The influence of an educational internet-based intervention in the beliefs and attitudes of primary care professionals on non-specific chronic low back pain: study protocol of a mixed methods approach

Abstract

Background Personal convictions in referral to pain cause misbeliefs in health professionals, which can influence patients who suffer from non-specific chronic low back pain. Likewise, health professionals’ beliefs affect their advice and attitudes towards patients’ treatment, becoming a possible cause of greater disability. The development of educational interventions based on the best scientific evidence in neurophysiology of pain could be a way to provide information and advice to primary care health professionals to change their cognition towards chronic non-specific low back pain. The use of Information and Communication Technologies allows the development of web sites, which might be one of the effective resources to modify misbeliefs and attitudes, in relation to the origin and meaning of non-specific chronic low back pain, of primary care professionals and that may modify their attitudes in patients’ treatment. Methods The aim of this project is to identify misbeliefs and attitudes of primary care physicians and nurses about chronic non-specific low back pain to develop a web-based educational tool using different educational formats and gamification techniques. This study has a mixed-method sequential exploratory design. The participants are medical and nursing staff working in primary care centers in the city of Lleida, Spain. For the qualitative phase of this study, the authors will use personal semi-structured interviews. For the quantitative phase the authors will use an experimental study design. Subjects will be randomly allocated using a simple random sample technique. The intervention group will have access to the web site where they will find information related to non-specific chronic low back pain, based on the information obtained in the qualitative phase. The control group will have access to a video explaining the clinical practice guidelines on low back pain. Discussion This study has been designed to explore and modify the beliefs and attitudes about chronic low back pain of physicians and nurses working in primary care settings, using a web-based educational tool with different educational formats and gamification techniques. The aim of the educational intervention is to change their knowledge about the origin and meaning of pain, with the result of reducing their misbeliefs and attitudes of fear avoidance. Trial registration ClinicalTrials.gov Identifier: NCT02962817 . Date of registration: 11/09/2016. Electronic supplementary material The online version of this article (10.1186/s12875-019-0919-6) contains supplementary material, which is available to authorized users.

Establishing and Evaluating a Study Questionnaire on Knowledge and Attitudes of Healthcare Professionals Towards Recreational and Medical Cannabis Across Europe

“…Considering these feedbacks and difficulty in interpretation of answers to this question, it was decided to reformulate it in the final version of the questionnaire, and to give priority to the assessment of reasons and personal judgements of responders. Indeed, personal convictions or experience in healthcare professionals can influence patients 25 . So, the first thematic part developed in the first survey of the Working Group on medical cannabis projects of the EACPT Young Clinical Pharmacologists will focus on the perception of medical cannabis by healthcare professionals.…”

The Efficacy and Effectiveness of Education for Preventing and Treating Non-Specific Low Back Pain in the Hispanic Cultural Setting: A Systematic Review

“…Among the 1148 unique references, 908 were excluded based on their title and abstract. The full texts of the remaining 240 were assessed, after screening for inclusion criteria, 231 records were excluded since they did not conducted in the hispanic cultural setting (211), and 20 for other reasons: not a study (description of a study protocol) (3) [25][26][27], education mixed with other interventions (8) [28][29][30][31][32][33][34][35], patients with LBP mixed with patients with other conditions (2) [36,37], not a randomized controlled trial (7) [36,[38][39][40][41][42][43] and less than 10 patients per group (1) [44]; and nine RCTs were finally included in this review. Figure 1 shows the PRISMA flow diagram of this study.…”

The Mediating Effect of Model-Based Learning on Attitude and Pain Management Awareness Among Nurses During COVID 19 Pandemic in Saudi Arabia

“…Furthermore, in a qualitative study of 48 critical care nurses in Finland, video education successfully improved nurse awareness and skills about pain assessment and management (Björn et al, 2017). However, in Spain, another mixed method design study was conducted to evaluate the level of pain knowledge among health care workers in health care centres and identify the effects of a web-based educational programme to improve the health care workers' level of pain knowledge; the study was implemented in three phases, the first of which was to identify the level of pain knowledge, the second of which was to create and maintain the level of pain knowledge and start the educational programme, the educational programme, and the level of pain knowledge assessed in the final phase; the results showed an increase in misbelief, attitude, and knowledge among health care staff (García-martínez et al, 2019).…”