Extrait

Background and study aims Chronic low back pain (CLBP) is very common and causes much pain and disability. It costs the NHS billions of pounds in treatment every year and is the second leading cause of time off work. There are various treatments for CLBP, but the most effective are still only moderately helpful. Most people with CLBP receive physiotherapy, with varying results. Cognitive behaviour therapy (CBT) may offer more long-term help than current treatments because it enables people to self-manage their condition. A new type of CBT, called Acceptance and Commitment Therapy (ACT), has produced particularly good results for chronic pain. However, a shortage of clinical psychologists means that most patients never receive CBT. Physiotherapists can successfully use CBT techniques with extra training, but this is not standard practice and ACT-based physiotherapy treatment has never been tested. We have developed a short ACT-based treatment (PACT) for physiotherapists to deliver and aim to compare it with usual physiotherapy care. Who can participate? We will recruit 240 people aged over 18 with CLBP from three hospitals in South East London. What does the study involve? Participants are randomly divided into two groups, with one group receiving PACT and the other group ordinary physiotherapy. PACT consists of two hour long sessions and one follow-up phone call, meaning fewer hospital visits for patients and more time during sessions for individualised treatment. It aims to encourage people to focus less on getting rid of their pain and more on moving forward with what is most important in their lives. We will compare PACT with usual physiotherapy to see which is most successful at improving people's ability to function and their quality of life and which approach helps them to manage their back pain best in the long term. What are the possible benefits and risks of participating? If PACT is effective, we believe it could reduce the considerable burden of CLBP to patients, the NHS and society Where is the study run from? Guy’s and St Thomas’ NHS Foundation Trust Physiotherapy Service and Kings’ College Hospital NHS Foundation Trust Physiotherapy Service (UK) When is the study starting and how long is it expected to run for? October 2014 to October 2016 Who is funding the study? NIHR Research for Patient Benefit (UK) Who is the main contact? Dr Vari Wileman [email protected]

Critère d'inclusion

• Topic: Musculoskeletal disorders; Subtopic: Musculoskeletal (all Subtopics); Disease: Musculoskeletal

Liens

• isrctn
• ictrp