Mølenberg

AU - Pedersen, Ellen Bøtker

AU - Teilya, Jakob Falk

AU - Boesen, Mikael

AU - Fournier, Gilles Ludger

AU - Bliddal, Henning

AU - Kryger, Ann Isabel

PY - 2015/4/16

Y1 - 2015/4/16

N2 - BACKGROUND: Low back pain is prevalent and is a frequent cause of disability and sick leave among working adults. Individuals with low back pain often consult general practice or other health care providers which often results in a unilateral intervention focussed on their symptoms. Employment is associated with physical and mental well-being, so, patients may benefit from an early additional occupational medicine intervention. For individuals with physically demanding jobs it can be especially challenging to retain their jobs. The aim of the 'GoBack trial' is to develop and evaluate the efficacy and feasibility of an occupational medicine intervention for individuals with low back pain in physically demanding jobs.METHODS/DESIGN: We will conduct a randomised controlled trial enrolling 300 participants with difficulty in maintaining physically demanding jobs due to low back pain for a current period of 2 to 4 weeks. Participants will be randomised and stratified according to their age and gender before being allocated in a 1:1 ratio to either control or additional occupational medicine intervention. Both groups will receive conventional treatment for their low back pain during the study. All participants will be thoroughly assessed for causes of low back pain and potential prognostic factors by questionnaires, clinical specialist assessments and magnetic resonance imaging (MRI) scans of the lumbar spine. Primary outcome is the accumulated duration of self-assessed sick leave (in days) due to low back pain during 6 months from baseline. Secondary outcomes include general self-rated back pain, disability and screening for potential prognostic factors: fear avoidance behaviour, disability, health status and degenerative MRI findings. For tertiary purposes selected outcomes will also be assessed after 1 and 2 years from baseline.DISCUSSION: Many guidelines exist for the management of low back pain, but they provide limited guidance on occupational aspects. The findings from this randomised trial will provide high-quality evidence for the efficacy and feasibility of an occupational medicine intervention model for individuals with low back pain in physically demanding jobs.TRIAL REGISTRATION: This trial was registered with ClinicalTrials.gov (identifier: NCT02015572 ) on 29 November 2013.

AB - BACKGROUND: Low back pain is prevalent and is a frequent cause of disability and sick leave among working adults. Individuals with low back pain often consult general practice or other health care providers which often results in a unilateral intervention focussed on their symptoms. Employment is associated with physical and mental well-being, so, patients may benefit from an early additional occupational medicine intervention. For individuals with physically demanding jobs it can be especially challenging to retain their jobs. The aim of the 'GoBack trial' is to develop and evaluate the efficacy and feasibility of an occupational medicine intervention for individuals with low back pain in physically demanding jobs.METHODS/DESIGN: We will conduct a randomised controlled trial enrolling 300 participants with difficulty in maintaining physically demanding jobs due to low back pain for a current period of 2 to 4 weeks. Participants will be randomised and stratified according to their age and gender before being allocated in a 1:1 ratio to either control or additional occupational medicine intervention. Both groups will receive conventional treatment for their low back pain during the study. All participants will be thoroughly assessed for causes of low back pain and potential prognostic factors by questionnaires, clinical specialist assessments and magnetic resonance imaging (MRI) scans of the lumbar spine. Primary outcome is the accumulated duration of self-assessed sick leave (in days) due to low back pain during 6 months from baseline. Secondary outcomes include general self-rated back pain, disability and screening for potential prognostic factors: fear avoidance behaviour, disability, health status and degenerative MRI findings. For tertiary purposes selected outcomes will also be assessed after 1 and 2 years from baseline.DISCUSSION: Many guidelines exist for the management of low back pain, but they provide limited guidance on occupational aspects. The findings from this randomised trial will provide high-quality evidence for the efficacy and feasibility of an occupational medicine intervention model for individuals with low back pain in physically demanding jobs.TRIAL REGISTRATION: This trial was registered with ClinicalTrials.gov (identifier: NCT02015572 ) on 29 November 2013.

KW - Absenteeism

KW - Adolescent

KW - Adult

KW - Aged

KW - Clinical Protocols

KW - Denmark

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Job Description

KW - Low Back Pain

KW - Magnetic Resonance Imaging

KW - Male

KW - Middle Aged

KW - Occupational Health

KW - Pain Management

KW - Pain Measurement

KW - Patient Care Team

KW - Personnel Turnover

KW - Research Design

KW - Return to Work

KW - Sick Leave

KW - Surveys and Questionnaires

KW - Time Factors

KW - Treatment Outcome

KW - Work Capacity Evaluation

KW - Workload

KW - Young Adult

U2 - 10.1186/s13063-015-0684-3

DO - 10.1186/s13063-015-0684-3

M3 - Journal article

C2 - 25887302

VL - 16

JO - Trials

JF - Trials

SN - 1745-6215

M1 - 166

ER -