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ACTIVE NOT RECRUITING
NCT04287413
NA

Determining the Impact of a New Physiotherapist-led Primary Care Model for Low Back Pain

Sponsor: Jordan Miller, PT, PhD

View on ClinicalTrials.gov

Summary

This is a cluster randomized controlled trial to to evaluate the individual and health system impacts of implementing a new physiotherapist-led primary care model for back pain in Canada.

Official title: Determining the Impact of a New Physiotherapist-led Primary Care Model for Low Back Pain - a Cluster Randomized Controlled Trial

Key Details

Gender

All

Age Range

19 Years - Any

Study Type

INTERVENTIONAL

Enrollment

1560

Start Date

2023-10-02

Completion Date

2025-12-19

Last Updated

2025-12-11

Healthy Volunteers

No

Conditions

Interventions

BEHAVIORAL

Physiotherapist-led primary care model for back pain

Assessment and screening: taking a history; screening for red flags, comorbidities, and risk factors of ongoing pain and disability; physical examination. Brief individualized intervention at the first visit: effective communication, cognitive reassurance, a few exercises, and advice/strategies to stay active. Health services navigation: PT assistance with navigating healthcare services based on the assessment findings. First, red-flags requiring emergency or urgent referrals. Next, comorbid conditions that would benefit from care from other healthcare providers. Finally, referral to PT (if appropriate). Providing additional physiotherapy care to people with an unmet need: Additional physiotherapy care will be provided to patients who have an identified need for physiotherapy but no physiotherapy coverage through private or government health insurance plans.

BEHAVIORAL

Usual care

The physician led primary care intervention will be unstandardized to best reflect standard clinical practice in Canada.

Locations (2)

Interior Health

Kelowna, British Columbia, Canada

Queen's University

Kingston, Ontario, Canada