Back beliefs in patients with low back pain: a primary care cohort study

Grøn, Søren; Jensen, Rikke Krüger; Jensen, Tue Secher; Kongsted, Alice

doi:10.1186/s12891-019-2925-1

Cited by 22 publications

(26 citation statements)

References 25 publications

(40 reference statements)

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“…Three studies were published based on parts of the cohort before data collection was finished. 16,17 Setting Chiropractic clinics were a convenience sample invited from the Central Administrative Region of Denmark that covers approximately 1.3 million inhabitants (2018). Clinics were identified from personal knowledge about clinics in the area.…”

Section: Design and Feasibilitymentioning

confidence: 99%

<p>The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations</p>

Kongsted

Nielsen

Christensen

et al. 2020

CLEP

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Background Back pain is among the most frequent reasons for care seeking globally. Observational clinical cohorts are useful for understanding why people seek care, the content of that care, and factors related to prognosis. This paper describes the Danish Chiropractic low back pain Cohort (ChiCo) and summarizes the primary characteristics of the population to inform the scientific community of the availability of these data as a resource for collaborative research projects. Methods Adults seeking chiropractic care for a new episode of non-specific back pain were enrolled at the initial visit and followed up after 2, 13, and 52 weeks, with a subpopulation having weekly follow-ups for 1 year. Patient-reported and clinical-reported data were collected in an electronic database using the REDCap software (REDCap Consortium, projectredcap.org). Variables were chosen to measure pre-defined research domains and questions and to capture information across health constructs deemed relevant for additional research. Non-responders at 13 and 52 weeks were contacted by phone to maximize follow-up data and explore differences on core outcomes between responders and non-responders. Results A total of 2848 patients (mean age 45 years, 59% men) were included from 10 clinics with 71%, 68% and 64% responding to follow-ups at 2, 13 and 52 weeks, respectively. Most participants (82%) were employed, nearly half reported current LBP for 1–7 days, and 83% had experienced LBP episodes previously. We did not identify indications of serious attrition bias. Conclusion We have described the aims and procedures for establishing the ChiCo cohort, characteristics of the cohort, and available information about attrition bias. These data have the potential to be linked, at an individual participant level, to the extensive Danish population-based registries that measure diverse health and social characteristics.

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Section: Design and Feasibilitymentioning

confidence: 99%

<p>The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations</p>

Kongsted

Nielsen

Christensen

et al. 2020

CLEP

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“…[10,11,12,13] A sizeable segment of the population, especially those with LBP, still reports believing rest or protection of the back is needed, along with comprehensive medical investigation and treatment. [14,15,16] Pessimistic LBP beliefs are common across countries and populations, and are associated with pain and disability. [17] LBP beliefs are also associated with increased health care utilization.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of the effectiveness of mass media campaigns for the management of low back pain

Suman

Armijo‐Olivo

Deshpande

et al. 2020

Disability and Rehabilitation

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Title: A systematic review of the effectiveness of mass media campaigns for the management of low back pain (LBP). Purpose: To synthesize evidence on the effectiveness of mass media campaigns for the management of LBP on beliefs of the general public and health care providers, LBPrelated disability, health utilization, and LBP clinical outcomes. Materials and Methods: Five electronic databases were searched from inception to December 17, 2019. Any studies evaluating the effectiveness of mass media campaigns for LBP were eligible. Primary outcome was general public LBP beliefs, while secondary outcomes included health care provider beliefs as well as LBP-related disability, health utilization, and clinical outcomes. Results: The search resulted in 4,164 unique records, of which 18 studies were ultimately included. These 18 studies predominantly used quasi-experimental methods to evaluate 7 LBP mass media campaigns conducted in 7 countries. All studies evaluating LBP beliefs in the general public detected positive effects. Health care provider beliefs also consistently improved. Results for behavioural outcomes (disability behaviour and health utilization) were mixed and appeared dependent on campaign characteristics and local context. A promising effect on physical activity was observed following the only campaign that evaluated this outcome, but only at 5-year follow-up. Conclusions: Mass media campaigns for LBP appear effective for improving beliefs of the general public and health care providers. Changing public and practitioner LBPrelated behaviour requires more concerted effort.

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“…Further details on the data collection procedure have been described elsewhere, 17 as have cross-sectional data from the BBQ in some of the study sample. 19 …”

Section: Methodsmentioning

confidence: 99%

Beliefs about back pain and associations with clinical outcomes: a primary care cohort study

2022

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ObjectiveTo investigate associations between beliefs about low back pain (LBP) at baseline and pain intensity and disability at 2-week, 13-week and 52-week follow-up.DesignObservational cohort study.SettingPrimary care private chiropractic clinics in Denmark.ParticipantsA total of 2734 adults consulting a chiropractor for a new episode of LBP, with follow-up data available from 71%, 61% and 52% of the participants at 2, 13 and 52 weeks, respectively.Outcome measuresBeliefs about LBP were measured by the Back Belief Questionnaire (BBQ) before consulting the chiropractor. Pain (Numerical Rating Scale 0–10) and disability (the Roland-Morris Disability Questionnaire) were measured at baseline and after 2, 13 and 52 weeks. Associations were explored using longitudinal linear mixed models estimating interactions between BBQ and time, and by estimating associations between single items of BBQ and 13-week outcomes.ResultsMore positive beliefs about LBP were weakly associated with a reduction in pain at 2 weeks (β interaction BBQ#Time=−0.02 (95% CI −0.04 to −0.001)), at 13 weeks (−0.03 (95% CI −0.05 to −0.01)) and at 52 weeks of follow-up (−0.03 (95% CI −0.05 to −0.01); p=0.003). For disability, the association was uncertain (p=0.7). The item ‘Back trouble means periods of pain for the rest of one’s life’ had the strongest association with both reduction in pain (−0.29, 95% CI −0.4 to −0.19, p<0.001) and disability (−2.42, 95% CI −3.52 to −1.33, p<0.001) at 13-week follow-up.ConclusionPositive beliefs regarding LBP, measured by the BBQ, were associated with a reduction in pain intensity at both short-term and long-term follow-up. However, the association was weak, and the clinical relevance is therefore questionable. No clear association was demonstrated between beliefs and disability. This study did not show promise that back beliefs as measured by the BBQ were helpful for predicting or explaining the course of LBP in this setting.

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Back beliefs in patients with low back pain: a primary care cohort study

Cited by 22 publications

References 25 publications

<p>The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations</p>

<p>The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations</p>

A systematic review of the effectiveness of mass media campaigns for the management of low back pain

Beliefs about back pain and associations with clinical outcomes: a primary care cohort study

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