A Multilevel Intervention for Low Back Pain Management in Primary Care

Launched by GUILLAUME CHRISTE · Aug 15, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a new way to help people with low back pain who visit their family doctor. Low back pain is a common problem that often makes daily activities hard. The study aims to see if a special program that involves doctors, physiotherapists, and occupational therapists working together can improve how patients are treated. This program also helps doctors follow the latest advice on back pain care and provides education to patients, tailoring the treatment to each person’s needs.

If you are 18 or older and visiting your participating family doctor mainly because of low back pain (with or without pain down your leg), you might be able to join. However, if you’ve already seen your doctor for low back pain in the past three months, have had recent back surgery, or have other serious health issues causing your pain, you would not be eligible. Participants will follow their doctor’s care plan, either the new program or usual care, and answer some questionnaires over a year to track progress. The goal is to find better ways to manage low back pain in everyday doctor visits and to understand what helps or hinders this kind of care.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients consulting their participating general practitioner for a primary concern of LBP (with or without leg pain)
• • Above 18 years old
• Exclusion Criteria:
• • If they had consulted their general practitioner for a primary concern of LBP in the past 3 months, as care was already started prior to the study.
• • Unable to give consent (eg. cognitive impairment)
• • Unable to access comfortably an electronic device to answer the questionnaires (smartphone, computer)
• • Unable to answer questionnaires in French
• • Known pregnancy
• • Have had back surgery in the last 6 months
• • Any specific cause of LBP (e.g. inflammatory arthritis, malignancy, infection, fracture, cauda equina syndrome).
• • a major strength deficit (M3 and below) due to radiculopathy or have to be referred directly to emergency or a specialist because of that. As specific causes of LBP may be unknown at the first consultation in primary care, patients with a confirmed diagnosis of specific LBP could be excluded post-allocation by an independent doctor that is part of the Data Monitoring Committee.