 METHODS: It is important to understand whether using the method helps provide patients with more pain relief and improves their quality of life. We will invite patients visiting their primary care doctors for back pain to take part in the study. We will also ask doctors and care teams from these clinics to be part of this research. Patients who agree to be in the study will be asked questions about their back pain soon after their doctor visit and again 2 and 6 months later. These questions will be asked in a telephone or mailed survey. This information will allow us to see if using this approach in doctors offices reduces pain and improves quality of life. We will also ask a small number of patients more in-depth questions to find out if there are ways we can improve this approach. Persons with back pain will be part of the research team. They will give their opinions about all details of the study, including the strategy for implementing the approach, the questions we ask patients and doctors, and how we report the results of the study. 