Journal article
Evaluation of a Theory-Informed Implementation Intervention for the Management of Acute Low Back Pain in General Medical Practice: The IMPLEMENT Cluster Randomised Trial
SD French, JE McKenzie, DA O'Connor, JM Grimshaw, D Mortimer, JJ Francis, S Michie, N Spike, P Schattner, P Kent, R Buchbinder, MJ Page, SE Green
Plos One | PUBLIC LIBRARY SCIENCE | Published : 2013
Abstract
Introduction:This cluster randomised trial evaluated an intervention to decrease x-ray referrals and increase giving advice to stay active for people with acute low back pain (LBP) in general practice.Methods:General practices were randomised to either access to a guideline for acute LBP (control) or facilitated interactive workshops (intervention). We measured behavioural predictors (e.g. knowledge, attitudes and intentions) and fear avoidance beliefs. We were unable to recruit sufficient patients to measure our original primary outcomes so we introduced other outcomes measured at the general practitioner (GP) level: behavioural simulation (clinical decision about vignettes) and rates of x-..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
The IMPLEMENT trial was funded by the Australian National Health and Medical Research Council (NHMRC) by way of a Primary Health Care Project Grant (334060). SDF and DAO are supported by NHMRC Early Career Fellowships. RB is supported in part by a NHMRC Practitioner Fellowship. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.