Effectiveness of Therapeutic Alliance and Minimal Intervention for Chronic Low Back Pain (TalkBack)
Low Back Pain
About this trial
This is an interventional treatment trial for Low Back Pain focused on measuring Low back pain, Empathy, Subgroups, Minimal intervention
Eligibility Criteria
Inclusion Criteria
- Patients waiting for treatment in the waiting list of physical therapy clinics
- Diagnosis of chronic non-specific low back pain (over 12 weeks)
- More than 18 years
- Able to read and write the Portuguese language
- Low risk of psychosocial factors (less than 3 points in the STarT Back Screening Tool).
Exclusion criteria
- Spine surgery history
- Nerve root compromise
- Cognitive impairment related disorders
- Pregnants
Sites / Locations
- Physical Therapy Outpatient Department
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Other
Positive Therapeutic Alliance
Usual Care
Control group
Intervention involving reassurance and information related to the return to daily activities, advice on dealing with the pain and clear explanation of signs and symptoms. The session will take 60 minutes and will be structured to increase the therapeutic alliance and empathy. Patients will be instructed to return in a week for further consultation to clarify doubts.
Information about low back pain based on Back Book. The therapy will be performed with limited interaction between patient and therapist and the information will be transmitted in a clear and direct way. The limited interaction between patient and therapist in this group will be established at the first session lasting 45-60 minutes. Patients will be instructed to return for a visit after a week to clarify questions.
Patients will not receive intervention in the first mo nth of enrollment. After a year, the treatment offered to the Positive Therapeutic Alliance or Usual Care group will be available for patients who are interested.