40 research outputs found
Supplementary Data for Project: Minimum Common Data Elements for surveillance and Reporting of Musculoskeletal Injuries in the MILitary (ROMMIL)
No full textData associated with the minimum common data element reporting consensus project. An international effort to standardize reporting of injury surveillance studies in military settings
Physical therapists familiarity and beliefs about health services utilization and health seeking behaviour
No full text© 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Background: Physical therapists’ familiarity, perceptions, and beliefs about health services utilization and health seeking behaviour have not been previously assessed. Objectives: The purposes of this study were to identify physical therapists’ characteristics related to familiarity of health services utilization and health seeking behaviour, and to assess what health seeking behaviour factors providers felt were related to health services utilization. Methods: We administered a survey based on the Andersen behavioural model of health services utilization to physical therapists using social media campaigns and email between March and June of 2017. In addition to descriptive statistics, we performed binomial logistic regression analysis. We asked respondents to rate familiarity with health services utilization and health seeking behaviour and collected additional characteristic variables. Results: Physical therapists are more familiar with health services utilization than health seeking behaviour. Those who are familiar with either construct tend to be those who assess for health services utilization, use health services utilization for a prognosis, and believe that health seeking behaviour is measurable. Physical therapists rated need and enabling factors as having more influence on health services utilization than predisposing and health belief factors. Conclusion: Physical therapists are generally familiar with health services utilization and health seeking behaviour; however, there appears to be a disconnect between what is familiar, what is perceived to be important, and what can be assessed for both health services utilization and health seeking behaviour
What treatments are labeled as “manual therapy” in trials for low back pain: protocol for a scoping review.
No full textA scoping review of what treatments are labeled as "manual therapy" in randomized controlled trials for low back pain published from inception to 2022
Are measures of sleep routinely captured in trials for chronic low back pain? - A protocol for a systematic scoping review
No full textThe objective of this systematic scoping review is to investigate the extent to which sleep measures are reported in intervention trials for chronic low back pain (CLBP). MEDLINE and PsycINFO will be queried for studies published between 1 January 2010 and 28 February 2021 using keywords related to CLBP. Two reviewers will screen abstracts, review full-texts for eligibility criteria, and extract data. Randomized intervention trials that aim to treat pain or disability related to CLBP in adult subjects will be included. There will be no restrictions on setting, intervention, or provider type. We hypothesize that intervention trials for CLBP do not consistently capture measures of sleep as recommended by several published guidelines for the conduct of chronic pain research
Evaluating and Characterizing the Scope of Care for Interventions Labeled as Manual Therapy in Low Back Pain Trials: A Scoping Review
No full textA scoping review of what treatments are labeled as "manual therapy" in randomized controlled trials for low back pain published from inception to 2022
How reproducible are manual therapy interventions in trials for low back pain? A scoping review.
No full textA scoping review to assess the reproducibility of manual therapy techniques for low back pain in published clinical trials
Evaluating and Characterizing the Scope of Care for Interventions Labeled as Manual Therapy in Low Back Pain Trials: A Scoping Review
No full textA scoping review of what treatments are labeled as "manual therapy" in randomized controlled trials for low back pain published from inception to 2022
How is Non-Surgical Care Utilization Prior to Lumbar Fusion Defined in Clinical Trials: A Scoping Review
No full textMany clinical practice guidelines for low back pain recommend a stepped approach to treatment where lower risk and less harmful, but still effective treatments are trialed first and riskier and more invasive treatments are reserved for those who do not respond to the initial treatment options. The goal of stepped care is to use interventions that carry lower risk and require less resources prior to progressing to higher risk and more intensive care. However, it is unclear how consistently and to what extent this occurs with patients prior to decisions being made to move forward with surgical treatment.
Recommendations for appropriateness of surgery contend that patients should be “carefully selected” for lumbar fusion procedures. Conservative care treatment recommendations most frequently noted in clinical practice guidelines include advising the patient to maintain normal activities or incorporate prescription medication, exercise therapy, psychosocial therapy, spinal manipulation, and/or acupuncture into their intervention plans. A 2021 Cochrane review identified exercise interventions as effective for the treatment of chronic low back pain in comparison to usual, placebo, or no care, further supporting the role of exercise in stepped care for low back pain.
This scoping review seeks to identify the extent to which conservative care received prior to surgery is described in clinical trials for spine fusion. The assumption in the decision to receive a surgical intervention is that non-surgical care options are exhausted and did not result in a satisfactory outcome. The objective is to identify the proportion of surgical trials that describe the nature and extent of non-surgical care thei patients received in their trials before becoming eligible to receive surgery. This particular objective lends itself well to a scoping review due to its intent to identify knowledge gaps and clarify the concept of non-surgical care. This scoping review intends to analyze a broad volume of literature to determine how well surgical trials characterize the extent of care that patients receive prior to undergoing lumbar fusion
Health seeking behavior as a predictor of healthcare utilization in a population of patients with spinal pain.
No full textBACKGROUND:The global burden of low back pain is growing rapidly, accompanied by increasing rates of associated healthcare utilization. Health seeking behavior (HSB) has been suggested as a mediator of healthcare utilization. The aims of this study were to: 1) develop a proxy HSB measure based on healthcare consumption patterns prior to initial consultation for spinal pain, and 2) examine associations between the proxy HSB measure and future healthcare utilization in a population of patients with spine disorders. METHODS:A cohort of 1,691 patients seeking care for spinal pain at a single military hospital were included. Cluster analyses were performed for the identification of a proxy HSB measure. Logistic regression was used to identify the predictive capacity of HSB on eight different general and spine-related high healthcare utilization (upper 25%) outcomes variables. RESULTS:The strongest proxy measure of HSB was prior primary care provider visits. In unadjusted models, HSB predicted healthcare utilization across all eight general and spine-related outcome variables. After adjusting for covariates, HSB still predicted general and spine-related healthcare utilization for most variables including total medical visits (OR = 2.48, 95%CI 1.09,3.11), total medical costs (OR = 2.72, 95%CI 2.16,3.41), and low back pain-specific costs (OR = 1.31, 95%CI 1.00,1.70). CONCLUSION:Health seeking behavior prior to initial consultation for spine pain was related to healthcare utilization after consultation for spine pain. HSB may be an important variable to consider when developing an individualized care plan and considering the prognosis of a patient
Are measures of sleep disturbance routinely captured in trials for chronic low back pain? - A protocol for a systematic scoping review
No full textA systematic scoping review of the rate of reporting of measures of sleep in trials for chronic low back pain published from 2010-202
