The intervention consists of a digital decision support system delivering a weekly plan of suggested activities that the participant can use to self-manage their low back pain (LBP) via an smartphone app.
The selfBACK intervention consists of the selfBACK system, that provides the participants with an individually tailored weekly plan of suggested activities to use in their self-management of low back pain. The selfBACK system constitutes a data-driven decision support system that uses case-based reasoning to capture and reuse participant cases to suggest the most suitable self-management plan for participants. The system is an intelligent system delivering self-management plans tailored to individual participant characteristics. Information about participant characteristics is collected via a (baseline) questionnaire, weekly self-reports via the app on symptom progression etc., and a wristband that detect daily number of steps. The weekly plans are presented in an app to participants. The weekly plan includes three categories of content; 1. information/education 2. recommended daily number of steps 3. recommended strength and flexibility exercises Outcomes are collected as baseline, 6 weeks, 3, 6, 9 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
461
Participants will use the selfBACK system and app in addition to receiving usual care
Participants will receive usual care
Physical Activity and Health at Work, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark
Odense, Denmark
Norwegian University of Science and Technology
Trondheim, Norway
Roland Morris Disability Questionnaire
The primary outcome is the Roland Morris Disability Questionnaire (RMDQ) assessing pain-related disability. The questionnaire includes 24 items asking participants to indicate if they experience functional impairments by answering "yes" or "no" to a series of descriptions of functional abilities with higher scores indicating higher level of disability.
Time frame: change from baseline to 3 months
Pain Self-Efficacy Questionnaire
The questionnaire assesses the participant's level of confidence in carrying out specific activities despite their pain. The PSEQ is a 10-item questionnaire scored on an ordinal scale ranging from zero \[completely disagree\] to six \[completely agree\].
Time frame: change from baseline to 3 months
The Fear Avoidance Belief Questionnaire
The FABQ is a 5-item questionnaire, where the participants score their beliefs about their LBP on an ordinal scale ranging from zero \[completely disagree\] to six \[completely agree\]
Time frame: change from baseline to 3 months
Pain intensity
Pain intensity measured as average and worst LBP within the past week. Measured on a 0 - 10 Numerical Rating Scale with 0 being no pain and 10 being worst pain imaginable.
Time frame: change from baseline to 3 months
Brief Illness Perception Questionnaire
The questionnaire evaluates the participants' illness perception in an 8-item questionnaire. Items are scored on an ordinal scale ranging from zero \[no problems\] to 10 \[worst severity\].
Time frame: change from baseline to 3 months
Saltin-Grimby Physical Activity Level Scale
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Participants indicate their amount of time per week performing leisure activities with four levels of intensity ranging from sedentary to vigorous physically active
Time frame: change from baseline to 3 months
Patients Global Perceived Effect
A single item question for Patient's Global Perceived Effect will be asked at follow-up, where participants are asked to rate improvement or deterioration of their LBP compared to before the intervention
Time frame: 3 months