100 Chapter 5 Table 1 Continued. Mode of delivery Low-risk profile Medium-risk profile High-risk profile Integration face-to-face care and smartphone app First session Provide information about LBP and instruction on homebased exercises addressing patient’s specific functional limitations using the smartphone app Provide information about LBP, instruction on home-based exercises addressing patient’s specific functional limitations, and instruction on 3-day baseline test using the smartphone app Provide information about LBP, instructions on homebased exercises addressing patient’s specific functional limitations, and instruction on 3-day baseline test using the smartphone app Middle sessions N/Aa Evaluation of progress with the smartphone app and optimizing face-toface care Evaluation of progress with smartphone app and optimizing face-toface care Final session Evaluate the progress with the smartphone app and give recommendations to prevent recurrent episodes of LBP and maintain or improve the physical activity level Evaluate the progress with smartphone app and give recommendations to prevent recurrent episodes of LBP and maintain or improve the physical activity level Evaluate the progress with smartphone app and give recommendations to prevent recurrent episodes of LBP and maintain or improve the physical activity level aN/A: not applicable. Control: Face-to-face Physiotherapy Patients in the face-to-face physiotherapy group received only face-to-face care following the recommendations of the LBP guidelines of the Royal Dutch Society for Physiotherapy (11). The guideline distinguishes between three different patient profiles based on the clinical course of recovery (i.e., normal recovery, abnormal recovery without predominant psychosocial factors, and abnormal recovery with predominant psychosocial factors) but does not use a specific tool to stratify care a priori. The content of faceto-face physiotherapy was the same as the stratified blended care intervention (i.e., information, exercises, and recommendations regarding physical activity). However, no recommendations or restrictions were provided with regard to the number of face-toface sessions. Although web-based applications, such as websites and apps, are not recommended in the guidelines, physiotherapists were instructed to treat people without using any web-based applications to assure contrast between both groups. Practical
RkJQdWJsaXNoZXIy MTk4NDMw