Exploring the complexity of commonly held attitudes and beliefs of low back pain—a network analysis

Liew, Bernard X. W.; Darlow, Ben

doi:10.3389/fmed.2024.1327791

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…Most of the participants claimed that inappropriate exercises could have a negative effect on the back ( Figure 3 ). Our findings align with previous studies that individuals have a predominant belief in the potentially back-damaging effects of activity exercise ( 45 , 46 ). However, there was significant variation in beliefs regarding preventing back pain based on gender and educational status.…”

Section: Discussionsupporting

confidence: 93%

Low back pain prevention behaviors and beliefs among the Polish population in a cross-sectional survey

Kuśmierek,

Mikołajczyk,

Złotkowska

et al. 2024

Front. Public Health

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BackgroundLow back pain (LBP) is one of the most common problems of public health and creates a burden globally. The aim was to assess the Polish population’s back pain prevention behaviors and beliefs and to examine how these health behaviors and beliefs vary across sociodemographic factors and physical activity.MethodsA cross-sectional survey was carried out among 208 randomly selected patients of the public general practitioner clinic. The differences in LBP-related beliefs and attitudes were determined due to participants’ status of requiring or non-requiring LBP treatment.ResultsMore than half of the respondents did not engage in behaviors that protect against back pain. Individuals with higher education levels and those who exercised at least once a week were significantly more likely to adopt behaviors to protect their backs. Less than half of the participants reported having a workplace that was adequately prepared to protect against back pain, and only 35.1% of the participants reported receiving instruction while taking up work on how to avoid back pain while working. According to respondents’ opinions, preventive actions are necessary to protect against back pain. Inappropriate exercises and stress can be contributors to back pain, with these opinions reported more often by women and participants with higher education levels. Participants who received treatment for LBP showed a significantly higher expression of behaviors to protect against back pain compared to participants who did not require treatment. However, there were no significant differences in participants’ beliefs about back pain prevention between the group requiring LBP treatment and the group not requiring LBP treatment.ConclusionThe study provides valuable insights into the association between LBP treatment, back pain prevention behaviors, and beliefs, suggesting potential avenues for future research and intervention development. By addressing workplace ergonomics and promoting a culture of back health, it may be possible to reduce the burden of LBP in Poland.

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Section: Discussionsupporting

confidence: 93%

Low back pain prevention behaviors and beliefs among the Polish population in a cross-sectional survey

Kuśmierek,

Mikołajczyk,

Złotkowska

et al. 2024

Front. Public Health

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Exploring patients with COPD self‐care behaviours and self‐efficacy and their interconnections: A network analysis

Wang,

Liu,

Liu

et al. 2024

Journal of Clinical Nursing

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AimThe aim of this study was to investigate self‐care behaviours of patients with chronic obstructive pulmonary disease (COPD), understand their complex interconnections and identify key behaviours influencing self‐care and self‐efficacy.DesignAn observational, cross‐sectional study design.Setting(s)The outpatient department of two tertiary hospital.MethodsA convenience sample of patients with a diagnosis of COPD were included (n = 222). Self‐care behaviours were assessed using the Chinese version of self‐care of chronic obstructive pulmonary disease inventory based on the Middle‐Range Theory of Self‐Care of Chronic Illness. Patient self‐care efficacy was evaluated using Chinese version of Self‐Care Self‐Efficacy Scale in Chronic Obstructive Pulmonary Disease. Employing network analysis, associations between behaviours (nodes) and their interrelationships (edges) were deciphered. The study was reported following the STROBE checklist.ResultsAmong the spectrum of self‐care behaviours, patients exhibited the most pronounced deficiencies in behaviours directed to enhancing breathing, monitoring extra‐respiratory symptoms and problem‐solving. Within the network, the most central emerging behaviour was the modification of prescribed therapy at the worsening of symptoms, as suggested by healthcare providers, which drives all self‐care behaviours. The confidence in being able to do something to relieve symptoms, despite difficulties, was a bridging activator of self‐care. The network structure underscored the prominence of self‐care self‐efficacy in driving self‐care maintenance, monitoring, and management behaviours.ConclusionsEducation programs for COPD should prioritise enhancing breathing, symptom monitoring and problem‐solving skills. The crucial self‐care behaviour in COPD involves adjusting treatments in response to symptom changes. Patient confidence in symptom alleviation acts as a catalyst for self‐care engagement. Targeted assessments addressing these aspects could enhance educational interventions, ultimately improving COPD patient outcomes.RegistrationThis study has been registered in the Chinese Clinical Trials Registry (registration number: ChiCTR2200059764; registration date: 11 May 2022).

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Assessing the performance of AI chatbots in answering patients' common questions about low back pain

Scaff,

Reis,

Ferreira

et al. 2025

Annals of the Rheumatic Diseases

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ObjectivesThe aim of this study was to assess the accuracy and readability of the answers generated by large language model (LLM)-chatbots to common patient questions about low back pain (LBP).MethodsThis cross-sectional study analysed responses to 30 LBP-related questions, covering self-management, risk factors and treatment. The questions were developed by experienced clinicians and researchers and were piloted with a group of consumer representatives with lived experience of LBP. The inquiries were inputted in prompt form into ChatGPT 3.5, Bing, Bard (Gemini) and ChatGPT 4.0. Responses were evaluated in relation to their accuracy, readability and presence of disclaimers about health advice. The accuracy was assessed by comparing the recommendations generated with the main guidelines for LBP. The responses were analysed by two independent reviewers and classified as accurate, inaccurate or unclear. Readability was measured with the Flesch Reading Ease Score (FRES).ResultsOut of 120 responses yielding 1069 recommendations, 55.8% were accurate, 42.1% inaccurate and 1.9% unclear. Treatment and self-management domains showed the highest accuracy while risk factors had the most inaccuracies. Overall, LLM-chatbots provided answers that were ‘reasonably difficult’ to read, with a mean (SD) FRES score of 50.94 (3.06). Disclaimer about health advice was present around 70%–100% of the responses produced.ConclusionsThe use of LLM-chatbots as tools for patient education and counselling in LBP shows promising but variable results. These chatbots generally provide moderately accurate recommendations. However, the accuracy may vary depending on the topic of each question. The reliability level of the answers was inadequate, potentially affecting the patient’s ability to comprehend the information.

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Exploring the complexity of commonly held attitudes and beliefs of low back pain—a network analysis

Cited by 3 publications

References 38 publications

Low back pain prevention behaviors and beliefs among the Polish population in a cross-sectional survey

Low back pain prevention behaviors and beliefs among the Polish population in a cross-sectional survey

Exploring patients with COPD self‐care behaviours and self‐efficacy and their interconnections: A network analysis

Assessing the performance of AI chatbots in answering patients' common questions about low back pain

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