Plain English Summary
Background and study aims
Low back pain is one of the most common and costly problems seen by general practitioners (GP). We will develop and test an interactive internet intervention specifically designed for patients having low back pain consulting their GP. Financial pressures on the NHS restrict access to face-to-face physiotherapy. An internet intervention may provide a unique and efficient means for offering education and advice for the self-management of low back pain. Patient feedback will be used to inform amendments to the structure and content (phase 1). We will examine the acceptability of the intervention and the feasibility of this study (phase 2).
Who can participate?
Adult patients experiencing low back pain and who have access to the internet can participate in this study.
What does the study involve?
Out of 90 patients recruited to the study, thirty patients will receive the internet intervention with telephone physiotherapist support, 30 patients will receive the internet intervention without support and 30 patients will receive usual care from their GP. All patients will be followed up after 6 months. We will assess factors including recruitment rates, the extent of patient interaction with the intervention and monitoring patient dropout. We will conduct interviews with GPs, patients completing the intervention, and physiotherapists giving the telephone support.
What are the possible benefits and risks of participating?
Using the internet will allow patients immediate access to tailored information in their own homes. Our multidisciplinary team of general practitioners and specialists will work collaboratively with patients to develop and amend existing high quality educational materials, making them suitable for delivery in an interactive internet format. There are no risks associated with participation in the trial.
Where is the study run from?
The study is run from various GP surgeries around Hampshire and Wiltshire ares of the UK.
When is the study starting and how long is it expected to run for?
Phase 1 of the study began in July 2013. Phase 2 will commence in July 2014. The end date of the study is January 2016.
Who is funding the study?
The study is funded by the National Institute for Health Research (NIHR), UK.
Who is the main contact?
Miss Rosie Stanford
Internet intervention supporting management of low back pain in primary care: a feasibility study
We will examine the feasibility of the trial design and acceptability of the internet intervention for management of low back pain in primary care.
On 01/12/2014 the recruitment dates were added to the trial record and the overall trial end date was changed from 13/03/2014 to 01/12/2015.
NRES Committee South Central - Southampton A, 25/06/2013, ref: 13/SC/0202
Randomised; Interventional; Design type: Not specified
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Topic: Primary Care Research Network for England; Subtopic: Not Assigned; Disease: All Diseases
Patients will consent to the study online prior to completing the baseline information and questionnaires. They will then be randomised to three groups automatically, using internet-based software:
1. Internet intervention with telephone physiotherapist support: SupportBack is an online intervention providing advice and support in getting active for people with low back pain. Provides tailored activity programme and self management advice.
2. Internet intervention with no telephone physiotherapist support
3. Usual care from the GP
Follow up will take place at 6 months.
Primary outcome measures
Recruitment rate; Timepoint(s): Baseline & 3 months
Secondary outcome measures
1. Back pain care related resource use (i.e. no of GP visits) collected by simple questions.; Timepoint(s): 3 months
2. EuroQol EQ-5D (Quality of life indicator); Timepoint(s): Baseline & 3 months
3. Objective measures of use of internet intervention; Timepoint(s): Baseline & 3 months
4. Patient experience & perceived usefulness of intervention (qualitative interview/quantitative scale); Timepoint(s): Baseline & 3 months
5. Patient experience/perceived usefulness of phone support (qualitative interview/quantitative scale); Timepoint(s): 3 months
6. Problematic Experiences of Therapy Scale (PETS); Timepoint(s): 3 months
7. Roland Morris Disability Questionnaire (RMDQ); Timepoint(s): Baseline & 3 months
8. Time off work via simple questions; Timepoint(s): Baseline & 3 months
9. Visual Analogue Scale for measuring pain as a process measure across the study; Timepoint(s): Baseline & 3 months
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Access to the internet and an active email address
2. Current low back pain
3. Prior presentation in primary care with low back pain (for those invited directly from practice lists)
4. An ability to read/understand English without assistance
Lower Age Limit 18 years
Target number of participants
Planned Sample Size: 70; UK Sample Size: 70
Participant exclusion criteria
1. Patients under 18
2. Clinical indicators of potentially serious spinal disease (indicated through a 'red flag' screen. Red flags are rare in primary care, thus we expect the majority of patients with low back pain to be eligible for this trail)
3. Those patients without the internet will be ineligible for this trial and will be offered usual care.
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
University of Southampton
National Institute for Health Research
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting