CONCLUSIONS: The MyRelief study demonstrated feasibility in terms of recruitment but not retention. However, low baseline disability levels are not representative of the wider persistent LBP population. Future studies should broaden recruitment strategies, in particular, by recruiting from health care settings to improve representativeness. Although usability met industry standards, qualitative feedback suggests that navigation and accessibility require further optimization to better align with…

BACKGROUND: The United States spends more money on the care of back and neck pain than any other health condition. Despite this, the cost-effectiveness for many recommended treatments is unclear. Our primary objective for this project was to estimate the cost-effectiveness of spinal manipulative therapy (SMT), supervised exercise therapy (ET), and home exercise and advice (HEA) for spinal pain in the U.S.

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