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Self-Management Strategies for Low Back Pain Among Horticulture Workers: Protocol for a Type II Hybrid
Kim Dunleavy1, Heidi Liss Radunovich2, Jason M Beneciuk1,3
1Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States.
JMIR Research Protocols
|January 28, 2025
Summary
This study investigates self-management strategies for horticulture workers experiencing low back pain. Findings will inform effective interventions to reduce pain and disability in physically demanding occupations.
Area of Science:
- Occupational Health
- Ergonomics
- Public Health
Background:
- Low back pain (LBP) is a prevalent and disabling condition, particularly in physically demanding agricultural sectors.
- Horticulture workers face unique challenges, with a lack of targeted LBP prevention and intervention studies.
- Self-management strategies offer a feasible approach to address work-related LBP risk factors in small businesses.
Purpose of the Study:
- To evaluate the effectiveness of self-management strategies for nursery and landscape workers.
- To compare the adoption and effectiveness of self-management interventions with varying levels of implementation support.
- To identify contextual factors influencing the effectiveness and implementation of these strategies.
Main Methods:
- A pragmatic, mixed-methods hybrid effectiveness-implementation design.
- Recruitment of 122 horticulture workers with back pain, 30 supervisors, and 12 focus group participants.
- Random assignment to self-management video modules only or video plus multimodal support, with data collected at 3-month intervals.
Main Results:
- Project funded September 2023; video development completed June 2024.
- Enrollment commenced June 2024, with anticipated study completion in 2027.
- Analysis will compare back pain, disability, medication use, and psychological factors between control and intervention periods.
Conclusions:
- Hypothesize that self-management interventions will reduce work-related pain and disability.
- Personalized support is expected to yield greater reductions compared to video-only interventions.
- Findings will inform interventions for physically challenging outdoor work industries and address the public health issue of opioid use.
