[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"backpain\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:backpain":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":29,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":5},"100656529","implementation-of-evidence-based-guidelines-for-assessment-and-counseling-of-patients-with-neck-and-back-pain-in-health-care-centers-100656529",false,"NCT07825116","Implementation of Evidence-based Guidelines for Assessment and Counseling of Patients With Neck and Back Pain in Health Care Centers","ALIGN","Inclusion Criteria:\n\n* Patients 18-70 years, with an appointment with a physician at the primary health care center for a new episode of pain or discomfort in the neck, mid-back or lower back with or without radiating symptoms to the head, arms, or leg\n\nExclusion Criteria:\n\n* Sick-leave for neck- and backpain the preceding three months (at least 50%), having consulted or been treated by licensed healthcare provider for neck- and backpain during the preceding three months, and not mastering the Swedish language","ALL","18 Years","70 Years",{"count":20,"type":21},600,"ESTIMATED","INTERVENTIONAL",[24],"NA","The overall aim is to investigate the health outcomes and consequences, from an individual and a societal perspective, of adding licensed Manual Therapists as first-contact healthcare providers in Primary Health Care centers to triage (not treat) patients seeking care for Neck and Back Pain.\n\nA hybrid, quasi-experimental Target Trial Emulation design employing mixed methods contextualized to participating Primary Health Care centers will be used.\n\nNeck and Back Pain patients with a physician's appointment at a participating Primary Health Care center will be included and followed one year;\n\n* 300 patients with care as usual who see their physician (control group),\n* 300 patients who see a licensed naprapath\u002Fchiropractor for an initial evidence-based assessment\u002Fscreening before the physicians' visit.\n\nPatient outcomes include recovery, function and work ability, as well as health economy are compared between the groups.",[27,28],"Backpain","Neck and Shoulder Pain",[30,31,32,33,34,35],"community health centers","eveidence-based practice","manual therapy","interprofessionalrealtions","low backpain","neckpain","NOT_YET_RECRUITING","2026-09-16",{"date":39,"type":40},"2026-09-17","ACTUAL",{"date":42,"type":21},"2026-11-01",{"date":44,"type":21},"2030-12-31",{"name":46,"class":47},"Karolinska Institutet","OTHER"]