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

Buchbinder, Rachelle

doi:10.5694/j.1326-5377.2008.tb02207.x

Cited by 40 publications

(23 citation statements)

References 33 publications

(36 reference statements)

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“…A broad-based promotion of the multimodal treatment paradigm, reflecting an institutional belief in and commitment to the treatment philosophy, may help support culture change. Australia’s “Back Pain: Don’t Take It Lying Down” campaign is one such successful example [36]. Several inaccurate but commonly held treatment beliefs – for example, that NPMs cannot or should not be used if patients are experiencing stress or other significant medical issues – could be specific targets for motivational enhancement and educational messages.…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to use of non-pharmacological treatments in chronic pain

et al. 2017

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BackgroundConsensus guidelines recommend multi-modal chronic pain treatment with increased uptake of non-pharmacological pain treatment modalities (NPMs). We aimed to identify the barriers and facilitators to uptake of evidence-based NPMs from the perspectives of patients, nurses and primary care providers (PCPs).MethodsWe convened eight separate groups and engaged each in a Nominal Group Technique (NGT) in which participants: (1) created an individual list of barriers (and, in a subsequent round, facilitators) to uptake of NPMs; (2) compiled a group list from the individual lists; and (3) anonymously voted on the top three most important barriers and facilitators. In a separate process, research staff reviewed each group’s responses and categorized them based on staff consensus.ResultsOverall, 26 patients (14 women) with chronic pain participated; their mean age was 55. Overall, 14 nurses and 12 PCPs participated. Seven healthcare professionals were men and 19 were women; the mean age was 45. We categorized barriers and facilitators as related to access, patient-provider interaction, treatment beliefs and support. Top-ranked patient-reported barriers included high cost, transportation problems and low motivation, while top-ranked facilitators included availability of a wider array of NPMs and a team-based approach that included follow-up. Top-ranked provider-reported barriers included inability to promote NPMs once opioid therapy was started and patient skepticism about efficacy of NPMs, while top-ranked facilitators included promotion of a facility-wide treatment philosophy and increased patient knowledge about risks and benefits of NPMs.ConclusionsIn a multi-stakeholder qualitative study using NGT, we found a diverse array of potentially modifiable barriers and facilitators to NPM uptake that may serve as important targets for program development.

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Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to use of non-pharmacological treatments in chronic pain

et al. 2017

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“…The findings highlight the need for further consideration of reasons provided by injured workers as they are potentially amenable to targeting using social marketing approaches. Social marketing has been used as an effective strategy for delivering preventive health messages including changing societal views on back pain [42]. …”

Section: Discussionmentioning

confidence: 99%

Bio-psychosocial determinants of time lost from work following non life threatening acute orthopaedic trauma

Clay

Newstead

Watson³

et al. 2010

BMC Musculoskelet Disord

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BackgroundTo determine factors predicting the duration of time away from work following acute orthopaedic non life threatening traumaMethodsProspective cohort study conducted at four hospitals in Victoria, Australia. The cohort comprised 168 patients aged 18-64 years who were working prior to the injury and sustained a range of acute unintentional orthopaedic injuries resulting in hospitalization. Baseline data was obtained by survey and medical record review. Multivariate Cox proportional hazards regression analysis was used to examine the association between potential predictors and the duration of time away from work during the six month study. The study achieved 89% follow-up.ResultsOf the 168 participants recruited to the study, 68% returned to work during the six month study. Multivariate Cox proportional hazards regression analysis identified that blue collar work, negative pain attitudes with respect to work, high initial pain intensity, injury severity, older age, initial need for surgery, the presence of co-morbid health conditions at study entry and an orthopaedic injury to more than one region were associated with extended duration away from work following the injury. Participants in receipt of compensation who reported high social functioning at two weeks were 2.58 times more likely to have returned to work than similar participants reporting low social functioning. When only those who had returned to work were considered, the participant reported reason for return to work " to fill the day" was a significant predictor of earlier RTW [RR 2.41 (95% C.I 1.35-4.30)] whereas "financial security" and "because they felt able to" did not achieve significance.ConclusionsMany injury-related and psycho social factors affect the duration of time away from work following orthopaedic injury. Some of these are potentially modifiable and may be amenable to intervention. Further consideration of the reasons provided by participants for returning to work may provide important opportunities for social marketing approaches designed to alleviate the financial and social burden associated with work disability.

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“…16 For example, a mass media campaign about back pain, driven partly by concerns about unnecessary back imaging, changed both community and general practitioner beliefs about management, resulting in reduced imaging, work insurance claims, and healthcare usage. 17 Scaled down versions of the programme have been replicated in several countries.…”

Section: Strategies For Communitiesmentioning

confidence: 99%

“…17 Scaled down versions of the programme have been replicated in several countries. 16 Other important initiatives include the Choosing Wisely campaign, now operating in nine countries (www. choosingwisely.org), and the UK's "do not do" list.…”

Section: Strategies For Communitiesmentioning

confidence: 99%

Walking the tightrope: communicating overdiagnosis in modern healthcare

McCaffery

Jansen

Scherer

et al. 2016

BMJ

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Communication that empowers the public, patients, clinicians, and policy makers to think differently about overdiagnosis will help support a more sustainable healthcare future for all, What are the key messages to be communicated?Understanding of overdiagnosis among the general public and health professionals is limited, so it is essential to communicate what it means for individuals, the health system, and society (box 1). By definition, overdiagnosis will not improve prognosis and will probably harm individuals (for example, by unnecessary intervention) or society (opportunity costs). For individuals, it is important to communicate the nature (physical or psychological), likelihood, and duration of the harms. For societies with free public healthcare, the financial strain and opportunity cost are usually at system level-resources wasted on unnecessary tests and treatments are unavailable for people in greater need. But in private healthcare systems, overdiagnosis can be a huge personal financial burden, even for those with insurance.Communication is further complicated because it is usually impossible to know whether an individual has been overdiagnosed or benefited from the diagnosis-overdiagnosis can only be observed at the aggregate level. Recent efforts to communicate the concept and likelihood of overdiagnosis in breast screening have had some success, albeit with much room for improvement. When given a patient decision aid including an infographic and icon array (figure⇓), 29% of women understood both the concept and quantitative outcomes of breast screening (including deaths avoided, false positive results, and overdiagnosis); 59% of women understood the conceptual information alone. Communication based strategies to mitigate overdiagnosisSeveral communication based strategies have been applied in the areas of overtesting and overtreatment and directed at individual, community, or policy levels (box 2). Strategies for individualsShared decision making is a consultation process where a clinician and patient jointly make a health decision. It changes Overdiagnosis occurs when a diagnosis is "correct" according to current professional standards but when the diagnosis or associated treatment has a low probability of benefiting the person diagnosed. 2 It is caused by a range of factors such as: • Use of increasingly sensitive tests that identify abnormalities that are indolent, non-progressive, or regressive (overdetection)• Expanded definitions of disease-for example, attention-deficit/hyperactivity disorder and dementia-and lowering of disease thresholds, such as osteoporosis (overdefinition)• Creation of pseudodiseases (also called disease mongering), such as low testosterone and restless leg syndrome• Clinicians' fear of missing a diagnosis or litigation• Public enthusiasm for screening or testing and desire for reassurance • Financial incentives Potential consequences of overdiagnosis• Psychological and behavioural effects of disease labelling• Physical harms and side effects of unnecessary tests or tr...

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

Cited by 40 publications

References 33 publications

Barriers and facilitators to use of non-pharmacological treatments in chronic pain

Barriers and facilitators to use of non-pharmacological treatments in chronic pain

Bio-psychosocial determinants of time lost from work following non life threatening acute orthopaedic trauma

Walking the tightrope: communicating overdiagnosis in modern healthcare

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