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The Sherbrooke Model
ISRCTN ISRCTN60233560
ClinicalTrials.gov identifier
Public title The Sherbrooke Model
Scientific title
Acronym ASE
Serial number at source 3140.0001
Study hypothesis A randomised controlled trial and cost-effectiveness evaluation in employees sick-listed for a period of 2 to 6 weeks due to low back pain.
Lay summary
Ethics approval The study design, protocols, procedures and informed consent form were approved by the Medical Ethics Committee of VU University Medical Centre, and all participants provided written, informed consent.
Study design Randomised controlled trial
Countries of recruitment Netherlands
Disease/condition/study domain Non specific low back pain
Participants - inclusion criteria Workers on sick leave for 2 to 6 weeks due to non specific low back pain.
Participants - exclusion criteria 1. Specific causes of low back pain:
1.1. Herniated discs with pareses
1.2. Paralysis
1.3. Spinal tumour
1.4. Spinal fracture
1.5. Ankylosing spondilitis
1.6. Spinal stenosis
1.7. Spondylolisthesis
1.8. Specific rheumatological diseases
1.9. Pregnancy
2. Serious psychiatric disorders
3. Legal conflict at work
4. Sick-listed due to low back pain less than one month prior to the current episode of sick leave
Anticipated start date 01/01/1999
Anticipated end date 01/10/2002
Status of trial Completed
Patient information material
Target number of participants 200
Interventions 1. Participatory ergonomics
2. Graded activity
3. Usual care
Primary outcome measure(s) Return to work.

Outcome measures are assessed before randomisation (after 2 - 6 weeks on sick leave) and 12 weeks, 26 weeks and 52 weeks after first day of sick leave.
Secondary outcome measure(s) Secondary outcome measures:
1. Pain intensity
2. Functional status
3. General improvement

Intermediate variables:
1. Kinesiophobia
2. Pain coping

Cost-effectiveness analysis:
1. Direct and indirect costs due to low back pain

Outcome measures are assessed before randomisation (after 2 - 6 weeks on sick leave) and 12 weeks, 26 weeks and 52 weeks after first day of sick leave.
Sources of funding 1. The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands) (ref: 3140.0001)
2. Dutch Ministries of Health, Welfare and Sports and of Social Affairs (The Netherlands)
Trial website
Publications 1. 2003 protocol in http://www.ncbi.nlm.nih.gov/pubmed/14629775
2. 2007 results in http://www.ncbi.nlm.nih.gov/pubmed/17268258
3. 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19412140
Contact name Prof  Willem  Van Mechelen
  Address van der Boechorststraat 7
  City/town Amsterdam
  Zip/Postcode 1081 BT
  Country Netherlands
  Tel +31 (0)20 444 8410
  Fax +31 (0)20 444 8387
  Email w.van_mechelen.emgo@med.vu.nl
Sponsor The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
  Address Laan van Nieuw Oost Indië 334
P.O. Box 93245
  City/town The Hague
  Zip/Postcode 2509 AE
  Country Netherlands
  Tel +31 (0)70 349 51 11
  Fax +31 (0)70 349 51 00
  Email info@zonmw.nl
Date applied 21/08/2003
Last edited 30/06/2009
Date ISRCTN assigned 22/08/2003
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