Can a patient educational book change behavior and reduce pain in chronic low back pain patients?*1

Udermann, Brian E.; Spratt, Kevin F.; Donelson, Ronald; Mayer, John M.; Graves, James E.; Tillotson, John

doi:10.1016/j.spinee.2004.01.016

Cited by 55 publications

(31 citation statements)

References 20 publications

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“…Results from RCT on their effectiveness in LBP are mixed (3,8,11,35,(40)(41)(42)(43)(44) and these prior studies have included patients with existing LB symptoms, either acute or chronic LBP. We are not aware of comparable RCT about LB-specific self-care information for non-sick-listed employees in an OH setting.…”

Section: Comparison With Previous Studiesmentioning

confidence: 99%

Face-to-face information combined with a booklet versus a booklet alone for treatment of mild low-back pain: a randomized controlled trial

Rantonen¹,

Vehtari²,

Karppinen³

et al. 2013

Scand J Work Environ Health

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Face-to-face information combined with a booklet versus a booklet alone for treatment of mild low-back pain: a randomized controlled trial by Rantonen J, Vehtari A, Karppinen J, Luoto S, Viikari-Juntura E, Hupli M, Malmivaara A, Taimela S Respondents with mild LB symptoms were randomized into the Back Book (control) Back Book+Advice (intervention) groups. Both occupational health (OH) interventions were effective, but supplementary oral information was not more effective compared to the booklet alone. Policy implications: Patient advice is important in the OH setting, but we need more evidence of the effectiveness of various types of information. Original article Scand J Work Environ Health. 2014;40(2):156-166. doi:10.5271/sjweh.3398 Face-to-face information combined with a booklet versus a booklet alone for treatment of mild low-back pain: a randomized controlled trial by Jarmo Rantonen, MD, 1 Aki Vehtari, DrTech, 2 Jaro Karppinen, MD, PhD,1, 4 Satu Luoto, MD, PhD, MD, PhD, 1 Markku Hupli, MD, PhD, 3 Antti Malmivaara, MD, PhD, 5 Simo Taimela, MD, PhD 6,7 Rantonen J, Vehtari A, Karppinen J, Luoto S, Viikari-Juntura E, Hupli M, Malmivaara A, Taimela S. Face-to-face information combined with a booklet versus a booklet alone for treating mild low-back pain: a randomized controlled trial. Scand J Work Environ Health. 2014;40(2):156-166, doi:10.5271/sjweh.3398 AffiliationObjective The aim of this study was to determine the effectiveness of face-to-face information for the treatment of mild low-back pain (LBP) in an occupational health (OH) setting. MethodsWe conducted a 48-month randomized controlled trial (RCT) with two 1:1 allocated parallel groups of forestry company employees. Eligibility criteria included permanent employment, age <57 years, and mild LBP [visual analogue scale (VAS) 10-34 mm] in a survey. The intervention group received the Back Book, an information booklet on how to manage LBP, with an additional face-to-face review of the booklet by an OH nurse. The control group received the booklet only. Primary outcomes were physical impairment (Roland-Morris 18-item (RM-18) Disability Questionnaire), LBP (VAS 100 mm), health-related quality of life [15-dimensional quality of life (15-D)] during two years and sickness absence (SA) up to four years. Participants were assigned using block randomization with a computer-generated scheme. ResultsThe RCT comprised 181 participants (72% male, mean age 44 years). There were no differences between the treatment arms in any of the primary outcomes at any time point. At 24 months, the mean group differences (intervention versus control) were: RM-18: 0 [95% confidence interval (95% CI) -1-1], VAS: 3 mm (95% CI -3-8), and 15-D 0.00 (95% CI -0.02-0.02). The difference in cumulative sickness absence days at 48 months were -3 (95% CI -28-21) for total and 1 (95% CI -3-5) for LBP specific sick leaves. Exploratory analysis revealed no differences at subgroup-levels either.Conclusions Face-to-face patient information by an OH nurse in addition to a booklet was not more eff...

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Section: Comparison With Previous Studiesmentioning

confidence: 99%

Face-to-face information combined with a booklet versus a booklet alone for treatment of mild low-back pain: a randomized controlled trial

Rantonen¹,

Vehtari²,

Karppinen³

et al. 2013

Scand J Work Environ Health

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“…A review of randomized controlled trials examining the role of advice on management of chronic low back pain showed that advice to stay active coupled with exercise was most effective for improving pain, back-specific function, and work disability [53]. Patients are also more likely to adhere to selfmanagement strategies when provided specific information about self management and its effectiveness either verbally or through books or handouts [54,55]. Finally, patients may benefit from education about the role of psychosocial factors in the maintenance of chronic pain.…”

Section: Improving Adherence By Increasing Patient Knowledge Motivatmentioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

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Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patientprovider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided. KEYWORDSChronic pain, Self management, Doctor-patient communication, Patient-centered care, Adherence Pain is one of the most common presenting problems in medical settings [1], and the majority of pain treatment tends to be carried out in the primary care context [2]. Pain that persists beyond 3 months and that does not remit with typical treatments for acute pain, such as rest, non-steroidal anti-inflammatory drugs, and heat or ice, is considered chronic pain. It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms. At its most rudimentary level, self management consists of basic methods such as distraction, physical activity, and ice or heat to manage pain. Many patients use these practices on their own or are able to easily implement them after receiving reassurance and encouragement from their providers. Other patients may benefit from additional self-management techniques, such as those emphasized in cognitivebehavioral treatment for chronic pain, that aim to modify the thoughts and behaviors that contribute to the maintenance and exacerbation of pain. Such self-management skills include time-based pacing, relaxation, stress management, and identifying and modifying catastrophic ...

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“…O grupo experimental recebeu um programa educacional de autocuidado com as seguintes estratégias: (1) uma Cartilha de Autocuidado de Coluna, adaptada e baseada no livro "Trate você mesmo sua Coluna", de Robin McKenzie (2007), livro apontado como ferramenta capaz de modificar comportamento e reduzir significativamente a DL crônica em pacientes adultos (Udermann et al, 2004), e (2) um workshop. Figura 1.…”

Section: Procedimentosunclassified

“…Esses achados vêm corroborar com os de Udermann et al (2004), que se propuseram a verificar se a leitura do livro "Trate você mesmo sua coluna" (McKenzie, 2007) obra na qual se baseou o presente estudo, poderia modificar o comportamento e reduzir a dor lombar crôni-ca em pacientes adultos (n = 62). Em 9 meses de acompanhamento, os resultados desses autores mostraram que essa conduta apresentou eficácia clínica considerável na diminuição da dor (p < 0.03), na redução de número de episódios de dor (p < 0.0001), em uma menor utilização dos serviços de saúde e no benefício percebido pelos sujeitos (p < 0.04), sendo que em 18 meses os ganhos foram mantidos ou apresentaram melhora ainda maior.…”

Section: Tabelaunclassified

“…Dentre os estudos que investigaram efeitos associados de programas educacionais e de autocuidado relacionados à DL aguda e cróni-ca, resultados significativos foram demonstrados no que se refere ao controle da dor e da incapacidade, incremento da atividade física, diminuição do medo, redução da ansiedade/depressão, aumento da qualidade de vida e diminuição de reincidências e frequência dos sintomas (Albaladejo, Kovacs, Royuela, del Pino, & Zamora, 2010;Damush et al, 2003;Heymans, van Tulder, Esmail, Bombardier, & Koes, 2004;Meng et al, 2011;Udermann et al, 2004). Porém, poucos autores investigaram seus efeitos na DL crônica da população idosa (Haas et al, 2005;Kovacs et al, 2007), encontrando resultados positivos e significativos apenas na incapacidade funcional relacionada à Programa educacional de autocuidado de coluna | 55 DL dentre as várias variáveis estudadas como: intensidade de dor, saúde geral, qualidade de vida, entre outras.…”

Section: Introductionunclassified

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Efeitos de um programa educacional de autocuidado de coluna em idosos com dor lombar crônica: um estudo quasi-experimental

Rios

Leite

Pereira³

et al. 2015

Motricidade

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ARTIGO ORIGINAL | ORIGINAL ARTICLE RESUMOO estudo teve por objetivo verificar os efeitos de um programa educacional de autocuidado de coluna, no controle da dor e na incapacidade em idosos ativos com dor lombar crônica (DL) não específica. Os idosos foram divididos em grupo experimental (GE n = 17) e controle (GC n = 13). A intervenção consistiu na entrega de uma cartilha educativa e um workshop. Foram variáveis dependentes: 1. intensidade da dor (EVN), 2. capacidade funcional relacionada à DL (RMQ), 3. quantidade de pontos de dor, 4. uso de medicação para DL e 5. frequência de uso de medicação para DL. Houve avaliação pré e após 1 mês da primeira avaliação. Na avaliação intragrupo foi observada no GE diminuição significativa de todos os parâmetros avaliados (todos p < 0,05) fato não observado no GC. Quanto à análise entre os grupos houve melhora significativa com tamanhos de efeitos moderados a grandes no GE para EVN (p=0.003, TE=0.53), no RMQ (p=0.037, TE=0.38) e nos pontos de dor (p=0.006, TE=0.49). Os resultados demonstraram que a cartilha pode ser uma ferramenta útil, capaz de gerar independência no cuidado e tratamento da DL crônica em idosos ativos.Palavras-chave: Lombalgia, idoso, autocuidado, educação ABSTRACT The purpose of this paper was to investigate the effects of an educational self-care program of spine in the control of pain and disability in actives older adults with chronic non-specific low back pain (LBP). They were divided in an experimental group (EG n = 17) and a control group (CG n = 13). The intervention consisted of delivering an educational booklet and also attending a workshop. Dependent variables were: 1. pain intensity (EVN), 2. functional capacity related to LBP (RMQ), 3. amount of pain points, 4. medication for LBP, 5. frequency of medication for LBP. There was evaluation pre and after 1 month of the first evaluation. The intragroup evaluation was observed in EG significant reduction of all parameters (all p < 0.05) was not observed in CG. Regarding the analysis between groups showed significant improvement with moderate to large effect sizes in EG to EVN (p=0.003, TE=0.53), RMQ (p=0.037, TE=0.38) and pain points (p=0.006, TE=0.49). The results highlight the booklet as a useful tool, capable of generating independence in the self-care for active older adults with chronic LBP.

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Can a patient educational book change behavior and reduce pain in chronic low back pain patients?*1

Cited by 55 publications

References 20 publications

Face-to-face information combined with a booklet versus a booklet alone for treatment of mild low-back pain: a randomized controlled trial

Face-to-face information combined with a booklet versus a booklet alone for treatment of mild low-back pain: a randomized controlled trial

Providers' roles in enhancing patients' adherence to pain self management

Efeitos de um programa educacional de autocuidado de coluna em idosos com dor lombar crônica: um estudo quasi-experimental

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