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Primary care waiting rooms are potential spaces for presenting health promotion resources to improve health literacy through the dissemination of easily accessible health information. This feasibility study aims to explore the feasibility of conducting a large-scale trial to investigate the benefits of multimedia educational resources delivered at outpatient physiotherapy waiting rooms of public hospitals to support patients to participate in physical activity and reduce paracetamol intake for LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>A hybrid type III feasibility study will be conducted at a public hospital in Sydney, Australia, from March to September 2024. The multimedia strategy development (pre-implementation) involves collaborative planning among healthcare professionals, policymakers and community stakeholders in physiotherapy practice. Phase II (implementation) will evaluate the acceptability and implementation processes of delivering the multimedia educational resources in the physiotherapy waiting room following the RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework. Findings from the quantitative data will be reported descriptively, and categorical data by counts and percentages. Qualitative (open-ended questions) will be integrated with the feasibility trial outcomes to inform the design of a full-scale randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This study has ethical approval from the Sydney Local Health District Human Research Ethics Committee (2023\/ETH02683). The findings will be disseminated via peer-reviewed publications, articles in relevant newsletters and presentations at national and international conferences. Social media platforms including X will also be used to generate awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-087614","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T02:59:11Z","timestamp":1735009151000},"page":"e087614","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Move to improve - Prescribing physical activity and deprescribing paracetamol for low back pain: Protocol for a hybrid type III feasibility study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3286-6998","authenticated-orcid":false,"given":"Josielli","family":"Comachio","sequence":"first","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Halliday","sequence":"additional","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia"},{"name":"Concord Repatriation General Hospital, Sydney Local Health District, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo H","family":"Ferreira","sequence":"additional","affiliation":[{"name":"The University of Sydney, Sydney Musculoskeletal Health, Charles Perkins Centre, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6007-5173","authenticated-orcid":false,"given":"Thomas","family":"Patterson","sequence":"additional","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Roberts","sequence":"additional","affiliation":[{"name":"Concord Repatriation General Hospital, Sydney Local Health District, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2479-0081","authenticated-orcid":false,"given":"Emma Kwan-Yee","family":"Ho","sequence":"additional","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula R","family":"Beckenkamp","sequence":"additional","affiliation":[{"name":"The University of Sydney, Faculty of Medicine and Health, School of Health Sciences, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"doi-asserted-by":"publisher","key":"2025121600062852000_14.12.e087614.1","DOI":"10.1016\/j.spinee.2007.10.005"},{"key":"2025121600062852000_14.12.e087614.2","doi-asserted-by":"crossref","first-page":"2368","DOI":"10.1016\/S0140-6736(18)30489-6","article-title":"Prevention and treatment of low back pain: evidence, challenges, and promising directions","volume":"391","author":"Foster","year":"2018","journal-title":"The Lancet"},{"doi-asserted-by":"publisher","key":"2025121600062852000_14.12.e087614.3","DOI":"10.1016\/j.pain.2010.07.004"},{"key":"2025121600062852000_14.12.e087614.4","article-title":"Exercises for prevention of recurrences of low-back pain","volume":"2010","author":"Choi","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"doi-asserted-by":"publisher","key":"2025121600062852000_14.12.e087614.5","DOI":"10.5694\/mja2.50992"},{"key":"2025121600062852000_14.12.e087614.6","doi-asserted-by":"crossref","first-page":"2218","DOI":"10.1111\/bcp.13656","article-title":"Long-term adverse effects of paracetamol - a review","volume":"84","author":"McCrae","year":"2018","journal-title":"Br J Clin Pharmacol"},{"key":"2025121600062852000_14.12.e087614.7","article-title":"Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews","volume":"4","author":"Geneen","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"doi-asserted-by":"crossref","unstructured":"The Lancet Rheumatology . 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