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Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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GLA:D® Back Australia: a mixed methods feasibility study for implementation.

Matthew Fernandez1,2, Anika Young3, Alice Kongsted4,5

  • 1School of Health, Medical and Applied Sciences, Central Queensland University, Brisbane, Australia. m.fernandez@cqu.edu.au.

Chiropractic & Manual Therapies
|April 8, 2022
PubMed
Summary
This summary is machine-generated.

The GLA:D® Back program, combining patient education and exercise for low back pain, shows feasibility in Australia. Clinician training and program acceptability were positive, with patient outcomes trending towards improvement.

Keywords:
ExerciseFeasibilityImplementationLow back painPatient educationSelf-management

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Area of Science:

  • Musculoskeletal Health
  • Rehabilitation Science
  • Clinical Implementation Science

Background:

  • Practice guidelines advocate patient education and exercise for low back pain (LBP), but implementation is inconsistent.
  • The GLA:D® Back program offers a structured approach to delivering guideline-recommended care for LBP.
  • This study assessed the feasibility of implementing GLA:D® Back in an Australian context.

Purpose of the Study:

  • To evaluate the feasibility of implementing the GLA:D® Back program in Australia.
  • To assess clinician and patient recruitment and retention rates.
  • To explore program fidelity, clinician and patient experiences, and collect outcome data.

Main Methods:

  • Twenty clinicians (chiropractors, physiotherapists) completed GLA:D® Back training.
  • Fifty-seven patients with persistent or recurrent LBP were enrolled.
  • Feasibility domains included recruitment, retention, program fidelity, and perceived barriers/facilitators. Clinician confidence and patient outcomes were also measured.

Main Results:

  • 55% of trained clinicians offered the GLA:D® Back program.
  • 67% of enrolled patients completed the final follow-up assessment, with COVID-19 impacting retention.
  • Program fidelity was generally maintained, and interviews indicated intervention acceptability and perceived efficacy. Clinicians showed high confidence, and patient outcomes trended positively.

Conclusions:

  • Implementation of GLA:D® Back in Australia appears feasible, supported by clinician engagement and positive patient outcomes.
  • Challenges related to the COVID-19 pandemic affected patient recruitment and retention.
  • Further efforts are needed to address implementation barriers and leverage facilitators for wider adoption of GLA:D® Back.