{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:54:52Z","timestamp":1790834092415,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:00:00Z","timestamp":1710979200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000279","name":"Nuffield Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000279","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Globally, back pain is the leading cause of years of disability. In the United Kingdom, over 20 million people live with musculoskeletal (MSK) pain, with low back pain being one of the most common causes. National strategies promote self\u2010management and the use of digital technologies to empower populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the uptake and impact of providing the SelfSTart approach (STarT Back and SelfBACK App) when delivered by a First Contact Physiotherapist (FCP) to people presenting with low back pain in primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients presenting with a new episode of low back pain underwent routine assessment and completion of a STarT Back questionnaire. Patients with low\/medium scores were offered the SelfBACK App. A control population was provided by the MIDAS\u2010GP study. Patient Experience, outcome measures, healthcare utilisation and retention were captured through the app and clinical systems (EMIS). Interviews with five FCPs explored the experiences of using the SelfSTart approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SelfSTarT was taken up by almost half (48%) of those to whom it was offered. Compared to MIDAS\u2010GP, users were more likely to be younger, male, in work, and with higher health literacy. SelfSTarT users reported significant improved experiences relating to receiving an agreed care plan and receiving sufficient information. There were no significant differences in treatments offered. FCPs were positive about the app and felt it had value but wanted feedback on patient progress. They recognised that a digital solution would not be suitable for all.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This approach offers an opportunity to empower and support self\u2010management, using robustly evaluated digital technology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1876","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T13:06:27Z","timestamp":1711026387000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The SelfSTarT intervention for low back pain patients presenting to first contact physiotherapists: A mixed methods service evaluation"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2518-4227","authenticated-orcid":false,"given":"K.","family":"Stevenson","sequence":"first","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"},{"name":"Midlands Partnership University Foundation NHS Trust Haywood Hospital  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Hadley\u2010Barrows","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"},{"name":"Royal Wolverhampton NHS Trust  Wolverhampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Evans","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Campbell","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Southam","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Chudyk","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2591-547X","authenticated-orcid":false,"given":"D.","family":"Ellington","sequence":"additional","affiliation":[{"name":"Midlands Partnership University Foundation NHS Trust Haywood Hospital  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Jeeves","sequence":"additional","affiliation":[{"name":"Midlands Partnership University Foundation NHS Trust Haywood Hospital  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Jenson","sequence":"additional","affiliation":[{"name":"SelfBack Company  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kleberg","sequence":"additional","affiliation":[{"name":"SelfBack Company  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Birkinshaw","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Mair","sequence":"additional","affiliation":[{"name":"Glasgow University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Dziedzic","sequence":"additional","affiliation":[{"name":"School of Medicine Primary Care Centre Versus Arthritis Keele University  Keele Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Peat","sequence":"additional","affiliation":[{"name":"Centre for Applied Health &amp; Social Care Research (CARe) Sheffield Hallam University  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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