Healthcare provider back pain beliefs unaffected by a media campaign

Werner, Erik L.; Gross, Douglas P.; Lie, Stein Atle; Ihlebæk, Camilla

doi:10.1080/02813430801905664

Cited by 35 publications

(17 citation statements)

References 16 publications

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“…Evaluation of the Norwegian campaign demonstrated a small but significant shift in population beliefs towards more optimistic, self‐coping attitudes, but no overall changes in sickness behaviour, 37 and no important improvements in the back pain beliefs of health care providers exposed to the campaign 36 . The study authors concluded that a much larger investment with wider coverage would have been needed to affect changes comparable to those seen in Australia.…”

Section: Mass Media Campaigns For Back Painmentioning

confidence: 84%

“…The Norwegian Back Pain Network Active Back campaign was a small, low‐budget intervention carried out in two counties, Vestfold and Aust‐Agder, between 2002 and 2005 (Box) 36 , 37 . It comprised a low‐budget mass media campaign directed towards the general public and more targeted interventions, including an information campaign targeted to physicians, physiotherapists and chiropractors in primary health care, an information campaign directed towards social security officers and a practical intervention in six cooperating workplaces.…”

Section: Mass Media Campaigns For Back Painmentioning

confidence: 99%

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Self‐management education en masse: effectiveness of the Back Pain: Don’t Take It Lying Down mass media campaign

Buchbinder

2008

Medical Journal of Australia

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Despite the availability of a range of Australian self‐management support programs targeting the individual patient and/or health professional, three‐quarters of Australians have at least one long‐term medical condition, suggesting that a more comprehensive public health approach is needed. Use of mass media to deliver community health messages is a well established public health strategy. It may enhance more targeted approaches with its ability to reach large numbers of people simultaneously, including those difficult to identify, high‐risk groups and those difficult to reach through traditional medical delivery. By simultaneously influencing large numbers of people, well designed health messages have the potential to promote and maintain behavioural change over time. Back Pain: Don’t Take It Lying Down (1997–1999), a mass media campaign of the Victorian WorkCover Authority, can be seen as a prototype of a successful public health strategy designed to enhance people's self‐management abilities. One of the main messages of the campaign was that there is a lot you can do to help yourself, which emphasises shifting the responsibility of control onto the individual. The success of the campaign makes a compelling evidence‐based case for using a similar strategy to enhance the self‐management abilities of the population.

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Section: Mass Media Campaigns For Back Painmentioning

confidence: 84%

Section: Mass Media Campaigns For Back Painmentioning

confidence: 99%

Self‐management education en masse: effectiveness of the Back Pain: Don’t Take It Lying Down mass media campaign

Buchbinder

2008

Medical Journal of Australia

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“…Unfortunately, the Norwegian guidelines do not seem to have had great impact on the health care providers' practices [11,12]. Specific strategies for implementing guidelines in primary care have not shown changes in patients' sickness behaviour either [13,14].…”

Section: Introductionmentioning

confidence: 99%

The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care

Werner

Storheim

Løchting

et al. 2010

BMC Musculoskelet Disord

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Background: Non-specific low back pain (LBP) is usually self-limiting within 4-6 weeks. Longstanding pain and disability are not predictable from clinical signs or pathoanatomical findings. Pain cognition and physical performance have been shown to improve patients with chronic LBP following neurophysiological education. The primary aim of this study is to evaluate whether a specific cognitive based education programme for patients with LBP in primary care is more effective than normal care in terms of increased function. The secondary aims of the study are to evaluate whether this intervention also results in earlier return to work, decreased pain, increased patient satisfaction, increased quality-of-life, and cost utility.

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“…If this were the case, the pain would not be modifiable in any clinically relevant way using existing hands-on treatment, and patients generally do not relish the idea of invasive procedures. Beginning with the hands-on provider, this point needs to be driven home by any means available in educational programs funded by the public or otherwise in the future 65,66. The provider is also obliged to be familiar with and pass on to patients in lay language terms likely mechanisms for the (“non-red flag”) low back pain their treatment is endeavouring to inhibit.…”

Section: “What Does Manipulation Do?” Revisitedmentioning

confidence: 99%

Belief reinforcement: one reason why costs for low back pain have not decreased

Zusman¹

2013

JMDH

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Recent figures show that there has been no change in the upward trend of direct and indirect costs for the largely benign symptom of low back pain in Western societies. This is despite greater understanding and the recommendation of a much more conservative and independent approach to its management. Moreover, in recent years, several large-scale education programs that aim to bring knowledge of the public (including general practitioners) more in line with evidence-based best practice were carried out in different countries. The hope was that the information imparted would change beliefs, ie, dysfunctional patient behavior and biomedical practice on the part of clinicians. However, these programs had no influence on behavior or costs in three out of the four countries in which they were implemented. It is argued that one reason for the overall lack of success is that it is extremely difficult to alter the potentially disabling belief among the lay public that low back pain has a structural mechanical cause. An important reason for this is that this belief continues to be regularly reinforced by the conditions of care of a range of “hands-on” providers, for whom idiosyncratic variations of that view are fundamental to their professional existence.

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Healthcare provider back pain beliefs unaffected by a media campaign

Cited by 35 publications

References 16 publications

Self‐management education en masse: effectiveness of the Back Pain: Don’t Take It Lying Down mass media campaign

Self‐management education en masse: effectiveness of the Back Pain: Don’t Take It Lying Down mass media campaign

The COPE LBP trial: Cognitive Patient Education for Low Back Pain - a cluster randomized controlled trial in primary care

Belief reinforcement: one reason why costs for low back pain have not decreased

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