A1 Journal article (refereed)
Effectiveness of training in guideline-oriented biopsychosocial management of low-back pain in occupational health services : a cluster randomized controlled trial (2021)
Ryynänen, K., Oura, P., Simula, A.-S., Holopainen, R., Paukkunen, M., Lausmaa, M., Remes, J., Booth, N., Malmivaara, A., & Karppinen, J. (2021). Effectiveness of training in guideline-oriented biopsychosocial management of low-back pain in occupational health services : a cluster randomized controlled trial. Scandinavian Journal of Work Environment and Health, 47(5), 367-376. https://doi.org/10.5271/sjweh.3959
JYU authors or editors
Publication details
All authors or editors: Ryynänen, Katja; Oura, Petteri; Simula, Anna-Sofia; Holopainen, Riikka; Paukkunen, Maija; Lausmaa, Mikko; Remes, Jouko; Booth, Neill; Malmivaara, Antti; Karppinen, Jaro
Journal or series: Scandinavian Journal of Work Environment and Health
ISSN: 0355-3140
eISSN: 1795-990X
Publication year: 2021
Publication date: 13/04/2021
Volume: 47
Issue number: 5
Pages range: 367-376
Publisher: Nordic Association of Occupational Safety and Health NOROSH
Publication country: Finland
Publication language: English
DOI: https://doi.org/10.5271/sjweh.3959
Publication open access: Openly available
Publication channel open access: Open Access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/75111
Abstract
Methods: Eligible patients with LBP, with or without radicular pain, aged 18–65, were invited to participate. A web-based questionnaire was sent to all recruited patients at baseline, three months and one year. The primary outcome measure was disability (Oswestry Disability Index, ODI) over one year. Between-group differences were analyzed using linear and generalized linear mixed models adjusted for baseline-response delay as well as variables showing between-group imbalance at baseline.
Results: The final study sample comprised 234 and 81 patients in the intervention and control groups, respectively at baseline, and 137 and 47 patients, respectively, at one year. At baseline, the mean duration of pain was longer in the intervention group (P=0.017), and pain-related fear concerning physical activity was lower (P=0.012). We observed no significant difference between the groups’ primary outcome measure (adjusted one-year mean difference in the ODI: 2.3; 95% confidence interval -1.0–5.7; P=0.175) or most secondary outcomes.
Conclusions: Brief training in guideline-oriented biopsychosocial management of LBP for occupational health professionals did not appear to be effective in reducing patients’ symptom over one-year follow-up compared to treatment as usual.
Keywords: spinal diseases; chronic pain; rehabilitation; occupational health care; psychosocial factors
Free keywords: implementation research; risk stratification; STarT Back Tool; Örebro Musculoskeletal Pain Screening Questionnaire
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2021
JUFO rating: 2