{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T19:46:55Z","timestamp":1785268015202,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Individuals with low back pain (LBP) have high healthcare use (HCU). It is currently unclear whether self\u2010management supportive interventions can decrease HCU among patients with LBP. The aim of this study was to investigate changes in visits to primary care and redeemed prescriptions of analgesics after enrolment in a self\u2010management supportive programme compared to usual care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quasi\u2010experimental study included adults with LBP who enrolled in the Danish GLA:D Back programme between 2018 and 2022. GLA:D Back is a structured 10\u2010week programme of group\u2010based patient education and supervised exercises aiming to enhance self\u2010management skills. HCU was obtained from national registries as the total quarterly visits to primary care (general practitioner, physiotherapists or chiropractor) or quarterly total redeemed defined daily doses (DDD) of analgesics (paracetamol, non\u2010steroidal anti\u2010inflammatory drugs or opioids).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 4205 individuals. From 2 to 14 quarters post\u2010enrolment, the additional quarterly reduction in HCU after the programme compared to the control group was \u22121.1 (95% CI \u22121.5 to \u22120.8) visits to primary care and \u22125.3 (95% CI \u22129.2 to \u22122.2) DDDs of redeemed analgesics. Sensitivity analyses questioned the statistical significance of the reduction in analgesic use, but results for people with LBP duration &gt;\u20091\u2009year were robust for both outcomes. The largest reductions were observed in those with high HCU at baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participation in a structured self\u2010management programme led to a sustained reduction in primary care visits and analgesic use over a 3\u2010year period, although regression to the mean may partly explain these reductions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance Statement<\/jats:title>\n                    <jats:p>This quasi\u2010experimental study demonstrated that a structured self\u2010management supportive programme for low back pain reduced future healthcare use, especially among individuals with long\u2010lasting pain or high initial healthcare use. These findings suggest a potential to alter healthcare use through structured interventions to support self\u2010management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.70170","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T16:39:23Z","timestamp":1763051963000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Change in Healthcare Use After a Self\u2010Management Supportive Intervention for Low Back Pain\u2014A Quasi\u2010Experimental Study"],"prefix":"10.1002","volume":"29","author":[{"given":"S\u00f8ren","family":"Gr\u00f8n","sequence":"first","affiliation":[{"name":"Center for Muscle and Joint Health, Departments of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense M 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