CLINICAL TRIAL: TELEHEALTH OUTREACH FOR CHRONIC BACK PAIN

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 在一项随机临床试验中，我们建议评估一种电话辅助的、以家庭为基础的、自我管理的慢性腰痛治疗方案。将认知行为自我管理技能培训（CBSST）（一种认知行为、最小治疗师干预）与治疗师接触时间匹配的常规护理对照条件（非指导性支持性对照）进行比较。该研究旨在生成有关循证标准化治疗的数据，这些数据可以输出到初级保健诊所，以有效管理CLBP。 假设1：与对照组相比，认知行为自我管理技能训练（CBSST）将在治疗结束时以及治疗后1个月、3个月和6个月改善CLBP患者的日常功能。 假设二：与对照组相比，CBSST将在治疗结束时以及治疗后1个月、3个月和6个月降低CLBP患者的疼痛强度。 假设3：与对照组相比，CBSST将在治疗结束时以及治疗后1个月、3个月和6个月减轻CLBP患者的痛苦

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. In a randomized clinical trial we propose to evaluate a telephone-assisted, home-based, self-management program for chronic low back pain. Cognitive-Behavioral Self-management Skills Training (CBSST), a cognitive-behavioral, minimal therapist intervention will be compared to a usual care control condition matched for therapist contact time (Non-directive Supportive Control). The research intends to generate data on the kind of evidence-based, standardized treatment which could be exported to primary care clinics for effective management of CLBP. Hypothesis 1: Compared to control, Cognitive-Behavioral Self-management Skills Training (CBSST) will improve daily functioning of CLBP patients at end of treatment, and at one, three, and six months post-treatment. Hypothesis 2: Compared to control, CBSST will reduce pain intensity of CLBP patients at end of treatment, and at one, three, and six months post-treatment. Hypothesis 3: Compared to control, CBSST will reduce distress of CLBP patients at end of treatment, and at one, three and six months post treatment