Doctors With a Special Interest in Back Pain Have Poorer Knowledge About How to Treat Back Pain

Abstract

A special interest in back pain is associated with back pain management beliefs contrary to the best available evidence. This has serious implications for management of back pain in the community.

The effects of educational interventions on pharmacists’ knowledge, attitudes and beliefs towards low back pain

“…The first 14 items were identical to the validated 14-item ''Back Beliefs Questionnaire'' whilst items 15-25 were sourced from the 11-item ''Buchbinder scale'' [10,26]. Participants indicated their agreement with statements about LBP on a 5-point Likert scale of 'Strongly Disagree' (1) to 'Strongly Agree' (5).…”

“…Knowledge, attitudes and beliefs were measured using the 25-item 'Pharmacists' Back Beliefs Questionnaire' (PBBQ), developed with items taken from two previously tested back beliefs questionnaires [10,26]. The first 14 items were identical to the validated 14-item ''Back Beliefs Questionnaire'' whilst items 15-25 were sourced from the 11-item ''Buchbinder scale'' [10,26].…”

“…For example, physician surveys have identified gaps in knowledge and negative beliefs as being barriers to the uptake of evidence-based LBP guidelines [10]. Such discrepancies in practice are highlighted by reports that around one-quarter of acute (\6 weeks) LBP patients are referred for imaging despite evidence that this can delay recovery [13,14].…”

“…To date few studies have evaluated pharmacists' knowledge, attitudes and beliefs towards LBP, yet evidence suggests these factors significantly influence a health care professional's (HCP's) recommendations [7,[10][11][12]. For example, physician surveys have identified gaps in knowledge and negative beliefs as being barriers to the uptake of evidence-based LBP guidelines [10].…”

Estimation of Prognosis in Non Specific Low Back Pain from Biopsychosocial Perspectives

“…T h i s m a y b e d u e i n p a r t t o t he difficulties reported in changing physician behaviour (Buchbinder, Staples et al 2009) and then further highlighted by the difficulty reported in integrating the biopsychosocial model into clinical disiplines, such as physiotherapy (Harland and Lavallee. 2003).…”