Outcome of subacute low back pain: influence of patients' and rheumatologists' characteristics

Abstract

Back pain commonly persists 3 months later in patients with subacute low back pain. Patients and rheumatologists still have negative beliefs about back pain. Rheumatologists' beliefs influence their following guidelines on physical and occupational activities. National education programmes about low back pain are needed in France.

Psychometric properties and factor structure of the Spanish version of the HC-PAIRS questionnaire

“…This finding is consistent with a previous work by Nyland and Grimmer [32] that also found an increased lifetime prevalence of LBP in physiotherapy students and a significantly increased risk for students once they completed first year. However, previous research has not found association between health care providers personal experience of back pain and both the level of fear-avoidance beliefs [10,11,33] and the HC-PAIRS score [16,17].…”

“…Although FABQ was originally designed to measure beliefs and attitudes in patients [20], it has also been used to measure these qualities in health care providers. Coudeyre [10] and Poiraudeau [11] showed in physicians (general practitioners and rheumatologists) that a high score in FABQ was associated with a higher rate of recommendations of bed rest, sick leave and less advice to maintain maximum bearable physical activities for chronic LBP. In our study, correlations between the FABQ-W and FABQ-Phys and the HC-PAIRS were moderate, suggesting that our hypothesis were met and that convergent validity was observed.…”

“…This questionnaire has been validated in Spanish [21], German [22] and French [23]. Although the FABQ was originally designed for patients, it has been also used to measure beliefs and attitudes of general practitioners [10] and rheumatologists [11].…”

“…The role health care providers' attitudes and beliefs about back pain may play in their practice has gained recent research attention [6,9]. Additionally, it is possible that the beliefs and attitudes of the clinicians, at least in some cases, contribute to the development of chronic LBP disability, by reinforcing the perception of crippling disease, developing attitudes of hypervigilance or recommending restriction on ordinary activities [5,[10][11][12].…”

Understanding the formation and influence of attitudes in patients' treatment choices for lower back pain: Testing the benefits of a hybrid choice model approach

“…In spite of, or potentially because of unclear decision contexts, patients as well as HCPs form perceptions relating to the available options based on additional factors not relating to clinical evidence. Studies have shown that HCPs treat patients differently in accordance with their own perception of diagnosis and that HCPs are heavily guided by their beliefs about back pain in general and about the individual patient, in their treatment recommendations Poiraudeau et al, 2006;Houben et al, 2005Houben et al, , 2004Corbett et al, 2009;Pincus et al, 2007;Balagué et al, 2012;Bishop et al, 2008; In line with the above, this paper argues that, possibly particularly in scenarios where clinical evidence is limited or not clear cut, perceptions that the patient forms, either through past experience or through discussion with other patients and/or medical experts, will play a major role in shaping his or her decisions. Researchers outside of health economics have increasingly recognised that a large share of this heterogeneity could be linked to underlying values, perceptions, attitudes and beliefs (BenAkiva et al, 1999).…”