Interactive Program to Manage and Prevent Back Pain

管理和预防背痛的互动程序

• 批准号: 8308389
• 负责人: A BLAIR IRVINE
• 金额: $ 84.34万
• 依托单位: OREGON CENTER FOR APPLIED SCIENCE, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-15 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8308389
• 关键词: Adult; Affect; American; American College of Physicians; Attitude; Back; Back Pain; Behavior; Behavior Therapy; Behavioral; Businesses; Caring; Case Study; Categories; Characteristics; Classification; Clinic; Cognitive; Data; Development; Diagnosis; Educational Intervention; Effectiveness; Emotional; Employee; Equipment; Evaluation; Evidence based program; Food Services; Fright; Goals; Guidelines; Heating; Ice; Individual; Insurance; Internet; Intervention; Intervention Studies; Investments; Knowledge; Legal; Letters; Licensing; Low Back Pain; Managed Care; Marketing; Measures; Medical; Modeling; Motivation; Occupations; Office Visits; Online Systems; Outcome; Outcome Measure; Pain; Pain Assessment Tool; Pain management; Patients; Personnel Management; Pharmaceutical Preparations; Phase; Physicians; Population; Process; Production; Productivity; Provider; Randomized Controlled Trials; Research; Risk Factors; Sampling; Schedule; Self Care; Self Efficacy; Self-Administered; Slipped Disk; Societies; Spinal Stenosis; Symptoms; Testing; Training; United States; Visit; Work; Workplace; base; cost; design; disability; evidence base; experience; improved; innovation; interdisciplinary approach; interest; medical attention; member; multidisciplinary; peer; prevent; programs; prototype; psychologic; psychosocial; randomized trial; response; skills; usability; vibration; web site

DESCRIPTION (provided by applicant): At some point in their lives, 80 percent of the work force will suffer some form of back pain. It is the leading cause of work-related disability in the U.S., costing billions of dollars in lost productivity and high medical, insurance, and legal costs. For workers suffering from nonspecific low back pain (NLBP) that does not require medical attention, the American College of Physicians (ACP) and American Pain Society (APS) recommend a multidisciplinary approach to pain management that integrates cognitive, physical, and educational interventions. However, this type of program is not commonly available. There is a critical need to develop evidence-based multidisciplinary NLBP programs that can be widely disseminated and reduce the financial, physical, and emotional impact of NLBP on employers and employees. The proposed project will finish development and evaluate the effectiveness of a six-week web-based multidisciplinary program for workers suffering from NLBP that does not require medical treatment. The website will have tailored strands for four different job-types: a) desk job, inactive (i.e., Phase I; workers who are seated 50 percent or more of the day); b) non-desk job - inactive (i.e., cashiers or food service workers who usually stand while working, but are relatively inactive otherwise), c) non-desk job, active (i.e., active physical labor, such as construction workers), and d) truck and heavy equipment operators (i.e., individuals who work while seated and are subject to heavy vibration). In alignment with the ACP and APS guidelines, the program will include a Back Pain Assessment Tool to screen out individuals who require medical care and most likely do not have NLBP, provide evidence-based information on self-care options (e.g., heat and ice), provide information on the use of over-the-counter medication, and offer cognitive behavioral training to reduce psychosocial risk factors (e.g., fear and avoidance). The program will assist users in setting behavioral treatment goals and will help them schedule return visits. The program will incorporate video and animated tutorials, motivational peer testimonials, behavior modeling demonstrations, and informational articles. The Phase I prototype was assessed by a panel of experts, including physicians and members of APS, and was tested by an Internet sample of workers experiencing low back pain. Evaluation results indicated the program accurately developed appropriate educational approaches for case studies presented by the expert panel. Internet users were very satisfied with program content, functionality, and usability, and they showed significant gains in measures of knowledge, self-efficacy, attitude, and intentions. In Phase II, the complete program will be developed and evaluated in a randomized controlled trial with 300 workers diagnosed with NLBP. The evaluation will be conducted entirely online, across the United States.

描述（由申请人提供）：在他们生命中的某个时刻，80%的劳动力将遭受某种形式的背痛。它是美国与工作有关的残疾的主要原因，造成数十亿美元的生产力损失以及高昂的医疗、保险和法律的成本。对于患有不需要医疗护理的非特异性腰痛（NLBP）的工人，美国医师学院（ACP）和美国疼痛协会（APS）建议采用多学科方法进行疼痛管理，整合认知，身体和教育干预。然而，这种类型的程序并不常见。有一个迫切需要制定基于证据的多学科NLBP计划，可以广泛传播，并减少NLBP对雇主和雇员的财务，身体和情感影响。 拟议的项目将完成开发和评估一个为期六周的基于网络的多学科计划的有效性，该计划适用于不需要医疗的NLBP患者。该网站将为四种不同的工作类型量身定制：a）办公室工作，不活跃（即，阶段I;一天中50%或更多时间坐着的工作人员）; B）非办公桌工作-不活动（即，收银员或食品服务工作人员，他们通常在工作时站立，但在其他方面相对不活跃），c）非案头工作，活跃（即，积极的体力劳动，例如建筑工人），和d）卡车和重型设备操作员（即，坐着工作且受到剧烈振动的个人）。根据ACP和APS指南，该计划将包括背痛评估工具，以筛选出需要医疗护理且最有可能没有NLBP的个人，提供有关自我护理选项的循证信息（例如，热和冰），提供关于使用非处方药的信息，并提供认知行为训练以减少心理社会风险因素（例如，恐惧和逃避）。该计划将帮助用户设定行为治疗目标，并帮助他们安排回访。该计划将包括视频和动画教程，激励同行推荐，行为建模演示和信息文章。 第一阶段的原型由一个专家小组评估，包括医生和APS成员，并通过互联网样本的工人经历腰痛进行测试。评估结果表明，该计划准确地制定了适当的教育方法，由专家小组提出的案例研究。互联网用户非常满意程序的内容，功能和可用性，他们表现出显着的收益在知识，自我效能，态度和意图的措施。 在第二阶段，将制定完整的计划，并在一项随机对照试验中对300名被诊断患有NLBP的工人进行评估。评估将在美国各地完全在线进行。