EVALUATION OF A LOW BACK PAIN PATIENT EDUCATION PROGRAM

描述：这是一个演示项目，建议评估一个 新一代腰痛患者教育计划。病人将会是 随机分为治疗组，并进行6、12、18和24个月的随访 几个月的干预，然后12个月不干预 控制组，由常规护理和订阅激励组成 24个月，然后干预12个月，从24个月到36个月 进修后招生。干预包括一本书和一盘录像带 并基于与计划中其他参与者的互动以及 卫生专业人员通过受密码保护的封闭式互联网 讨论组。下腰痛患者将从Silcon招募 并通过互联网和山谷雇主进行评估，也将 通过互联网进行。主要结果将集中在疼痛、活动 限制和卫生保健利用。过程研究也将是 以确定患者使用(质量和内容) 电脑介入，患者对介入的满意度 交付方式，以及在线收集的数据的质量和数量 与通过邮寄问卷收集的数据进行比较。这项研究是 与其他四项下腰痛干预研究协调进行 目前正在集团健康合作组织普吉特提议或实施 印第安纳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.