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Papers of the Week

Papers: 10 Jul 2021 - 16 Jul 2021

Human Studies

2021 Jul 09

BMC Musculoskelet Disord



Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial.


Ho EK, Ferreira ML, Bauman A, Hodges PW, Maher CG, Simic M, Morton RL, Lonsdale C, Li Q, Baysari MT, Amorim AB, Ceprnja D, Clavisi O, Halliday M, Jennings M, Kongsted A, Maka K, Reid K, Reynolds T, Ferreira PH
BMC Musculoskelet Disord. 2021 Jul 09; 22(1):611.
PMID: 34243746.


Although many people with chronic low back pain (LBP) improve following conservative treatment, one in five will experience worsening symptoms after discharge from treatment and seek health care again. The current LBP clinical care pathway in many health services lacks a well-integrated, systematic approach to support patients to remain physically active and self-manage their symptoms following discharge from treatment. Health coaching can support people to improve physical activity levels and may potentially reduce health care utilisation for LBP. The primary aim of this study is to evaluate the effect of introducing a coordinated support system (linking hospital outpatient physiotherapy services to a public health coaching service) at discharge from LBP treatment, on the future use of hospital, medical, and health services for LBP, compared with usual care provided at discharge.