Improving Patient Choice in Treating Low Back Pain (IMPACT - LBP)
Informed patient choice is an important part of health care. Guidelines for the treatment of low back pain, produced by NICE recommend that patients are offered a choice of manual therapy, exercise or acupuncture. Current evidence suggests that these treatments have similar health benefits and costs to the NHS. However, this does not mean that everyone will do equally well on each treatment. This study, led by clinical researchers at Warwick University, aims to develop and pilot a Decision Support Package to help patients, in partnership with a physiotherapist, to make more informed choices of therapy. Methods used to develop the package include literature review, patient questionnaires and focus groups, and consensus techniques with physiotherapists. The package will be tested in a pilot randomised controlled trial, which will include an economic evaluation to assess the value of information associated with the collection of further evidence.