BeST has already been shown to be the most cost-effective treatment for low back pain[1] offering patients significantly reduced disability and pain at 12 months with sustained long-term (>36 months) benefit compared to usual treatment.[2] This has resulted in BeST being recommended in NICE back pain guidelines[3].

The iBeST online training programme has, to date, been completed by 259 NHS therapists bringing the advantages of BeST to 17 NHS trusts across the country. Because of this, 236 patients are providing data for evaluation of iBeST, while even more have benefitted from access to the treatment.

iBeST is poised to positively impact patient outcomes at a national scale, as well as reducing the societal and NHS costs of low back pain.

The lessons learnt from developing iBeST are already being used to inform the development of similar online e-learning platforms for other interventions, offering the same cost and access



[1] Lamb SE, et al (2010) Group cognitive behavioural treatment for low-back pain in primary care: a randomised controlled trial and cost-effectiveness analysis. THE LANCET, 375 (9718), 916–923

[2] Lamb, S.E. et al., 2012. Group cognitive behavioural interventions for low back pain in primary care: Extended follow-up of the Back Skills Training Trial. (ISRCTN54717854). PAIN, 153(2), 494–501

[3] www.nice.org.uk/guidance/ng59