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Self-management of Low Back Pain in Horticulture Workers
Effectiveness and Implementation of Self-management Strategies for Low Back Pain Among Horticulture Workers
Who can join
Ages 18 and older · All sexes · Healthy volunteers welcome
Full eligibility criteria
Inclusion Criteria: Workers 1. working full time (30 hours or more per week) in physically demanding nursery or landscape work 2. currently employed or self-employed in nursery or landscape businesses 3. 18 years of age or older 4. English or Spanish speaking 5. experiencing continuous or intermittent LBP over the past 3 months Owners, managers, supervisors 1. Owners, managers, or supervisors who meet the same inclusion criteria as workers will be eligible to participate in the training interventions as well as the supervisory roles. 2. All owners, managers, and supervisors who are willing to participate will be enrolled. Exclusion Criteria: Workers 1. history of major trauma, surgery, or spinal nerve blocks in the past year 2. seeking disability or workman's compensation 3. self-disclosed pregnancy
About the study
The primary purpose of this hybrid Type II comparative effectiveness and implementation study is to compare two self-management strategies in nursery and landscape workers. This randomized pragmatic study will compare interventions with different degrees of support to determine if self-management videos plus multimodal personalized support is more effective than self-management videos alone for improving LBP among horticulture workers. Both groups will review short self-management video modules to introduce general pain concepts and the importance of managing pain without medication, risks of opioid use, self-management of pain, and simple ergonomic strategies for both groups. Both groups will choose 1 self-management strategy to manage pain at home and 1 ergonomic workplace strategy to limit pain. The video+support group will receive 1) check-list guidance, 2) review videos of their work tasks, and 3) receive text reminders to support implementation. Surveys will include instruments reflecting low back pain disability, pain, work ability, and affective or cognitive characteristics (self-efficacy, pain anxiety, depression, coping), collected at baseline, pre- and post-intervention, with follow-ups at 3- and 6-months. Workers will be videoed pre- and post-intervention for calculation of work risk and to compare any changes after the intervention. Specific aim 2 will identify contextual factors impacting engagement, adoption, effectiveness, and implementation. Interviews, focus groups, and field notes will be used to explain results and establish patterns to inform future translation.
What is being tested
- Self-management videos (behavioral)
- Check lists for ergonomic options (behavioral)
- Text reminders (behavioral)
- Video review (behavioral)
Sponsor: University of Florida · Participants: 164 · Started: Jun 6, 2024
Contact the study team
- Kim Dunleavy, PT, PhD · Phone: 13522736114
- Janeen Blythe, PT, DPT, ATC · Phone: 15613191035
Official record on ClinicalTrials.gov — NCT06153199
Locations in the U.S.
| Florida | University of Florida, Gainesville |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.