Engaging consumers living in remote areas of Western Australia in the self-management of back pain: a prospective cohort study

Slater, Helen; Briggs, Andrew M.; Bunzli, Samantha; Davies, Stephanie; Smith, Anne; Quintner, John

doi:10.1186/1471-2474-13-69

Cited by 23 publications

(37 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further, although the wait to access pain medicine services in Australia has been protracted for consumers, 17 timely access has been dramatically improved in WA owing to the introduction of a system-oriented MoC for pain services, 18 introduced in parallel with initiatives to build workforce and consumer capacity to better manage musculoskeletal pain syndromes. [19][20][21][22][23] A recent audit in WA identified positive uptake of all disease-group MoCs across the WA Health Services, particularly with respect to awareness and service planning, yet responders identified that sustainable implementation efforts were stymied by lack of resources to sustainably support implementation efforts. 24 In this regard, long-term sustainability and impact of MoCs will be dependent on their uptake and support by middle and senior health managers and policy makers and research providing evidence of their benefit for improving health outcomes and system efficiencies.…”

Section: Models Of Care: Do They Make a Difference?mentioning

confidence: 99%

Models of care for musculoskeletal health in Australia: now more than ever to drive evidence into health policy and practice

Briggs¹,

Towler²,

Speerin³

et al. 2014

Aust. Health Review

View full text Add to dashboard Cite

Abstract.Musculoskeletal health conditions such as arthritis, osteoporosis and pain syndromes impart a profound socioeconomic burden worldwide, particularly in developed nations such as Australia. Despite the identified burden, substantial evidence-practice and care disparity gaps remain in service delivery and access that limit the potential for improved consumer outcomes and system efficiencies. Addressing these gaps requires a whole-of-sector response, supported by evidence-informed health policy. Models of care (MoCs) serve as a policy vehicle to embed evidence into health policy and guide practice through changes in service delivery systems and clinician behaviour. In Australia, MoCs for musculoskeletal health have been developed by networks of multidisciplinary stakeholders and are incrementally being implemented across health services, facilitated by dedicated policy units and clinical champions. A web of evidence is now emerging to support this approach to driving evidence into health policy and practice. Understanding the vernacular of MoCs and the development and implementation of MoCs is important to embracing this approach to health policy.What is known about the topic? The impact of musculoskeletal health conditions is profound. As the awareness around the magnitude of the impact of these conditions increases, the importance of system-wide policy responses and platforms for health service improvements is now recognised. The term 'models of care' is not new. It has been used for many years, mainly at the hospital level, for planning and delivering clinical services. However, over the past 8 years an alternative approach using health networks has been adopted for the development and implementation of models of care to achieve broad engagement and a wider and more sustainable scope for implementation. What does this paper add? Here, we provide a rationale for the development of models of care for musculoskeletal health and draw on experience in their development and implementation using a health network model, referring to an emerging web of evidence to support this approach. We describe what models of care are, how they are developed and question whether they make a difference and what the future may hold. What are the implications for practitioners? All indications suggest that models of care are here to stay. Therefore, this paper provides practitioners with a contemporary overview of models of care in Australia, their relevance to musculoskeletal healthcare, particularly related to closing evidence-practice gaps, and opportunities for sector engagement.

show abstract

Section: Models Of Care: Do They Make a Difference?mentioning

confidence: 99%

Models of care for musculoskeletal health in Australia: now more than ever to drive evidence into health policy and practice

Briggs¹,

Towler²,

Speerin³

et al. 2014

Aust. Health Review

View full text Add to dashboard Cite

show abstract

“…Relationships between self-care patterns and socioeconomic and disease characteristics have been examined in previous studies,7, 8, 9 but surveys comparing more than one country are scarce 10 . However, to our knowledge, no previous studies have assessed self-care patterns in individuals actively engaged in self-care, who are most likely to practice self-care in the future.…”

Section: Introductionmentioning

confidence: 99%

“…The definition of self-care in previous studies varied from that of a broad range of activities undertaken by laypeople as part of their health management 9 to that of specific self-care activities practiced without doctor involvement, 10 often only when experiencing symptoms 11 . To assess the self-care market, we defined self-care as the practice of self-determined home healthcare activities using appropriate products.…”

Section: Introductionmentioning

confidence: 99%

Self-care use patterns in the UK, US, Australia, and Japan: a multinational web-based survey

Mun

Park

Baek

et al. 2016

Integrative Medicine Research

View full text Add to dashboard Cite

BackgroundThe trend toward patient- or consumer-centered healthcare has been accelerated by advances in technology, consumer empowerment, and a shift from infectious to chronic diseases. The purpose of this study was to examine the growing self-care market by analyzing self-care patterns.MethodsWe conducted a cross-sectional, web-based survey involving adults from nine major cities in the UK, the USA, Australia, and Japan. This study examined the extent and frequency of self-care, self-care expenditure, sources of self-care information, and reasons for self-care in each country.ResultsThe results showed that the prevalence of self-care was highest in Japan (54.9%), followed by the UK (43.1%), the USA (42.5%), and Australia (40.4%). The primary reason for practicing self-care was “to manage my healthcare myself” (cited by 45.7%, 59.5%, 49.2%, and 4.1% of participants in Australia, Japan, the UK, and the USA, respectively). Significant linear associations were observed between age and the prevalence of self-care in all countries (p < 0.05), indicating that self-care prevalence decreased with age in the UK, the USA, and Australia, and increased with age in Japan. The frequency with which self-care was practiced was positively correlated with age in the USA (p < 0.05), Australia (p < 0.01), and Japan (p < 0.05). In addition to acquaintances, internet search engines and information obtained from pharmacies were considered reliable and widely used sources of self-care information.ConclusionWhen developing self-care products or services, healthcare providers and policymakers should consider self-care patterns.

show abstract

“…Back pain beliefs are known to be affected by factors such as culture, education, health literacy, place of work, personal experience of LBP and the sequelae of LBP such as disability [24,35-38]. For HCPs, the organizational and professional settings, experience in clinical practice and educational history are important correlates, some of which are potentially modifiable [39,40].…”

Section: Introductionmentioning

confidence: 99%

Low back pain beliefs are associated to age, location of work, education and pain-related disability in Chinese healthcare professionals working in China: a cross sectional survey

Tan

Smith

O’Sullivan

et al. 2014

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

BackgroundLow back pain (LBP) is the leading cause of disability worldwide. Evidence pointing towards a more efficacious model of care using a biopsychosocial approach for LBP management highlights the need to understand the pain-related beliefs of patients and those who treat them. The beliefs held by healthcare professionals (HCPs) are known to influence the treatment advice given to patients and consequently management outcomes. Back pain beliefs are known to be influenced by factors such as culture, education, health literacy, place of work, personal experience of LBP and the sequelae of LBP such as disability. There is currently a knowledge gap among these relationships in non-western countries. The aim of this study was to examine the associations between LBP-related beliefs among Chinese HCPs and characteristics of these HCPs.MethodsA convenience sample of 432 HCPs working in various health settings in Shanghai, China, completed a series of questionnaires assessing their demographic characteristics, LBP status, pain-related disability and their beliefs about their own LBP experience, using the Back beliefs Questionnaire (BBQ) and the Fear Avoidance Beliefs Questionnaire (FABQ).ResultsYounger Chinese HCPs (20–29 years) held more negative beliefs and attitudes related to LBP compared to older HCPs (>40years; BBQ mean difference [95% CI]: 2.4 [0.9 - 3.9], p = 0.001). HCPs working outside tertiary hospitals had poorer beliefs concerning the inevitable consequences of LBP (BBQ mean difference [95% CI]: −2.4 [−3.8 - −1.0], p = 0.001). HCPs who experienced LBP had higher level of fear avoidance beliefs when experiencing high LBP-related disability (FABQ-physical mean difference [95% CI]: 2.8 [1.5 - 4.1], p < 0.001; FABQ-work mean difference [95% CI]: 6.2 [4.0 - 8.4], p < 0.001)) and had lower level of fear avoidance beliefs if they had completed postgraduate study (FABQ-physical mean difference [95% CI]: 2.9 [−5.8 - 0.0], p = 0.049).ConclusionThis study suggests that LBP-related beliefs and attitudes among Chinese HCPs are influenced by age, location of work, level of LBP-related disability and education level. Understanding back pain beliefs of Chinese HCPs forms an important foundation for future studies into the condition and its management in China.

show abstract

Engaging consumers living in remote areas of Western Australia in the self-management of back pain: a prospective cohort study

Cited by 23 publications

References 68 publications

Models of care for musculoskeletal health in Australia: now more than ever to drive evidence into health policy and practice

Models of care for musculoskeletal health in Australia: now more than ever to drive evidence into health policy and practice

Self-care use patterns in the UK, US, Australia, and Japan: a multinational web-based survey

Low back pain beliefs are associated to age, location of work, education and pain-related disability in Chinese healthcare professionals working in China: a cross sectional survey

Contact Info

Product

Resources

About