Effectiveness of CFT for LBP in Coventry.
Research type
Research Study
Full title
The costs and effectiveness of Cognitive Functional Therapy for people with persistent low back pain, multi-morbidity and affected by health inequality: A Primary Care mixed methods cohort study.
IRAS ID
327320
Contact name
Christopher Newton
Contact email
Sponsor organisation
University Hospitals Coventry & Warwickshire NHS Trust
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
1 years, 3 months, 31 days
Research summary
In the United Kingdom (UK), more than 10 million people are estimated to be living with persistent LBP. More than 60% of these people report LBP that is associated with substantial limitations to engage in daily functional tasks, meaningful work, social, family and leisure activities (Versus Arthritis, 2021a). Furthermore, people with persistent LBP are more likely to live in poverty, in deprived communities, be from minority ethnic backgrounds, live with two or more long-term conditions (multimorbidity) and are twice as likely to report on-going disability in comparison to people living in less deprived areas (Office for Health Improvement and Disparities, 2022; Versus Arthritis, 2021b). This is why persistent LBP is widely accepted to be a complex biopsychosocial condition and that clinical guidelines advocate addressing physical, psychological and social barriers to recovery (NICE 2016).
Indirect costs of LBP to the UK economy were previously estimated to be more than £10.7 billion annually due to work loss, absenteeism and reduced productivity.
Escalating levels of disability, healthcare, and economic costs, suggest that current interventions to manage persistent LBP are inadequate. It has, therefore, been suggested that different strategies are required to lessen the burden of this pervasive public health concern. Clinical guidelines recognise the multidimensional complexities of managing persistent LBP and advocate for integrated physical and psychological approaches that identify and target the biopsychosocial factors underlying the disorder.
Cognitive Functional Therapy (CFT) aims to teach people to think, move and respond differently to LBP. CFT has been shown to be a clinically and cost-effective intervention and has been shown to be feasible to deliver in the NHS. However, CFT has not been evaluated in people with persistent LBP who are affected by health inequality and multimorbidity in the UK.
This study proposes to use a single-cohort mixed methods design to:
1. Evaluate the economic and clinical benefits of delivering CFT to people living with persistent LBP in deprived areas.
2. Understand the experiences of the intervention and service as lived by study participants and the treating physiotherapists.REC name
East of England - Cambridge South Research Ethics Committee
REC reference
23/EE/0232
Date of REC Opinion
24 Oct 2023
REC opinion
Further Information Favourable Opinion