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A randomised controlled trial with 180 CLBP patients recruited from specialised care will be conducted.
The primary comparisons of each intervention with usual care will be conducted using two-sided procedures at the overall significant level of 0.05.
During discharge observations, short conversations with nurses and physicians at hospital and in primary care will be conducted to clarify aspects of the current discharge and evaluate the quality of the discharge process.
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Using demographic information and eligibility criteria, a comparison of patient characteristics between the intervention and usual care groups will be conducted to address reach.
During the third month 20 minute problem solving sessions with health care aides will be conducted to identify barriers to completing the sit-to-stand activity and to suggest ways to overcome them.
An economic evaluation regarding work (loss) and health care use will be conducted as a cost-utility analysis for (changes in) health-related quality of life as assessed with the EQ-5D [ 37].
In order to evaluate the process of delivering the intervention, focus groups of participants in the intervention arm and primary care professionals will be conducted to explore their experiences, views on the intervention, and their experience of participating in this study.
The pilot study using randomised controlled trial design (parallel-group trial) within the participants' usual health care environment will be conducted in three distinct but overlapping phases: (1) development of the training package including the CDSMP materials and Digital Video Disk (DVD), (2) peer selection and training, and (3) intervention phase.
Additionally, a subgroup analysis of the healthy participants comparing the E-mental health arm with the OP-care arm will be conducted.
The second source of data consists of a scoping literature review 131 132 on primary care models, which will be conducted at the outset of the project.
At 3 months, a primary care notes review will be conducted for evidence of further evidence of treatment failures, recurrence, complications, hospitalisations and health service costs.
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CEO of Professional Science Editing for Scientists @ prosciediting.com