Friday, November 06, 2009
STarT Back screening Tool
STarT back screening tool on the iCSP web | |||||||||||||||||||
| Added by: camilla Posted: 17 August 2009 10:30 Hi, I have noticed that this screening tool has been added as a document to the site. Is anyone able to give more details on when this would be used? Is there anymore guidance for if an individual scores as high risk? Thanks, Camilla | |||||||||||||||||||
 | Showing 1 to 3 of 3 | ||||||||||||||||||
Hi I noticed that the document titled STarT back screen tool has been referred to in this discussion. Just to assist you further please click on the link below which will take you directly to the discussion. STarT screeding tool I hope that you find this useful. Kind regards iCSP Team
Thanks for your detailed response Gail. Camilla
Hi, The STarT back screening tool is being used in various ways. 1. Over the phone as part of Physiodirect screening 2. Face to face in order to determine who is at low, medium or high risk of disability and therefore to allocate patient to different treatments. 3. At various points in clinical pathways to help with clinical decision making. There is a version for back pain, one for musculoskeletal problems and it is being developing it into an outcome measure as well. It has also been translated into various languages. There is a STarT back website - www.keele.ac.uk/startback Jonathan Hill is the person to speak to for more information about the tool- pra36@keele.ac.uk In terms of what to do with high risk patients, we think a CBT/biopsychosocial approach to adress modifiable risk factors is needed. One of the below references is for an RCT using the STarT Back tool and just such an approach. I was one of the team that developed and delivered the training and mentoring package for this and we have developed it into an M level module at Keele university - The management of Complex Musculoskeletal patients using a Biopsychosocial approach. Key references: 1. Hill JC, Dunn KM, Lewis M, Mullis R, Main CJ, Foster NE, et al. A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Rheum 2008;59(5):632–41 http://www3.interscience.wiley.com/journal/118902658/abstract 2. Jonathan C. Hill *, Kate M. Dunn, Chris J. Main, Elaine M. Hay. Subgrouping low back pain: A comparison of the STarT Back Tool with the Örebro Musculoskeletal Pain Screening Questionnaire. Eur J. Pain 2009; doi:10.1016/j.ejpain.2009.01.003 http://www.europeanjournalpain.com/article/S1090-3801(09)00006-8/abstract 3. E Hay, K Dunn, J Hill, M Lewis, E Mason, K Konstantinou, G Sowden, S Somerville, K Vohora, D Whitehurst and C Main. A randomised clinical trial of subgrouping and targeted treatment for low back pain compared with best current care. The STarT Back Trial Study Protocol . BMC Musculoskeletal Disorders April 2008, 9:58 http://www.biomedcentral.com/1471-2474/9/58 Hope that helps. Gail Sowden | |||||||||||||||||||
10:10 Posted in Outcome Measures | Permalink | Comments (0) | Email this
Post a comment