Effectiveness and cost-effectiveness of a progressive, individualised walking and education programme for prevention of low back pain recurrence in adults: study protocol for the WalkBack randomised controlled trial

摘要: Introduction Low back pain (LBP) is recognised globally as a prevalent, costly and disabling condition. Recurrences are common contribute to much of the burden LBP. Current evidence favours exercise education for prevention LBP recurrence, but an optimal intervention has not yet been established. Walking simple, widely accessible, low-cost that be evaluated. This randomised controlled trial (RCT) aims establish effectiveness cost-effectiveness progressive individualised walking programme (intervention) recurrences in adults compared with no treatment (control). Methods analysis A pragmatic, two-armed RCT comparing (n=349) control group (n=349). Inclusion criteria recovered from episode non-specific within last 6 months. Those allocated will receive six sessions (three face three telephone delivered) trained physiotherapist facilitate over 6-month period. The primary outcome days first recurrence activity-limiting secondary outcomes include LBP, leading care seeking, disability quality life measured at 3, 6, 9 12 months costs associated recurrence. All participants followed up monthly minimum intention-to-treat assess difference survival curves (days recurrence) using log-rank statistic. conducted societal perspective. Ethics dissemination Approved by Macquarie University Human Research Committee (Reference: 5201949218164, May 2019). Findings disseminated through publication peer-reviewed journals conference presentations. Trial registration number ACTRN12619001134112.