P48. Translation of the Interprofessional Spine Assessment and Education Clinic (ISAEC) to the New Brunswick population

Abstract

BACKGROUND CONTEXT ISAEC is a shared-care model for LBP patients founded in Ontario. Patients are able to receive rapid assessment, education, and evidence based self-management plans. This successful model was adapted for the New Brunswick LBP population and implemented in two centers in Saint John and Moncton. PURPOSE To demonstrate the effective establishment, through knowledge translation of the ISAEC program in New Brunswick, assessed by examining patient outcome scores, patient compliance, and primary care provider satisfaction. STUDY DESIGN/SETTING Retrospective analysis of prospectively collected data. PATIENT SAMPLE Data from the NB-ISAEC database was included for all patients with both intake and 6 week follow-up data as of February 1, 2019 (N=111). OUTCOME MEASURES Outcome measures included the Oswestry Disability Index (ODI), NRS Scales for Back and Leg Pain (NRS-B/L), Pain Catastrophizing Score (PCS), patient compliance, and Primary Care Provider (PCP) satisfaction. METHODS Continuous variables were analyzed using a paired samples t-test, and one-way ANOVA and categorical variables were analyzed using chi-squared analysis. Significance was α RESULTS Six weeks following a NB-ISAEC appointment, participants reported statistically significant improvements in ODI scores (t(111)=8.384, p 30; χ2(1) =12.143, p≤0.001). At 6 weeks patients reported high compliance with their given exercise plan; 41.8% of patients reported daily exercise, and only 5.7% of patients reported not performing their exercise weekly. A repeated measures ANOVA was performed for a preliminary look at patients with 3 month outcomes, with changes in ODI (F(2,72)=5.983, p=0.004), PCS (F(2,64)=6.215, p=0.004). Preliminary PCP satisfaction results show a favorable attitude towards the program with 90.9% of PCPs indicating they believe this program improved patient support and management and 81.8% PCPs reporting improved access to care for their patients. CONCLUSIONS After participation in NB-ISAEC, the improvements in outcome scores, high patient activation and high PCP satisfaction suggest the successful translation and validation of the ISAEC program in the New Brunswick population. This presents a potential to improve the standard of care for low back pain across Canada. Future work should quantify longer term patient health and economic benefits, and Medicare cost avoidance and efficiency. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs.