Efetividade e implementação de um programa de autogestão personalizado para prevenir recorrências e incapacidade e promover a saúde músculo-esquelética em utentes com lombalgia

The “MyBack” project aims to compare the effectiveness of a personalized self-management program for the prevention of recurrences and usual practice, relative to usual practice alone, in people with low back pain who seek primary health care. It also aims to evaluate the acceptability, feasibility, and outcomes of an implementation strategy designed to facilitate its adoption among users and health professionals, through a hybrid type I study, of effectiveness and implementation, randomized, controlled, and multicentric.

This project uses a study type that prioritizes the study of the effectiveness of “MyBack” in the context of primary health care. In the effectiveness component, we aim to determine whether the program reduces the frequency and severity of recurrences, its impact on function, musculoskeletal health, and quality of life, and to investigate its cost-effectiveness from the provider's perspective, relative to usual practice. The acceptability, feasibility, and outcomes of the implementation strategy designed to facilitate the adoption, implementation, and future sustainability of the program will be evaluated through mixed methods. The study is designed for a 3-year time horizon and is aligned with the sustainable development goals, namely with the goal of strengthening countries' capacity for early warning, risk reduction, and management of national and global health risks. The design of this study was informed by recent studies by the research team, particularly the implementation study of stratified treatment in patients with low back pain who seek primary health care (SPLIT Project) and a large population-based observational cohort study (EpiReuma.PT).