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Moving interdisciplinary combined physical and psychological treatment for back pain to a digital format
In our Back To Life service, we normally run monthly, interdisciplinary group based, combined physical and psychological treatment programmes for patients with persistent back pain, living in Birmingham and the West Midlands region. As we can no longer see patients face to face within this service, we are developing an online programme, mixing pre-recorded education videos with facilitated interdisciplinary 'live' online groups sessions with patients, involving education, exercise and relaxation / mindfulness. This will provide an effective way of delivering combined physical and psychological treatment for back pain remotely and we plan to collect outcome data to test its effectiveness on pain disability, self confidence, mood and patients satisfaction. The expectation is that we will be able to provide the same outcomes using a remote service. This allows the service to be more flexible and adaptable, as patients no longer need to travel to up to 9 sessions of treatment and can access treatment in their own home or workplace. More than 50% of patients surveyed have indicated they would be more than happy to receive this treatment online. We know this service significantly improves both physical and psychological health, and, with the fallout of the Covid-19 pandemic likely to impact greatly on the mental health of the nation, we believe this programme will help to address some of these needs
What is needed to sustain the change?
This is a fully commissioned service locally, and, with the support of our IT and communications department, we would be keen to work with other clinical partners to expand this service beyond the boundaries of Birmingham and the West Midlands. Spread would require national commissioning arrangements. Behavioral change to encourage clinicians to use this service needs more work from an educational perspective. This treatment approach is fully endorsed in national clinical guidelines but implementation is currently sparse
What is your region?
Midlands
Thanks for sharing Dave .
The Back to Life service is well esthablished and I know you helped your 1000 patient this year. Well done! .
How do you foresee the digital approach progressing? I've found the shared experience aspect of group typically helps patients.do you think some of the beneficial social interaction will be affected and may affect outcomes?.
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Status labels added: Investment in technology, Pathway Redesign, Patient activation, Technology (software/ apps), Horizon 2
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The idea has been progressed to the next milestone.
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Status labels added: Choice, Education, Health & Wellbeing, Information Sharing, Staff & Patient Collaboration, Supported Self Management, Horizon 1
Status labels removed: Pathway Redesign, Horizon 2
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Status labels added: Community Care, Effective Team Working, Integration Of Resources, Monitoring Of Groups, Pathway Redesign, Regional Collaboration, Remote Monitoring, Virtual MDT, Horizon 2
Status label removed: Horizon 1
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Status labels removed: Choice, Community Care, Education, Effective Team Working, Health & Wellbeing, Information Sharing, Integration Of Resources, Investment In Technology, Monitoring Of Groups, Pathway Redesign, Patient Activation, Regional Collaboration, Remote Monitoring, Staff & Patient Collaboration, Supported Self-Management, Technology (Software/ Apps), Virtual MDT
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