Discussion
depression, low back pain disability, anxiety
To the best of our knowledge, this is the first pilot randomized clinical trial using videoconferencing as a tool to coordinate and perform multidisciplinary sessions for CNSLBP. Other authors had previously studied the multidisciplinary approach for CNSLBP but conducted face-to-face. Our results show that multidisciplinary group videoconferencing approach is feasible within our setting to coordinate different healthcare professionals and provide the biopsychosocial model to the CNSLBP patients herein. Overall, multidisciplinary group videoconferencing approach seemed to have a positive effect, improving almost all the evaluations performed: QoL, low back pain disability, physical activity, anxiety and depression, awareness and emotional self-regulation, mental wellbeing, and especially in patients’ mental health and disability. Besides, multidisciplinary group videoconferencing approach could play a role in changing a patient's status from “candidate” to “non-candidate” for low back surgery. Videoconferencing may be a way of bypassing busy schedules, distances, and urban mobility issues, improving treatment adherence and reducing healthcare costs.