As part of the Excellent Care for All Strategy, the Ministry of Health and Long Term Care (MOHLTC) has funded a provincial initiative on Low Back Pain which aims to enhance patient care, improve wait times and reduce inappropriate diagnostic utilization.  Education tools have been developed to assist you, as primary care providers, in better managing your patients with low back pain.

UPDATE: Re-Accreditation of Online Education

Due to popular demand, the Low Back Pain course has been re-accredited and is available until October 7, 2015 through funding received from the Ministry of Health and Long-Term Care. The online course is available to providers across Canada in both English and French, through the online platform mdBriefCase (and partner site, AdvancingIn). Please click below to access the course.

Click here to access the course on mdBriefCase (for primary care providers, students & residents)

Click here to access the course on AdvancingIn (for other healthcare providers)

 

Low Back Pain Patient Self-Management Video

The Centre for Effective Practice is excited to release a new patient video on Low Back Pain created by Dr. Mike Evans (Health Design Lab) and developed in collaboration with the Government of Ontario, and the Institute for Work & Health.

The video is targeted at Ontario adults who may be experiencing an episode of low back pain and is based on existing primary care provider evidence-informed standardized clinical tools and resources previously developed as part of the provincial Strategy.  


 

Primary Care Toolkit

This toolkit was developed to assist with the assessment and management of patients with low back pain in primary care settings. 

We strongly encourage organizations and providers to consider hosting or attending education sessions to provide further training on the evidence, skills and approach underpinning this toolkit. Please see the Education Tab for more information.
 


Clinical Tools

Developed in response to the needs identified by primary care providers to integrate multiple existing tools and evidence into a comprehensive single tool for use in practice.

CORE Back Tool

The Clinically Organized Relevant Exam (CORE) Back Tool will guide the clinician to recognize common mechanical back pain syndromes and screen for other conditions where management may include investigations, referral and specific medications. This is a focused examination for clinical decision-making in primary care.
Available in colour or black and white

Download the CORE Back Tool to be completed electronically  in English or French

CORE Back Tool: A Guide

This tool is an educational guide for primary care providers on the appropriate use of the CORE (Clinically Organized Relevant Exam) Back Tool. This guide is intended to provide clinicians with quick reminders, context and any necessary clarification for appropriate use of the tool.
Available in colour or black and white

 


Supporting Tools

The following tools are aligned with the content in the CORE Back Tool and are provided for additional support when implementing the CORE Tool in your practice. 


Opioid Risk Tool

This tool identifies patients who may be at risk for opioid dependency so that appropriate medication management can be planned.
Available in colour or black and white

Patient Education Inventory

This tool is an inventory for primary care providers to help identify useful patient education material, including a brief description of the tool and identifying where it aligns with patient key messages consistent with the primary care provider curriculum and tools.
Available in colour or black and white
 

Personal Action Planning for Patient Self Management

This tool provides 3 key questions for effective goal setting with patients as well as a quick guide to engage patients in defining a self-management action plan.
Available in colour or black and white

The Keele STarT Back Screening Tool

This screening tool categorizes patients by risk of persistent symptoms (low, medium or high), which allows the clinician to tailor interventions appropriately.
Available in colour or black and white

 

Where existing tools were used and/or modified for the CORE Back Tool, the developers and authors were contacted for permission. All supporting tools have been included in this toolkit with the permission of the developers and appropriate acknowledgement is indicated on each tool.


 

Additional Tools for Providers and Patients

In addition to the above toolkit,  the following reference tools are available for additional support:

For Providers

For Patients

 

 

 

 

 

 

 

Note that these tools are available through the websites of external organizations/groups. The developers of these reference tools are responsible for the currency, accuracy and completeness of the content published. These tools have not been translated as part of the Provincial Strategy and are currently available in English only unless otherwise indicated.

Other Relevant Material:

 

 

 

The CORE Tool and Guide are licensed under a Creative Commons Attribution-Noncommercial-NoDerivs 2.5 Canada License. You are free to Share (copy, distribute and transmit the work) given that you provide attribution, do not use the work for commercial purposes and do not alter, transform or build upon this work without contacting the Centre for Effective Practice.  If you're interested in building upon this work or use the tools for commercial purposes, contact [email protected]

Last Updated: March 2013