The effectiveness of social media and in‐person interventions for low back pain conditions in nursing personnel (SMILE)

Work -related Musculoskeletal Disorders (WMSds) are mainly associated with nurses' high physical demands. Training healthy behavior can reduce these disorders. This study aimed to evaluate the effect of educational intervention based on Social Cognitive Theory (SCT) on changing unhealthy behaviors leading to(LBP) in nursing aid staff working in Qom hospitals. Method and Materials: A quasi-experimental study was conducted from 2017 to 2018 with educational intervention based on SCT was performed on 452 nursing aid. Data collection tools were the questionnaire of SCT constructs, the LBP Prevention Behavior Questionnaire (LBPBPQ), the Quebec Back Pain Disability Scale (QBPDS), and the Visual Analog Scale (VAS) for LBP. The training was based on the four structures of self-efficacy, self-regulation, outcome expectation, and moral disengagement in groups of 20 to 30 individuals. Then the pre-and post-intervention data were compared through the statistical tests. Findings: After the intervention, SCT structures were increased significantly. The mean score of lumbar health behavior after training showed a significant increase from 32.59 to 32.57. The mean score of LBP after training decreased significantly from 5.17 to 3.98 and the mean score of physical disability of LBP decreased significantly after training. Conclusion: Educational intervention based on SCT reduces the severity of LBP and the consequent disability.

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“…showed that educational intervention that is accompanied by repetition and reminder is more successful and effective [28] .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Theory-based Educational Intervention on Low Back Pain Preventive Behaviors in Nursing Aid Staff

Shojaei

Tavafian

Jamshidi

et al. 2022

IJMPP

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“…Of the 6435 unique records identified, 537 full texts were reviewed, and 27 included in the review ( Fig 1 ). Most trials were conducted in the United States [ 39 – 48 ], followed by three in the United Kingdom [ 49 – 51 ], two each in Spain [ 52 , 53 ], Sweden [ 54 , 55 ], and Thailand [ 56 , 57 ], and one each in Australia [ 58 ], Croatia [ 59 ], Finland [ 60 ], Germany [ 61 ], Iran [ 62 ], the Netherlands [ 63 ], and New Zealand [ 64 ]. One trial was conducted in both Denmark and Norway [ 65 ].…”

Section: Resultsmentioning

confidence: 99%

Patient education materials for non-specific low back pain and sciatica: A systematic review and meta-analysis

et al. 2022

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Introduction Guidelines recommend patient education materials (PEMs) for low back pain (LBP), but no systematic review has assessed PEMs on their own. We investigated the effectiveness of PEMs on process, clinical, and health system outcomes for LBP and sciatica. Methods Systematic searches were performed in MEDLINE, EMBASE, CINAHL, PsycINFO, SPORTDiscus, trial registries and grey literature through OpenGrey. We included randomized controlled trials of PEMs for LBP. Data extraction, risk of bias, and quality of evidence gradings were performed independently by two reviewers. Standardized mean differences or risk ratios and 95% confidence intervals were calculated, and effect sizes pooled using random-effects models. Analyses of acute/subacute LBP were performed separately from chronic LBP at immediate, short, medium, and long-term (6, 12, 24, and 52 weeks, respectively). Results 27 studies were identified. Compared to usual care for chronic LBP, we found moderate to low-quality evidence that PEMs improved pain intensity at immediate (SMD = -0.16 [95% CI: -0.29, -0.03]), short (SMD = -0.44 [95% CI: -0.88, 0.00]), medium (SMD = -0.53 [95% CI: -1.01, -0.05]), and long-term (SMD = -0.21 [95% CI: -0.41, -0.01]), medium-term disability (SMD = -0.32 [95% CI: -0.61, -0.03]), quality of life at short (SMD = -0.17 [95% CI: -0.30, -0.04]) and medium-term (SMD = -0.23 [95% CI: -0.41, -0.04]) and very low-quality evidence that PEMs improved global improvement ratings at immediate (SMD = -0.40 [95% CI: -0.58, -0.21]), short (SMD = -0.42 [95% CI: -0.60, -0.24]), medium (SMD = -0.46 [95% CI: -0.65, -0.28]), and long-term (SMD = -0.43 [95% CI: -0.61, -0.24]). We found very low-quality evidence that PEMs improved pain self-efficacy at immediate (SMD = -0.21 [95% CI: -0.39, -0.03]), short (SMD = -0.25 [95% CI: -0.43, -0.06]), medium (SMD = -0.23 [95% CI: -0.41, -0.05]), and long-term (SMD = -0.32 [95% CI: -0.50, -0.13]), and reduced medium-term fear-avoidance beliefs (SMD = -0.24 [95% CI: -0.43, -0.06]) and long-term stress (SMD = -0.21 [95% CI: -0.39, -0.03]). Compared to usual care for acute LBP, we found high to moderate-quality evidence that PEMs improved short-term pain intensity (SMD = -0.24 [95% CI: -0.42, -0.06]) and immediate-term quality of life (SMD = -0.24 [95% CI: -0.42, -0.07]). We found low to very low-quality evidence that PEMs increased knowledge at immediate (SMD = -0.51 [95% CI: -0.72, -0.31]), short (SMD = -0.48 [95% CI: -0.90, -0.05]), and long-term (RR = 1.28 [95% CI: 1.10, 1.49]) and pain self-efficacy at short (SMD = -0.78 [95% CI: -0.98, -0.58]) and long-term (SMD = -0.32 [95% CI: -0.52, -0.12]). We found moderate to very low-quality evidence that PEMs reduced short-term days off work (SMD = -0.35 [95% CI: -0.63, -0.08]), long-term imaging referrals (RR = 0.60 [95% CI: 0.41, 0.89]), and long-term physician visits (SMD = -0.16 [95% CI: -0.26, -0.05]). Compared to other interventions (e.g., yoga, Pilates), PEMs had no effect or were less effective for acute/subacute and chronic LBP. Conclusions There was a high degree of variability across outcomes and time points, but providing PEMs appears favorable to usual care as we observed many small, positive patient and system impacts for acute/subacute and chronic LBP. PEMs were generally less effective than other interventions; however, no cost effectiveness analyses were performed to weigh the relative benefits of these interventions to the likely less costly PEMs.

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“…The results of present study showed 54.85% of patients had moderate pain and 25.8% suffered from mild pain. Previous studies demonstrated an appropriate educational intervention can help patients to promote their preventive health behaviors and decrease their LBP [31][32][33][34][35] . Evidences showed pain intensity affected the QOL and could decrease it [31,36] .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies demonstrated an appropriate educational intervention can help patients to promote their preventive health behaviors and decrease their LBP [31][32][33][34][35] . Evidences showed pain intensity affected the QOL and could decrease it [31,36] . In this study, findings extracted from the SF-36 questionnaire displayed that there was a significant correlation between pain intensity and almost all of the QOL dimensions except social functioning.…”

Section: Discussionmentioning

confidence: 99%

Low Back Pain Intensity and Quality of Life among Patients referred to a Pain Clinic in Iran

Kazemi

Panahi

Rafighi

2021

IJMPP

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Aims: Low Back Pain (LBP) is a major contributor to disability worldwide which affected the Quality of Life (QOL). This study aimed to determine the correlation between pain intensity and QOL in patients with chronic LBP. Method and Materials: In this study, 31 patients with LBP who referred to a pain clinic in Sari , the center city of Mazandaran province of Iran were selected through simple random sampling based on inclusion/exclusion criteria. Data collection was done using a demographic questionnaire, Visual Analog Scale (VAS), and Short Form Quality of Life (SF-36). To analyze the data, descriptive / analytical statistics were used through SPSS version 23. Findings: Of the total number of patients, 51.62% were female (n=16), and 48.38% were male (n=15). The majority of the participants (N=22; 70.97%) aged greater than 60 years old. The result showed the majority of the participants (N= 17) of patients (54.85%) had moderate pain. There was a significant correlation between pain intensity and all dimensions of QOL except social functioning. Conclusion:This study revealed that low back pain could decrease physical and mental functioning of the suffered patients. Although, doing more studies with larger sample and objective measurements, applying different approaches to decrease low back pain is guaranteed.

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The effectiveness of social media and in‐person interventions for low back pain conditions in nursing personnel (SMILE)

Cited by 12 publications

References 79 publications

Effectiveness of Theory-based Educational Intervention on Low Back Pain Preventive Behaviors in Nursing Aid Staff

Effectiveness of Theory-based Educational Intervention on Low Back Pain Preventive Behaviors in Nursing Aid Staff

Patient education materials for non-specific low back pain and sciatica: A systematic review and meta-analysis

Low Back Pain Intensity and Quality of Life among Patients referred to a Pain Clinic in Iran

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