Can a Back Pain E-mail Discussion Group Improve Health Status and Lower Health Care Costs?

Lorig, Kate; Laurent, Diana; Deyo, Richard A.; Marnell, Margaret; Minor, Marian A.; Ritter, Philip L.

doi:10.1001/archinte.162.7.792

Cited by 191 publications

(188 citation statements)

References 16 publications

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“…More generally, studies have suggested that such material can improve compliance [15], alleviate anxiety and promote psychological well being [23], and reduce medical negligence claims [39]. Although other media including video and internet have been explored [9,19,41], written material is by far the simplest, cheapest and therefore potentially the most cost-effective method [38]. However, developing acceptable and effective informational material is not easy, even for the apparently simple medium of booklets or leaflets [3,12,20].…”

Section: Discussionmentioning

confidence: 99%

The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression

et al. 2006

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Post-operative management after lumbar surgery is inconsistent leading to uncertainty amongst surgeons and patients about post-operative restrictions, reactivation, and return to work. This study aimed to review the evidence on post-operative management, with a view to developing evidence-based messages for a patient booklet on post-operative management after lumbar discectomy or un-instrumented decompression. A systematic literature search produced a best-evidence synthesis of information and advice on post-operative restrictions, activation, rehabilitation, and expectations about outcomes. Evidence statements were extracted and developed into patient-centred messages for an educational booklet. The draft text was evaluated by peer and patient review. The literature review found little evidence for post-operative activity restrictions, and a strong case for an early active approach to postoperative management. The booklet was built around key messages derived from the literature review and aimed to reduce uncertainty, promote positive beliefs, encourage early reactivation, and provide practical advice on self-management. Feedback from the evaluations were favourable from both review groups, suggesting that this evidence-based approach to management is acceptable and it has clinical potential.

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Section: Discussionmentioning

confidence: 99%

The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression

et al. 2006

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“…Two trials evaluated internet-based brief interventions (Buhrman et al 2004, Lorig et al 2002. One examined the use of a closed, moderated, e-mail discussion group in people with chronic back pain having at least 1 outpatient visit in the past year, no "red-flag" symptoms, and access to e-mail (Lorig et al 2002).…”

Section: Effectiveness Of Minimal Contact (Internet-based) Interventimentioning

confidence: 99%

“…One examined the use of a closed, moderated, e-mail discussion group in people with chronic back pain having at least 1 outpatient visit in the past year, no "red-flag" symptoms, and access to e-mail (Lorig et al 2002). Participants also received a book and videotape about back pain.…”

Section: Effectiveness Of Minimal Contact (Internet-based) Interventimentioning

confidence: 99%

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

Airaksinen¹,

Brox²,

Cedraschi³

et al. 2006

Eur Spine J

2,236

1,673

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“…34 Lorig and her group have also explored more innovative group formats, such as e-mail discussion groups. 35 One year of participation in e-mail groups produced improvements in health status (pain, role function, and health distress) and a trend toward decreased physician visits.…”

Section: Studies Examining Group Programsmentioning

confidence: 99%

Group Education in Diabetes: Effectiveness and Implementation

Mensing¹,

Norris²

2003

Diabetes Spectrum

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In Brief Groups offer a forum for people with diabetes to gather and learn together. Group attendees and educators have an opportunity to use creative approaches to learning. This article defines groups, discusses related constructs, reviews effectiveness research and some of its unanswered questions, describes implementation challenges, and offers skill-building suggestions to educators who use groups as a part of an educational practice.

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Can a Back Pain E-mail Discussion Group Improve Health Status and Lower Health Care Costs?

Abstract: An e-mail discussion group can positively affect health status and possibly health care utilization. It may have a place in the treatment of chronic recurrent back pain.

Cited by 191 publications

References 16 publications

The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression

The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

Group Education in Diabetes: Effectiveness and Implementation

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