Fibromyalgia & musculoskeletal pain
Supporting self-management of low back pain with an internet intervention with and without telephone support in primary care (SupportBack 2): a randomised controlled trial of clinical and cost-effectiveness
Authors' conclusion
The SupportBack internet interventions did not significantly reduce low back pain-related disability over 12 months compared with usual care. They were likely to be cost-effective and safe.
Study context
- Population
- UK primary care participants with low back pain without serious spinal pathology736 analysed
- Participants
- 825 participants
- Comparison
- SupportBack internet intervention with or without physiotherapist telephone support, plus usual care, vs usual care
- Usual caren = 274reference
- SupportBackn = 275
- SupportBack with telephone-supportn = 276
- Primary endpoint
- Low back pain-related disability (RMDQ score), repeated measures model over 12 months
- Follow-up
- 6 weeks, 3 months, 6 months, and 12 months
Methodological detailsthree-arm, 1:1:1 stratified randomisation, parallel economic evaluation, People with lived experience of low back pain involved from the outset
- Three-arm
- 1:1:1 stratified randomisation
- Parallel economic evaluation
- People with lived experience of low back pain involved from the outset
Primary result
As reported in the abstract
RMDQ over 12 months
Each group vs usual careAdjusted mean difference (97.5% CI)P value
SupportBack
−0.5(−1.2 to 0.2)
P = 0.085SupportBack with telephone-support
−0.6(−1.2 to 0.1)
P = 0.048Further findings
Cost-effectiveness
- SupportBack dominated usual care (more effective and less costly)
- Both interventions likely cost-effective at £20 000 per QALY threshold vs usual care
Safety
Treatment-related serious adverse events
- None
- 0
Original publication
Supporting self-management of low back pain with an internet intervention with and without telephone support in primary care (SupportBack 2): a randomised controlled trial of clinical and cost-effectiveness. Lancet Rheumatol. Published 30 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →