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Implementation of Evidence-based Guidelines for Assessment and Counseling of Patients With Neck and Back Pain in Health Care Centers
Sponsor: Karolinska Institutet
Summary
The overall aim is to investigate the health outcomes and consequences, from an individual and a societal perspective, of adding licensed Manual Therapists as first-contact healthcare providers in Primary Health Care centers to triage (not treat) patients seeking care for Neck and Back Pain. A hybrid, quasi-experimental Target Trial Emulation design employing mixed methods contextualized to participating Primary Health Care centers will be used. Neck and Back Pain patients with a physician's appointment at a participating Primary Health Care center will be included and followed one year; * 300 patients with care as usual who see their physician (control group), * 300 patients who see a licensed naprapath/chiropractor for an initial evidence-based assessment/screening before the physicians' visit. Patient outcomes include recovery, function and work ability, as well as health economy are compared between the groups.
Key Details
Gender
All
Age Range
18 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
600
Start Date
2026-11-01
Completion Date
2030-12-31
Last Updated
2026-09-17
Healthy Volunteers
No
Conditions
Interventions
Manual terapeut management
The intervention in the index group is a triage performed by the licensed manual teerapeut: take the anamnesis, perform a clinical and assessment formula examination (fear/avoidance, pain catastrophizing, and expectations), provide a diagnosis, and give the patient recommendations according to current evidence-based clinical guidelines. The outcome in this intervention arm will be compared to study participants with "care as usal" included in sthe study earlier.
Locations (1)
Karolinska Institutet , Stockholm 171 77 Solna
Stockholm, Sweden