Introduction International clinical guidelines consistently endorse the promotion of self-management (SM),

Introduction International clinical guidelines consistently endorse the promotion of self-management (SM), including physical activity for patients with chronic low back pain (CLBP) and osteoarthritis (OA). in primary care physiotherapy. The primary care clinic will be the unit of randomisation (cluster), with each clinic randomised to 1 1 of 2 groups providing the Self-management of Osteoarthritis Rheochrysidin and Low back pain through Activity and Skills (SOLAS) intervention or usual individual physiotherapy. Patients are followed up at 6?weeks, 2 and 6?months. The primary outcomes are the (1) acceptability and demand of the intervention to patients and physiotherapists, (2) feasibility and optimal study design/procedures and sample size for a definitive trial. Secondary outcomes include exploratory analyses of: point estimates, 95% CIs, change scores and effect sizes in physical function, pain and disability outcomes; process of change in target SM Rheochrysidin behaviours and selected mediators; and the cost of the intervention to inform a definitive trial. Ethics/dissemination This feasibility trial protocol was approved by the UCD Human Research EthicsSciences Committee (LS-13-54 Currie-Hurley) and research access has been granted by the Health Services Executive Primary Care Research Committee in January 2014. The study findings will be disseminated to the research, clinical and health service communities through publication in peer-reviewed journals, presentation at national and international academic and clinical conferences. Trial registration number ISRCTN 49875385; Pre-results. (National Institute for Health and Care Excellence (NICE; 2014)15 working diagnosis of OA hip/knee joint: age 45?years old or over, activity-related joint pain and no morning joint-related stiffness or morning stiffness that lasts 30?min) and/or (age 30?years old and have non-specific LBP of mechanical origin with or without radiation to the lower limb); be able to read/understand and speak English without assistance; access to a telephone for screening and available to attend a 6-week group class of 1 1.5?h/week. to increase knowledge about the individual’s chronic condition, its consequences, and its SM including the role of a healthy lifestyle and available community resources and (2) to impart increased SM behaviours at the end of the intervention and to enable participants to deploy these enhanced skills in their lives beyond the intervention. Participants randomised to this arm will receive six consecutive sessions in a group of up to six participants led by a PT within a PCCC clinic or nearby community facility. The overall aim of the programme and the importance of weekly attendance will be explained throughout to improve adherence. To support the promotion of participant SM behaviour, its determinants have been mapped to each session and relevant behaviour change techniques incorporated within sessions. In line with SDT and the importance of social agents in facilitating autonomous motivation and perceived competence for long-term behaviour change, the PT plays a crucial role by being needs supportive and enabling participants to SM by seeking their input, avoiding controlling language such as should and must; and trying to understand their perspective. The content and dose of each class (including attendance record, rates Rheochrysidin and reasons for non-attendance or early withdrawal of each participant) will be recorded Rheochrysidin by the treating therapist in a weekly treatment record form. Table?2 SOLAS summary intervention map Physiotherapist training in SOLAS intervention rationale, content and delivery Prior to implementation, PTs will complete a 2-day (that is, 12?h) small group training course (up to 8 PTs), designed and co-facilitated by the intervention developers; a physiotherapist and senior researcher (DAH) who holds an MSc in musculoskeletal PT and a PhD in back pain research, and a registered psychologist and researcher (JM) who holds an MA in organisational and social psychology and a PhD in sport and exercise psychology. The course aims to introduce PTs to the SOLAS intervention structure, content, support materials and delivery using a needs supportive Rabbit Polyclonal to GAB4 interpersonal style. Training incorporates active participation, collaboration and.

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