Chronic Low Back Pain and Primary Health Care
CompletedNot applicableNCT01147120
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This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.
Brief summary (from the registry)
Kentucky ranks 2nd in disability among states, with chronic low back pain (CLBP) as a major disability, especially in the investigators rural areas. Kentucky and U.S. health care providers need alternative and effective treatments. Following NCCAM strategic research recommendations, this study will investigate health services outcomes of complementary and alternative medicine (CAM) therapies in an existing primary care practice-based research network (PBRN). The Patients with CLBP are often willing to try therapeutic options outside the conventional medical spectrum. Massage and relaxation therapies have demonstrated fairly good efficacy in controlled trials but their effectiveness in the "real world" of primary care is only beginning to be evaluated. The long-term goal of the proposed project builds on the foundation of these two established therapies to improve treatment of chronic low back pain (CLBP) in primary care practices. Two alternative (CAM) therapies, progressive muscle relaxation (PMR) and clinical massage therapy (CMT), will be studied. The short-term objectives of the proposed project are to: (1) examine outcomes of CAM for patients with CLBP referred from primary care practices, and (2) better understand physician decision-making to recommend CAM therapy for CLBP. Specific Aim 1 will evaluate improvement in health-related outcomes for patients with CLBP when referred to PMR or CMT from primary care. Specific Aim 2 will explore selected factors in primary care physicians' decisions to recommend CAM therapy to these patients. The proposed study is unique in that it addresses "real life" clinical situations and decision-making in both urban and rural clinical practices within an existing PBRN. Should such CAM referral prove successful for ameliorating CLBP, it would provide relatively low cost, non-addictive treatment options for inclusion in the repertoire of primary care physicians.
Study details
- Official title
- CAM Referral and Outcomes: Chronic Low Back Pain in Urban and Rural Primary Care
- Conditions
- Interventions
- Behavioral: Progressive Muscle Relaxation (PMR)
- Procedure: Clinical Massage Therapy (CMT)
- Sponsor
- William G Elder JR
- Collaborators
- National Institutes of Health (NIH); National Center for Complementary and Integrative Health (NCCIH)
- Organization
- University of Kentucky
- Start date
- 2009-09
- Primary completion
- 2013-07
- Sex
- All
- Age range
- from 21 Years
- Results posted
- No results posted in this snapshot
- Countries
- United States
- Total sites listed
- 1
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Have a visit with the physician during the 4-week study referral period for that practice * Be 21 years of age or older on the date of the visit * According to the physician, currently have CLBP * Have been a patient in the practice for at least 3 months * Have a life expectancy of 6 months or more Exclusion Criteria: * Not have a current or past history of psychosis * Not be pregnant
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT01147120