{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:13:31Z","timestamp":1785453211766,"version":"3.56.0"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Public Health and Rural Ecosystem","award":["Fellowship"],"award-info":[{"award-number":["Fellowship"]}]},{"name":"Health Research Foundation of Canada","award":["Graduate Scholarship"],"award-info":[{"award-number":["Graduate Scholarship"]}]},{"DOI":"10.13039\/501100000106","name":"Saskatchewan Health Research Foundation","doi-asserted-by":"publisher","award":["Establishment Grant"],"award-info":[{"award-number":["Establishment Grant"]}],"id":[{"id":"10.13039\/501100000106","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Virtual care for chronic conditions has seen uptake due to COVID-19. Evaluation of virtual models is important to ensure evidence-based practice. There is a paucity of research in the use of virtual care for management of chronic back disorders. The objective of this study was to evaluate effectiveness of a team-based virtual care model for back disorder assessment where a physical therapist uses virtual care to join a nurse practitioner and patient in a rural Saskatchewan, Canada community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty-four rural adults with chronic back disorders were randomly allocated to receive either: (1) team-based virtual care ( n\u2009=\u200924); (2) care from an urban physical therapist travelling to community ( n\u2009=\u200920); or (3) care from a rural nurse practitioner ( n\u2009=\u200920). The team-based care group involved a nurse practitioner located with a rural patient, and a physical therapist joining using virtual care. The physical therapist alone and the nurse practitioner alone groups received in-person assessments. Groups with a physical therapist involved had follow-up treatments by in-person physical therapy. Outcomes over six months included pain, disability, back beliefs, satisfaction, quality-adjusted health status and management-related costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no significant differences for pain, disability, back beliefs and satisfaction between groups. The average cost per patient for implementing in-person physical therapist assessment ($135) was higher compared with the team over virtual care ($118) and NP care ($59).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Primary outcomes were not different by group. Physical therapist alone was more costly than other groups. Future research should include more participants, longer follow-up time and refined cost parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov NCT02225535; https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02225535 (Archived by WebCite at http:\/\/www.webcitation.org\/6lqLTCNF7 ).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076241260569","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T20:49:16Z","timestamp":1717620556000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of an interprofessional assessment and management approach for people with chronic low back disorders delivered via virtual care: A randomized controlled trial pilot intervention"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6112-5606","authenticated-orcid":false,"given":"Stacey","family":"Lovo","sequence":"first","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biaka","family":"Imeah","sequence":"additional","affiliation":[{"name":"Ministry of Social Services, Government of Saskatchewan, Regina, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazmi","family":"Sari","sequence":"additional","affiliation":[{"name":"Department of Economics, College of Arts and Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Department of Economics, College of Arts and Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Milosavljevic","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3806-8468","authenticated-orcid":false,"given":"Adriana","family":"Angarita-Fonseca","sequence":"additional","affiliation":[{"name":"College of Arts and Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"},{"name":"Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue, Rouyn Noranda, Quebec, Canada"},{"name":"Centre de recherche du Centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Universidad de Santander, Bucaramanga, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenna","family":"Bath","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada"},{"name":"Canadian Center for Rural and Agricultural Health, University of Saskatchewan, Saskatoon, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,5]]},"reference":[{"key":"bibr1-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.08.017"},{"key":"bibr2-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204428"},{"key":"bibr3-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/919621"},{"key":"bibr4-20552076241260569","unstructured":"Statistics Canada. Population and dwelling counts by the Statistical Area Classification [Internet]. Government of Canada, https:\/\/www150.statcan.gc.ca\/t1\/tbl1\/en\/tv.action?pid=9810001601 (2022, accessed 22 August 2023)."},{"key":"bibr5-20552076241260569","unstructured":"Canadian Institute for Health Information. Physiotherapist Workforce, 2012. 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Fear-Avoidance Beliefs Questionnaire. 2010."},{"key":"bibr15-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199201000-00007"},{"key":"bibr16-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00006"},{"key":"bibr17-20552076241260569","first-page":"271","volume":"66","author":"Fairbank JC","year":"1980","journal-title":"Physiotherapy"},{"key":"bibr18-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(94)90133-3"},{"key":"bibr19-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/46.1.25"},{"key":"bibr20-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31815e3a10"},{"key":"bibr21-20552076241260569","doi-asserted-by":"publisher","DOI":"10.1007\/1-4020-3712-0"},{"key":"bibr22-20552076241260569","unstructured":"Rand. 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