Effectiveness and Implementation of Self-management Strategies for Low Back Pain Among Horticulture Workers
University of Florida
Summary
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.
Description
Primary dependent variables will be collected at all measurement points: pain severity, interference, and persistence, pain with specific work tasks, disability, work ability, and pain medication use. Affective or cognitive characteristics potentially impacting adoption and effectiveness (secondary dependent variables or confounders) such as coping, fear, anxiety, depression, will also be collected.The post- and follow-up survey questions will also reflect adoption, opinions of interventions, effectiveness, facilitators, and barriers.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: Workers 1. working full time (30 hours or more per week) in physically demanding nursery or landscape work 2. currently employed or self-employed in nursery or landscape businesses 3. 18 years of age or older 4. English or Spanish speaking 5. experiencing continuous or intermittent LBP over the past 3 months Owners, managers, supervisors 1. Owners, managers, or supervisors who meet the same inclusion criteria as workers will be eligible to participate in the training interventions as well as the supervisory roles. 2. All owners, managers, and supervisors who are willing…
Interventions
- BehavioralSelf-management videos
Short video modules on self-management of back pain without medication and ergonomic adjustments for limiting back pain in nursery and landscape work
- BehavioralCheck lists for ergonomic options
Guidance on ergonomic choices appropriate for work tasks not currently being used that are the most difficult due to back pain, using a checklist
- BehavioralText reminders
Reminders to implement choices using graphics and gifs as well as motivational messages
- BehavioralVideo review
Participants will review videos of their movement during their most difficult work tasks to help problem solving to adjust ergonomic adjustments
Location
- University of FloridaGainesville, Florida