Improving Health for Patients With Chronic Low Back Pain in Rural Communities Through Telerehabilitation
RecruitingNot applicableNCT06471920
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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)
Physical therapy is the first line of treatment for patients with low back pain (LBP) and has been shown to be a cost-effective method for improving pain and disability in patients with chronic LBP; however, despite this effectiveness, only 7-13% of patients go on to receive physical therapy services with patients in rural communities being especially limited to do lack of provider availability, transportation, and missed work time leading to greater rates of LBP-related disability and opioid consumption. With the rapid emergence of digital treatment approaches to physical therapy (i.e., telerehabilitation), access could be improved by reducing or eliminating many barriers that patients report; however, it is unclear how to appropriately incorporate digital treatment approaches into existing health care models. The investigators propose a prospective randomized clinical trial conducted at a health system serving rural communities to determine the effectiveness of innovative risk-informed telerehabilitation versus standard educational control for patients with chronic LBP that will match individual patients with specific physical therapy delivery (physical therapy telehealth visits or psychologically informed physical therapy telehealth visits) based on the patient's psychosocial risk of poor outcomes.
Study details
- Official title
- ARBOR Telehealth: Improving Health for Patients With Chronic Low Back Pain in Rural Communities Through Improved Access to Telerehabilitation
- Conditions
- Interventions
- Behavioral: Standardized Education
- Behavioral: Telerehabilitation
- Sponsor
- Johns Hopkins University
- Collaborators
- TidalHealth, Inc.; Medstar Health Research Institute; Maryland Rural Health Association; National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
- Start date
- 2025-01-27
- Primary completion
- 2028-07-30
- Sex
- All
- Age range
- from 18 Years
- Results posted
- No results posted in this snapshot
- Countries
- United States
- Total sites listed
- 2
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Primary care visit in the past 90 days with an LBP-related International Classification of Diseases (ICD-10) diagnosis. * Age 18 years or older. * At least moderate levels of pain and disability requiring Oswestry score ≥24% and average pain rating ≥ 4/10 points. * Meets NIH Task Force definition of chronic LBP based on two questions: 1) How long has LBP has been an ongoing problem? and 2) How often has LBP been an ongoing problem over the past 6 months? A response of greater than 3 months to question 1, and "at least half the days in the past 6 months" to question 2 is required to satisfy the NIH definition of chronic LBP. * Can speak and understand English. * Access to video-enabled device and Internet. Exclusion Criteria: * Recent history (last 6 months) of lumbar spine surgery. * Possible non-musculoskeletal cause for low back pain symptoms (e.g., pregnancy). * Evidence of serious pathology as a cause of LBP including neoplasm, inflammatory disease (e.g., ankylosing spondylitis), vertebral osteomyelitis, etc. * Neurological disorder resulting in severe movement disorder, or schizophrenia or other psychotic disorder. * Knowingly pregnant.
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT06471920