The goal of this implementation trial is to evaluate the clinical outcomes associated with usual physiotherapy care compared to individualized physiotherapy in accordance with the Specific Treatment of Problems of the Spine (STOPS) approach in patients with chronic low back pain (CLBP). The main questions it aims to answer are:~Is the STOPS approach more effective than usual care physiotherapy among patients with CLBP?~Is STOPS physiotherapy cost-effective compared to usual physiotherapy care for patients with CLBP.~Does STOPS training improve the quality of care among Bangladeshi physiotherapists?~In phase I, patients with CLBP will be treated with usual physiotherapy care. In phase II, Bangladeshi physiotherapists will be provided with a STOPS training program by the Australian developers of STOPS. In phase III, the trained Bangladeshi physiotherapists will treat patients using the STOPS approach.~Clinical patient outcomes will be evaluated in Phase 1 and Phase 3 (pre and post implementation).~Physiotherapists' self-confidence and implementation behaviour will be evaluated before and after STOPS training.~A qualitative study of physiotherapists' and patients' experiences will be conducted after the completion of the usual care (Phase I) and STOPS treatment programs (Phase III).
The goal of this implementation trial is to evaluate the clinical outcomes associated with usual physiotherapy care compared to individualized physiotherapy in accordance with the Specific Treatment of Problems of the Spine (STOPS) approach in patients with chronic low back pain (CLBP). The main questions it aims to answer are:~Is the STOPS approach more effective than usual care physiotherapy among patients with CLBP?~Is STOPS physiotherapy cost-effective compared to usual physiotherapy care for patients with CLBP.~Does STOPS training improve the quality of care among Bangladeshi physiotherapists?