OBJECTIVES: To compare the efficacy of an information booklet or oral information about back pain in reducing disability and fear-avoidance beliefs among patients with subacute and chronic low back pain referred to a rehabilitation department. METHODS: An alternate-month design was used for 142 patients with subacute or chronic low back pain who were hospitalized for treatment. Seventy-two patients received written standardized information about back pain (the "back book") and usual physical therapy (intervention group), and 70 received usual physical therapy only along with nonstandardized oral information (control group). The main outcome measure was disability (measured on the Quebec back-pain disability scale), and secondary outcome measures were pain intensity (measured on a visual analog scale), fear-avoidance beliefs (measured on the Fear-Avoidance Beliefs Questionnaire [FABQ] Physical component), and knowledge of the relation of back pain to physical activity assessed at baseline, just before discharge from the hospital and 3 months after discharge. Satisfaction related to the information received was assessed on the day of discharge. RESULTS: Receiving the "back book" had a significant impact on disability at 3 months, from 48.40+/-14.55 to 34.57+/-18.42 in the intervention group and from 52.17+/-16.88 to 42.40+/-14.95 in the control group (p=0.03). Receipt of the book also had a significant impact on patients' knowledge and satisfaction about information but a nonsignificant effect on fear-avoidance beliefs. CONCLUSIONS: Providing an information booklet about back pain to patients with subacute and chronic low back pain referred to a rehabilitation unit contributes to reduced disability in these patients.
RCT Entities:
OBJECTIVES: To compare the efficacy of an information booklet or oral information about back pain in reducing disability and fear-avoidance beliefs among patients with subacute and chronic low back pain referred to a rehabilitation department. METHODS: An alternate-month design was used for 142 patients with subacute or chronic low back pain who were hospitalized for treatment. Seventy-two patients received written standardized information about back pain (the "back book") and usual physical therapy (intervention group), and 70 received usual physical therapy only along with nonstandardized oral information (control group). The main outcome measure was disability (measured on the Quebec back-pain disability scale), and secondary outcome measures were pain intensity (measured on a visual analog scale), fear-avoidance beliefs (measured on the Fear-Avoidance Beliefs Questionnaire [FABQ] Physical component), and knowledge of the relation of back pain to physical activity assessed at baseline, just before discharge from the hospital and 3 months after discharge. Satisfaction related to the information received was assessed on the day of discharge. RESULTS: Receiving the "back book" had a significant impact on disability at 3 months, from 48.40+/-14.55 to 34.57+/-18.42 in the intervention group and from 52.17+/-16.88 to 42.40+/-14.95 in the control group (p=0.03). Receipt of the book also had a significant impact on patients' knowledge and satisfaction about information but a nonsignificant effect on fear-avoidance beliefs. CONCLUSIONS: Providing an information booklet about back pain to patients with subacute and chronic low back pain referred to a rehabilitation unit contributes to reduced disability in these patients.
Authors: Aileen R Neilson; Gareth T Jones; Gary J Macfarlane; Karen Walker-Bone; Kim Burton; Peter J Heine; Candy S McCabe; Alex McConnachie; Keith T Palmer; David Coggon; Paul McNamee Journal: Fam Pract Date: 2019-03-20 Impact factor: 2.267
Authors: Maria B Ospina; Paul Taenzer; Saifee Rashiq; Joy C MacDermid; Eloise Carr; Dagmara Chojecki; Christa Harstall; James L Henry Journal: Pain Res Manag Date: 2013 Nov-Dec Impact factor: 3.037
Authors: Gareth T Jones; Kathrin Mertens; Gary J Macfarlane; Keith T Palmer; David Coggon; Karen Walker-Bone; Kim Burton; Peter J Heine; Candy McCabe; Paul McNamee; Alex McConnachie Journal: BMC Musculoskelet Disord Date: 2014-03-10 Impact factor: 2.362
Authors: Gareth T Jones; Gary J Macfarlane; Karen Walker-Bone; Kim Burton; Peter Heine; Candida McCabe; Paul McNamee; Alex McConnachie; Rachel Zhang; Daniel Whibley; Keith Palmer; David Coggon Journal: RMD Open Date: 2019-03-04
Authors: Owis Eilayyan; Aliki Thomas; Marie-Christine Hallé; Sara Ahmed; Anthony C Tibbles; Craig Jacobs; Silvano Mior; Connie Davis; Roni Evans; Michael J Schneider; Heather Owens; Fadi Al Zoubi; Jan Barnsley; Cynthia R Long; Andre Bussières Journal: Chiropr Man Therap Date: 2019-10-16