Implementation of a Self-Management Approach for Low Back Pain in a Public Health Care System.

ABSTRACT:

Importance

Self-management is recommended first-line care for chronic low back pain (CLBP). However, implementation of structured self-management models in large public health maintenance organizations (HMO) remains scarce.

Objective

To determine the feasibility of implementing the enhanced transtheoretical model intervention (ETMI) in a public HMO in Israel and to compare outcomes of patients who received ETMI-guided vs usual physiotherapy care.

Design, setting, and participants

In this cohort study, all physiotherapists in 13 outpatient physiotherapy clinics in a public HMO were trained in ETMI in 2022. Data were extracted for all eligible patients aged 18 years and older with CLBP who attended an associated physiotherapy center between January 1, 2022, and July 31,

SUBMITTER: Feldman R 

PROVIDER: S-EPMC12784229 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature