EVALUATION OF A LOW BACK PAIN PATIENT EDUCATION PROGRAM

描述：这是一个示范项目，建议评估一个 新一代腰痛患者教育计划。 患者将 随机分配至治疗组，并随访6、12、18和24 一个月的干预，然后12个月没有干预， 控制组，包括通常的护理与订阅激励， 24个月，然后干预12个月，从24个月到36个月 研究后入组。 干预包括一本书和一盘录像带 并基于与该计划中其他参与者的互动， 卫生专业人员通过一个封闭的密码保护温和的互联网 讨论小组。 将从Silcon招募腰痛患者 谷雇主和通过互联网，和评估也将 通过互联网进行。 主要结局将侧重于疼痛、活动 限制和保健利用。 过程研究也将 进行，以确定患者使用（质量和内容） 计算机化干预，患者对干预的满意度 提供方法以及在线收集数据的质量和数量 与通过邮寄问卷收集的数据相比。 本研究 与其他四项腰痛干预研究协调， 目前正在建议或进行的小组健康合作社普吉特 印第安纳州桑德多功能关节炎和肌肉疾病大学 斯坦福大学家庭医学中心和系。

DESCRIPTION: This is a demonstration project which proposes to evaluate a new generation low back pain patient education program. Patients will be randomized either to the treatment group and followed for 6, 12, 18, and 24 months with the intervention, and then no intervention for 12 months for a control group which consists of usual care with a subscription incentive for 24 months, and then the intervention for 12 months from 24 to 36 months post-study enrollment. The intervention consists of a book and a videotape and is based on interaction with other participants in the program and health professionals through a closed password protected moderated Internet discussion group. Patients with low back pain will be recruited from Silcon Valley Employers and through the Internet, and the assessments will also be conducted through the Internet. Main outcomes will focus on pain, activity limitation, and health care utilization. Process studies will also be conducted to determine patients' use (quality and content) of the computerized intervention, patient satisfaction with the intervention delivery methods, and the quality and quantity of data collected on line compared to the data collected through postal questionnaires. This study is being coordinated with four other low back pain intervention studies that are currently being proposed or conducted at Group Health Cooperative Puget Sound, Indiana University of Multipurpose Arthritis and Muscular Disease Center and Department of Family Medicine at Stanford.