NCT06153199

Self-management of Low Back Pain in Horticulture Workers

Effectiveness and Implementation of Self-management Strategies for Low Back Pain Among Horticulture Workers

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 164 (estimated)
• Sponsor: University of Florida · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

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.

Detailed 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.

Conditions

• Back Pain

Interventions

Type	Name	Description
BEHAVIORAL	Self-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
BEHAVIORAL	Check 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
BEHAVIORAL	Text reminders	Reminders to implement choices using graphics and gifs as well as motivational messages
BEHAVIORAL	Video review	Participants will review videos of their movement during their most difficult work tasks to help problem solving to adjust ergonomic adjustments

Timeline

• Start date: 2024-06-06
• Primary completion: 2026-06-30
• Completion: 2026-06-30
• First posted: 2023-12-01
• Last updated: 2025-07-31

Locations

1 site across 1 country: United States