Table 1 Description of the MOBile-based Instruction for Low back pain (MOBIL) intervention according to the TIDier checklist [26]
Item Name/Number | Item Description |
|---|---|
Item 1: BRIEF NAME MOBIL | |
Item 2: WHY Interactive tools focused on educating before the clinical encounter have the potential to help providers adhere to clinical practice guidelines (CPGs) by shifting focus and agency from provider to patient. Adequate information that shifts the focus from the traditional biomedical focus to a more psychosocial aspect of back pain and recovery could put less pressure on a provider to deliver low-value care. Timely education about appropriate self-management strategies provided before the patient sees their provider could equip patients with pertinent information that a short clinic visit often has no time to address. | |
Item 3: WHAT, MATERIALS A. MOBile based Instruction for Low back pain (all information and content found in mobile app) [27] delivered on a clinic iPad tablet computer. | |
Section 1: Home Section 2: Video Section 3: Quiz Section 4: Bottom Line Section 5: More Info About MOBIL Handout B. Usual Care | “The content of this tool is based on the best available medical research on low back pain. Its purpose is to produce useful knowledge that YOU can use today to maximize your recovery.” Content includes these main topics: 1) very few cases of LBP are attributable to serious pathology 2) reassurance that a diagnostic label is not necessary for effective treatment 3) reassurance that very few individuals benefit from imaging procedures 4) emphasis on the beneficial effects of remaining active even with some persistent pain 5) the generally favorable prognosis for an episode of LBP when activity is maintained Contains 6 multiple choice questions intended to reinforce the video’s content each with individual links to review short video segments to provide clarity. “Most LBP resolves in SEVERAL weeks’ time, MRIs and X-rays are NOT MUCH of a help, over the counter medications should be used sparingly and narcotics should be AVOIDED COMPLETELY, the two most important things YOU can do for your LBP are to STAY ACTIVE and THINK POSITIVE” Detailed information available within these clickable categories: What’s in a name? Who’s affected? How can exercise help? What else can I do? Signed of a more serious problem Questions to ask my doctor Content reinforces “The Truth About Low Back Pain” video education No attempt made to provide any other information or education to the patient other than what would be normally received were the patient to receive it outside of the study. |
Item 4: WHAT, PROCEDURES Patients presenting to primary care with a primary complaint of low back pain were contacted by phone and asked to arrive 15 min prior to their scheduled appointment to receive the intervention (watch the video, take the quiz, and review the educational material with the physical therapist) | |
Item 5: WHO PROVIDED Three licensed physical therapists delivered the education (video, quiz, and educational handout) for all study participants. | |
Item 6: HOW Participants watched video content with headphones, reviewed materials independently all while in a room with the physical therapist. | |
Item 7: WHERE Primary Care Clinic Triage Room – adjacent to the front desk and waiting room in the Primary Care clinic of a large military hospital | |
Item 8: WHEN and HOW MUCH Patient reviewed “The Truth About Low Back Pain” video, completed quiz and complimentary educational handout at their initial appointment only. A link to the video was emailed to the participants on enrollment day to review again at home. | |
Item 9: TAILORING None | |
Item 10: MODIFICATIONS None | |
Item 11: HOW WELL, PLANNED We delivered the intervention in-person on the enrollment day to maximize fidelity. The quiz was given after watching the video to ensure the key messages were highlighted, and before engaging with the patient to answer any additional questions potentially raised and not answered in the video and quiz. | |
Item 12: HOW WELL, ACTUAL Because the intervention was delivered only once, at baseline, it was delivered as planned | |