Implementation of the ACP Guideline for Low Back Pain (IMPACt-LBP)

The purpose of this study is to assess whether the primary spine practitioner (PSP) model of care will lead to improvements in patient outcomes, as compared to usual care, based on change in patient-reported PROMIS Pain Interference and Physical Function from baseline to 3 months in patients aged 18 years and older with a primary complaint of low back pain (LBP).

Inclusion Criteria:aged 18 years and olderinitiating an outpatient visit for LBP at a participating PCP clinicagree to participate and complete baseline questionnaire (in lieu of formal written documentation of consent)Exclusion Criteria:inability to provide consent or complete outcome questionnairespositive screening for cauda equina symptoms (loss of bowel/bladder control, progressive muscle weakness)