Multidisciplinary treatment for chronic low back pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The PAINDOC program combines four effective disciplines to treat chronic low back pain: education in pain neuroscience, therapeutic education, cognitive-behavioral psychotherapy, and therapeutic exercise. This interventional study aims to assess the effectiveness of this multidisciplinary approach in reducing pain intensity and enhancing quality of life compared to standard care. Additionally, it evaluates secondary outcomes such as pain-related disability, pain catastrophizing, social support, self-efficacy, and medication reduction. The program addresses the biological, psychological, and social factors contributing to chronic pain.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients over 18 years of age.
* Patients with primary chronic low back pain (non-specific chronic low back pain) of axial predominance.
* Experiencing pain at least 50% of the time over the last 6 months.
* Average weekly pain intensity equal or greater than 4 out of 10 on a verbal numerical scale.
* Be agreeable to receiving active, non-pharmacological and non-surgical treatment.

Exclusion Criteria:

* Inflammatory low back pain.
* History of cancer in the last 5 years.
* Unexplained and unintentional weight loss of 10 Kg or more over the preceding 12-month period.
* Lack of control of bowel and bladder function (cauda equina).
* Difficulty in performing the sessions due to severe physical disability.
* Diagnosis of severe mental illness (schizophrenia, major depression, bipolar disorder, etc.).
* Strong prescription opioid or parenteral medication addiction disorders.
* Technical-logistical problems (inability to attend treatment sessions or inability to fill out assessment questionnaires).
* Problems in understanding the content of the sessions (language barrier, severe hearing loss or severe cognitive impairment).
* Have sought compensation or entered into litigation in the preceding 12-month period.

Where it's running

• Hospital Clínic de Barcelona
  Barcelona, Spain, Spain Recruiting
• Hospital Clínic de Barcelona
  Barcelona, Barcelona, Spain Not yet recruiting

Study contacts

• Study coordinator: Anna Dalmau-Roig, MD
• Email: dalmaur@clinic.cat
• Phone: +34 639482849

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.