Brief Summary

The general objective of this pilot study is to investigate a new multi-level intervention in primary care to improve the care of patients with low back pain. Specifically, it will first investigate the feasibility of delivering this intervention in primary care in Switzerland. Second, it will evaluate the effectiveness of the intervention on the use of unnecessary imaging and unhelpful medication in primary care, the risk of developing chronic disabling care, and direct and indirect healthcare costs.

In this two-arm parallel pilot study, it is the general practitioners that will be recruited to be in either arm. In the intervention group, they will deliver the multi-level intervention that consists of:

* Stratifying care based on the risk of chronicity
* Improving healthcare professional education
* Improving patient education
* Facilitating interprofessional communication

General practitioners in the control group will have no specific training or intervention. They will treat patients according to their usual practice.

Conditions

• Back Pain, Low

Intervention / Treatment

• Other: Implementation of best practice for low back pain in primary care

Primary Outcome Measures

• Number of imaging and opioids prescriptions (At 6 months)
  The number of imaging procedure and opioids prescription in each group will be calculated
• Recruitment procedures (At 6 months)
  The number of patients included in the pilot trial in a 6-month period (number of participants/month/GP)

Countries

Switzerland

Locations and Investigators

• Centre médical Lignon, Le Lignon, Switzerland (Recruiting)
  • Mélanie Da Fonseca
  • Benoit FAvre, MD (Principal Investigator)
• Centre médical Onex, Onex, Switzerland (Recruiting)
  • Fanny Berrayah
  • Dorian Schaller, MD (Principal Investigator)

Study Officials

• Stéphane Genevay, Prof (Principal Investigator) — University Hospital, Geneva