FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4213032018> ?p ?o ?g. }

• W4213032018 abstract "Abstract Background Acute low back pain is a common condition, has high burden, and there are evidence-to-practice gaps in the chiropractic and physiotherapy setting for imaging and giving advice to stay active. The aim of this cluster randomised trial was to estimate the effects of a theory- and evidence-based implementation intervention to increase chiropractors’ and physiotherapists’ adherence to a guideline for acute low back pain compared with the comparator (passive dissemination of the guideline). In particular, the primary aim of the intervention was to reduce inappropriate imaging referral and improve patient low back pain outcomes, and to determine whether this intervention was cost-effective. Methods Physiotherapy and chiropractic practices in the state of Victoria, Australia, comprising at least one practising clinician who provided care to patients with acute low back pain, were invited to participate. Patients attending these practices were included if they had acute non-specific low back pain (duration less than 3 months), were 18 years of age or older, and were able to understand and read English. Practices were randomly assigned either to a tailored, multi-faceted intervention based on the guideline (interactive educational symposium plus academic detailing) or passive dissemination of the guideline (comparator). A statistician independent of the study team undertook stratified randomisation using computer-generated random numbers; four strata were defined by professional group and the rural or metropolitan location of the practice. Investigators not involved in intervention delivery were blinded to allocation. Primary outcomes were X-ray referral self-reported by clinicians using a checklist and patient low back pain-specific disability (at 3 months). Results A total of 104 practices (43 chiropractors, 85 physiotherapists; 755 patients) were assigned to the intervention and 106 practices (45 chiropractors, 97 physiotherapists; 603 patients) to the comparator; 449 patients were available for the patient-level primary outcome. There was no important difference in the odds of patients being referred for X-ray (adjusted (Adj) OR: 1.40; 95% CI 0.51, 3.87; Adj risk difference (RD): 0.01; 95% CI − 0.02, 0.04) or patient low back pain-specific disability (Adj mean difference: 0.37; 95% CI − 0.48, 1.21, scale 0–24). The intervention did lead to improvement for some key secondary outcomes, including giving advice to stay active (Adj OR: 1.96; 95% CI 1.20, 3.22; Adj RD: 0.10; 95% CI 0.01, 0.19) and intending to adhere to the guideline recommendations (e.g. intention to refer for X-ray: Adj OR: 0.27; 95% CI 0.17, 0.44; intention to give advice to stay active: Adj OR: 2.37; 95% CI 1.51, 3.74). Conclusions Intervention group clinicians were more likely to give advice to stay active and to intend to adhere to the guideline recommendations about X-ray referral. The intervention did not change the primary study outcomes, with no important differences in X-ray referral and patient disability between groups, implying that hypothesised reductions in health service utilisation and/or productivity gains are unlikely to offset the direct costs of the intervention. We report these results with the caveat that we enrolled less patients into the trial than our determined sample size. We cannot recommend this intervention as a cost-effective use of resources. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12609001022257 . Retrospectively registered on 25 November 2009" @default.
• W4213032018 created "2022-02-24" @default.
• W4213032018 creator A5015844348 @default.
• W4213032018 creator A5028738992 @default.
• W4213032018 creator A5041577919 @default.
• W4213032018 creator A5048615707 @default.
• W4213032018 creator A5054403907 @default.
• W4213032018 creator A5057779423 @default.
• W4213032018 creator A5059640224 @default.
• W4213032018 creator A5060470387 @default.
• W4213032018 creator A5063604648 @default.
• W4213032018 creator A5066434491 @default.
• W4213032018 creator A5089979303 @default.
• W4213032018 creator A5090631705 @default.
• W4213032018 date "2022-02-14" @default.
• W4213032018 modified "2023-09-25" @default.
• W4213032018 title "Improving adherence to acute low back pain guideline recommendations with chiropractors and physiotherapists: the ALIGN cluster randomised controlled trial" @default.
• W4213032018 cites W1747726730 @default.
• W4213032018 cites W1965440079 @default.
• W4213032018 cites W1977128121 @default.
• W4213032018 cites W2032541700 @default.
• W4213032018 cites W2038028146 @default.
• W4213032018 cites W2046533487 @default.
• W4213032018 cites W2068680282 @default.
• W4213032018 cites W2069709345 @default.
• W4213032018 cites W2072995417 @default.
• W4213032018 cites W2077109464 @default.
• W4213032018 cites W2093647392 @default.
• W4213032018 cites W2097859515 @default.
• W4213032018 cites W2098082628 @default.
• W4213032018 cites W2108344016 @default.
• W4213032018 cites W2110132004 @default.
• W4213032018 cites W2111892415 @default.
• W4213032018 cites W2116567300 @default.
• W4213032018 cites W2117102798 @default.
• W4213032018 cites W2118208049 @default.
• W4213032018 cites W2118516436 @default.
• W4213032018 cites W2122345580 @default.
• W4213032018 cites W2130776118 @default.
• W4213032018 cites W2131256220 @default.
• W4213032018 cites W2132237350 @default.
• W4213032018 cites W2133959349 @default.
• W4213032018 cites W2142611693 @default.
• W4213032018 cites W2143249121 @default.
• W4213032018 cites W2156653723 @default.
• W4213032018 cites W2164448758 @default.
• W4213032018 cites W2166924983 @default.
• W4213032018 cites W2169209456 @default.
• W4213032018 cites W2186580260 @default.
• W4213032018 cites W2193077984 @default.
• W4213032018 cites W2400202518 @default.
• W4213032018 cites W2410177643 @default.
• W4213032018 cites W2536395370 @default.
• W4213032018 cites W2588410069 @default.
• W4213032018 cites W2618755372 @default.
• W4213032018 cites W2674995983 @default.
• W4213032018 cites W2790989829 @default.
• W4213032018 cites W2802360735 @default.
• W4213032018 cites W2806503569 @default.
• W4213032018 cites W2811473826 @default.
• W4213032018 cites W2914965838 @default.
• W4213032018 cites W2955250068 @default.
• W4213032018 cites W2970684805 @default.
• W4213032018 cites W2972951200 @default.
• W4213032018 cites W2990076869 @default.
• W4213032018 cites W2995024475 @default.
• W4213032018 cites W3112798880 @default.
• W4213032018 cites W3125372746 @default.
• W4213032018 cites W3163191449 @default.
• W4213032018 cites W4320288061 @default.
• W4213032018 doi "https://doi.org/10.1186/s13063-022-06053-x" @default.
• W4213032018 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35164841" @default.
• W4213032018 hasPublicationYear "2022" @default.
• W4213032018 type Work @default.
• W4213032018 citedByCount "2" @default.
• W4213032018 countsByYear W42130320182022 @default.
• W4213032018 crossrefType "journal-article" @default.
• W4213032018 hasAuthorship W4213032018A5015844348 @default.
• W4213032018 hasAuthorship W4213032018A5028738992 @default.
• W4213032018 hasAuthorship W4213032018A5041577919 @default.
• W4213032018 hasAuthorship W4213032018A5048615707 @default.
• W4213032018 hasAuthorship W4213032018A5054403907 @default.
• W4213032018 hasAuthorship W4213032018A5057779423 @default.
• W4213032018 hasAuthorship W4213032018A5059640224 @default.
• W4213032018 hasAuthorship W4213032018A5060470387 @default.
• W4213032018 hasAuthorship W4213032018A5063604648 @default.
• W4213032018 hasAuthorship W4213032018A5066434491 @default.
• W4213032018 hasAuthorship W4213032018A5089979303 @default.
• W4213032018 hasAuthorship W4213032018A5090631705 @default.
• W4213032018 hasBestOaLocation W42130320181 @default.
• W4213032018 hasConcept C141071460 @default.
• W4213032018 hasConcept C142724271 @default.
• W4213032018 hasConcept C15744967 @default.
• W4213032018 hasConcept C159110408 @default.
• W4213032018 hasConcept C168563851 @default.
• W4213032018 hasConcept C176400912 @default.
• W4213032018 hasConcept C180747234 @default.
• W4213032018 hasConcept C1862650 @default.
• W4213032018 hasConcept C204787440 @default.
• W4213032018 hasConcept C2776135927 @default.

• next