Self-management of Low Back Pain in Horticulture Workers

Официальное название

Effectiveness and Implementation of Self-management Strategies for Low Back Pain Among Horticulture Workers

Обзор

The primary purpose of this hybrid Type II comparative effectiveness and implementation study is to compare two self-management strategies in nursery and landscape workers. This randomized pragmatic study will compare interventions with different degrees of support to determine if self-management videos plus multimodal personalized support is more effective than self-management videos alone for improving LBP among horticulture workers. Both groups will review short self-management video modules to introduce general pain concepts and the importance of managing pain without medication, risks of opioid use, self-management of pain, and simple ergonomic strategies for both groups. Both groups will choose 1 self-management strategy to manage pain at home and 1 ergonomic workplace strategy to limit pain. The video+support group will receive 1) check-list guidance, 2) review videos of their work tasks, and 3) receive text reminders to support implementation. Surveys will include instruments reflecting low back pain disability, pain, work ability, and affective or cognitive characteristics (self-efficacy, pain anxiety, depression, coping), collected at baseline, pre- and post-intervention, with follow-ups at 3- and 6-months. Workers will be videoed pre- and post-intervention for calculation of work risk and to compare any changes after the intervention. Specific aim 2 will identify contextual factors impacting engagement, adoption, effectiveness, and implementation. Interviews, focus groups, and field notes will be used to explain results and establish patterns to inform future translation.

Подробное описание

Primary dependent variables will be collected at all measurement points: pain severity, interference, and persistence, pain with specific work tasks, disability, work ability, and pain medication use. Affective or cognitive characteristics potentially impacting adoption and effectiveness (secondary dependent variables or confounders) such as coping, fear, anxiety, depression, will also be collected.The post- and follow-up survey questions will also reflect adoption, opinions of interventions, effectiveness, facilitators, and barriers.

Вмешательства

• Поведенческое Self-management videos
  Short video modules on self-management of back pain without medication and ergonomic adjustments for limiting back pain in nursery and landscape work
• Поведенческое Check lists for ergonomic options
  Guidance on ergonomic choices appropriate for work tasks not currently being used that are the most difficult due to back pain, using a checklist
• Поведенческое Text reminders
  Reminders to implement choices using graphics and gifs as well as motivational messages
• Поведенческое Video review
  Participants will review videos of their movement during their most difficult work tasks to help problem solving to adjust ergonomic adjustments

Первичные конечные точки

• Roland Morris Disability Index [Срок оценки: 1 year]
• Numeric Pain Rating Severity [Срок оценки: 1 year]
• Pain Interference [Срок оценки: 1 year]
• Pain persistence [Срок оценки: 1 year]
• Pain impact [Срок оценки: 1 year]
• Pain frequency [Срок оценки: 1 year]
• Adoption [Срок оценки: 1 year]
• Difficulty with work tasks [Срок оценки: 1 year]
• Work ability [Срок оценки: 1 year]
• Use of medication and substances [Срок оценки: 1 yeat]

Вторичные конечные точки (5)

• Depression scale [Срок оценки: 1 year]
• Pain anxiety Symptom Scale [Срок оценки: 1 year]
• Self-efficacy for Chronic Disease Management [Срок оценки: 1 year]
• Coping Skills Questionaire [Срок оценки: 1 year]
• Ergonomic risk [Срок оценки: 6 months]

Критерии участия

Критерии включения

Workers

• working full time (30 hours or more per week) in physically demanding nursery or landscape work
• currently employed or self-employed in nursery or landscape businesses
• 18 years of age or older
• English or Spanish speaking
• experiencing continuous or intermittent LBP over the past 3 months

Owners, managers, supervisors

• Owners, managers, or supervisors who meet the same inclusion criteria as workers will be eligible to participate in the training interventions as well as the supervisory roles.
• All owners, managers, and supervisors who are willing to participate will be enrolled.

Критерии исключения

Workers

• history of major trauma, surgery, or spinal nerve blocks in the past year
• seeking disability or workman's compensation
• self-disclosed pregnancy

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Профилактика

Центры проведения

США · 1 центр

• University of Florida — Gainesville

Публикации

• Dunleavy K, Radunovich HL, Beneciuk JM, Hu B, Yang Y, Blythe JM, Gurka KK. Self-Management Strategies for Low Back Pain Among Horticulture Workers: Protocol for a Type II Hybrid Effectiveness-Implementation Study. JMIR Res Protoc. 2025 Jan 28;14:e64817. doi: 10.2196/64817. PMID 39874582

Идентификаторы

NCT: NCT06153199 · IRB202300756

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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