Effectiveness of Coordinated Care to Reduce the Prolonged Disability Risk Among Patients Suffering From Low Back Pain in Primary Care

Perceived inability

Ratio of patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire. The minimum value of Roland Morris Disability Questionnaire is 0 and the maximun value is 24. A higher score mean worse outcome

Time frame: Enrollment to 3 months follow up, Enrollment to 6 months follow up

Roland Morris Disability score over time

Evolution of Roland Morris Disability Questionnaire over time. The minimum value is 0 and the maximun value is 24. A higher score mean worse outcome

Time frame: Enrollment, 3 months, 6 months, 12 months

Pain perceived

Ratio of patients presenting improvement equal or above 2 points of numerical pain scale The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

Time frame: Enrollment - 3 months , Enrollment - 6 months and Enrollment -12 months

Numerical pain scale over time

Evolution of numerical pain scale over time. The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

Time frame: Enrollment, 3 months, 6 months, 12 months

Occupational status

Ratio of patients having an active occupation (defined by have an employment and be present at work )

Time frame: at 3 months, 6 months and 12 months

Employment rate

Evolution of employment rate over time

Time frame: Enrollment, 3 months, 6 months, 12 months

Sick leave

number of sick leave days

Time frame: during 12 months after inclusion

Improved patients

Ratio of improved patients. Improved patients is defined by patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire and improvement equal or above 2 points of numerical pain scale and having a active occupational

Time frame: at 3 months, 6 months and 12 months

Evolution of improved patients ratio

Evolution of improved patients ratio over time Improved patients is defined by patient presenting improvement equal or above 4 points of Roland Morris Disability Questionnaire and improvement equal or above 2 points of numerical pain scale and having a active occupational

Time frame: Enrollment, 3 months, 6 months, 12 months

Mental component score of Short Form -12

Evolution of mental scores over time The mental component score is determined by 4 categories of Short Form -12. The minimum value of each category is 0 and the maximun value is 100. A higher score mean better outcome

Time frame: Enrollment, 3 months, 6 months, 12 months

Physical component score of Short Form -12

Evolution of physical scores over time. The physical component score is determined by 4 categories of Short Form -12. The minimum value of each category is 0 and the maximun value is 100. A higher score mean better outcome

Time frame: Enrollment, 3 months, 6 months, 12 months

Occupational component score of Fear Avoidance Beliefs Questionnaire

Evolution of occupational component score over time. Occupational component is assessed using the Fear Avoidance Beliefs Questionnaire. The minimum value is 0 and the maximun value is 42. A higher score mean worse outcome

Time frame: Enrollment, 3 months, 12 months

Physical activity component score of Fear Avoidance Beliefs Questionnaire

Evolution of physical activity component score over time. Physical activity component is assessed using the Fear Avoidance Beliefs Questionnaire. The minimum value is 0 and the maximun value is 24. A higher score mean worse outcome

Time frame: Enrollment, 3 months, 12 months

Anxiety component score of Hospital Anxiety and Depression Scale

Evolution of Anxiety score over time Anxiety Component is assessed using the Hospital Anxiety and Depression Scale The minimum value is 0 and the maximun value is 21. A higher score mean worse outcome

Time frame: Enrollment 3 months, 12 months

Depression component score of Hospital Anxiety and Depression Scale

Evolution of Depression score over time Depression component is assessed using the Hospital Anxiety and Depression Scale The minimum value is 0 and the maximun value is 21. A higher score mean worse outcome

Time frame: Enrollment, 3 months, 12 months

Coordination care score of Patient Centered Coordination by a Care Team questionnaire

Evolution of coordination care score over time This score is assessed by using Patient Centered Coordination by a Care Team questionnaire. The minimum value is 0 and the maximun value is 42. A higher score mean better outcome

Time frame: Enrollment, 3 months, 12 months

GP satisfaction related to patient care

Evolution of GP satisfaction using an numerical scale The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

Time frame: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

Physiotherapist satisfaction related to patient care

Evolution of physiotherapist satisfaction using an numerical scale The minimum value is 0 and the maximun value is 10. A higher score mean worse outcome

Time frame: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

Professionals trained for intervention

number of professionals trained for intervention

Time frame: Baseline intervention formations

Biomechanical component score of Pain Attitudes and Beliefs score - for intervention physiotherapists

Evolution of Biomechanical component score for intervention physiotherapists. Biomechanical component is assessed using the Pain Attitudes and Beliefs Score. The minimum value is 10 and the maximun value is 60. A higher score mean worse outcome

Time frame: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

Biopsychosocial component score of Pain Attitudes and Beliefs score - for intervention physiotherapists

Evolution of Biopsychosocial component score for intervention physiotherapists. Biopsychosocial component is assessed using the Pain Attitudes and Beliefs Score.The minimum value is 9 and the maximun value is 54. A higher score mean better outcome

Time frame: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

Biopsychosocial component score of Pain Attitudes and Beliefs score - for GPs

Evolution of Biopsychosocial component score for GPs. Biopsychosocial component is assessed using the Pain Attitudes and Beliefs Score.The minimum value is 9 and the maximun value is 54. A higher score mean better outcome

Time frame: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

Biomechanical component score of Pain Attitudes and Beliefs score - for GPs

Evolution of Biomechanical component score for GPs. Biomechanical component is assessed using the Pain Attitudes and Beliefs Score. The minimum value is 10 and the maximun value is 60. A higher score mean worse outcome

Time frame: T0 = baseline (cluster initiation); T1 = 1 year (6 months after inclusion of the 5th cluster patient); T2 = through study completion, an average of 3 years (12 months after the last cluster patient inclusion)

Professional dialogues

Existence and types of dialogues between GP and other professionals

Time frame: during the 12 months of follow up

Number of consultations or sessions

Number of consultations or sessions

Time frame: during the 12 months of follow up