Self-management of Low Back Pain in Horticulture Workers

Part of paid clinical trials in Gainesville, Florida.

Sponsor
University of Florida
Study ID
NCT06153199
Status
Recruiting
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Conditions

  • Back Pain

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Self-management videos — BEHAVIORAL
    Short video modules on self-management of back pain without medication and ergonomic adjustments for limiting back pain in nursery and landscape work
  • Check lists for ergonomic options — BEHAVIORAL
    Guidance on ergonomic choices appropriate for work tasks not currently being used that are the most difficult due to back pain, using a checklist
  • Text reminders — BEHAVIORAL
    Reminders to implement choices using graphics and gifs as well as motivational messages
  • Video review — BEHAVIORAL
    Participants will review videos of their movement during their most difficult work tasks to help problem solving to adjust ergonomic adjustments

Study Details

The primary purpose of this hybrid Type II comparative effectiveness and implementation study is to compare two self-management strategies in nursery and landscape workers. This randomized pragmatic study will compare interventions with different degrees of support to determine if self-management videos plus multimodal personalized support is more effective than self-management videos alone for improving LBP among horticulture workers. Both groups will review short self-management video modules to introduce general pain concepts and the importance of managing pain without medication, risks of opioid use, self-management of pain, and simple ergonomic strategies for both groups. Both groups will choose 1 self-management strategy to manage pain at home and 1 ergonomic workplace strategy to limit pain. The video+support group will receive 1) check-list guidance, 2) review videos of their work tasks, and 3) receive text reminders to support implementation. Surveys will include instruments reflecting low back pain disability, pain, work ability, and affective or cognitive characteristics (self-efficacy, pain anxiety, depression, coping), collected at baseline, pre- and post-intervention, with follow-ups at 3- and 6-months. Workers will be videoed pre- and post-intervention for calculation of work risk and to compare any changes after the intervention. Specific aim 2 will identify contextual factors impacting engagement, adoption, effectiveness, and implementation. Interviews, focus groups, and field notes will be used to explain results and establish patterns to inform future translation.

Key Dates

Start date
Jun 6, 2024
Status verified
Jul 2025
Primary completion
Jun 30, 2026
Completion
Jun 30, 2026

Study Design

Enrollment
164 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Active Comparator: Self-management videos
    Participants will review short video modules on pain self-management without medication and ergonomic work adjustment and select 1 self-management option and 1 ergonomic option to use for 10 weeks
  • Experimental: Self-management videos + Multimodal personalized support
    Participants will review short video modules on pain self-management without medication and ergonomic work adjustment and select 1 self-management option and 1 ergonomic option to use for 10 weeks. Participants will use 1) checklists to guided choices for strategies based on their self-identified most difficult work activities due to pain and options that they are not using regularly, 2) review video recordings of their own work movements to assist with ergonomic problem-solving and 3) receive text message reminders

Primary Outcome Measure

Roland Morris Disability Index [ Time Frame: 1 year ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of FloridaGainesvilleFlorida32608
Kim Dunleavy
[email protected]
734-717-1848
Heidi Radunovich, PhD (SUB_INVESTIGATOR)
Kelly Gurka, PhD (SUB_INVESTIGATOR)
Jason Beneciuk, PT, PhD (SUB_INVESTIGATOR)
Boyi Hu, PhD (SUB_INVESTIGATOR)

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By research site
University of Florida· Gainesville, FL

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