Can group-based reassuring information alter low back pain behavior? A cluster-randomized controlled trial
Publication Date
March 27, 2017
Authors
Pernille Frederiksen, Aage Indahl, Lars L. Andersen, Kim Burton, et al
Volume
12
Issue
3
Pages
e0172003
DOI
https://dx.plos.org/10.1371/journal.pone.0172003
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0172003
Scopus
85016302322
Mendeley
http://www.mendeley.com/research/groupbased-reassuring-information-alter-low-back-pain-behavior-clusterrandomized-controlled-trial
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Mendeley | Further Information

{"title"=>"Can group-based reassuring information alter low back pain behavior? A cluster-randomized controlled trial", "type"=>"journal", "authors"=>[{"first_name"=>"Pernille", "last_name"=>"Frederiksen", "scopus_author_id"=>"56572365900"}, {"first_name"=>"Aage", "last_name"=>"Indahl", "scopus_author_id"=>"6602109666"}, {"first_name"=>"Lars L.", "last_name"=>"Andersen", "scopus_author_id"=>"26634786600"}, {"first_name"=>"Kim", "last_name"=>"Burton", "scopus_author_id"=>"7201713992"}, {"first_name"=>"Rasmus", "last_name"=>"Hertzum-Larsen", "scopus_author_id"=>"56183354400"}, {"first_name"=>"Tom", "last_name"=>"Bendix", "scopus_author_id"=>"7004170922"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"85016302322", "doi"=>"10.1371/journal.pone.0172003", "pui"=>"615010280", "pmid"=>"28346472", "scopus"=>"2-s2.0-85016302322", "issn"=>"19326203", "isbn"=>"1111111111"}, "id"=>"f134e064-6fdd-3ec0-921f-62fe78e1919a", "abstract"=>"BACKGROUND Low back pain (LBP) is common in the population and multifactorial in nature, often involving negative consequences. Reassuring information to improve coping is recommended for reducing the negative consequences of LBP. Adding a simple non-threatening explanation for the pain (temporary muscular dysfunction) has been successful at altering beliefs and behavior when delivered with other intervention elements. This study investigates the isolated effect of this specific information on future occupational behavior outcomes when delivered to the workforce. DESIGN A cluster-randomized controlled trial. METHODS Publically employed workers (n = 505) from 11 Danish municipality centers were randomized at center-level (cluster) to either intervention (two 1-hour group-based talks at the workplace) or control. The talks provided reassuring information together with a simple non-threatening explanation for LBP-the 'functional-disturbance'-model. Data collections took place monthly over a 1-year period using text message tracking (SMS). Primary outcomes were self-reported days of cutting down usual activities and work participation. Secondary outcomes were self-reported back beliefs, work ability, number of healthcare visits, bothersomeness, restricted activity, use of pain medication, and sadness/depression. RESULTS There was no between-group difference in the development of LBP during follow-up. Cumulative logistic regression analyses showed no between-group difference on days of cutting down activities, but increased odds for more days of work participation in the intervention group (OR = 1.83 95% CI: 1.08-3.12). Furthermore, the intervention group was more likely to report: higher work ability, reduced visits to healthcare professionals, lower bothersomeness, lower levels of sadness/depression, and positive back beliefs. CONCLUSION Reassuring information involving a simple non-threatening explanation for LBP significantly increased the odds for days of work participation and higher work ability among workers who went on to experience LBP during the 12-month follow-up. Our results confirm the potential for public-health education for LBP, and add to the discussion of simple versus multidisciplinary interventions.", "link"=>"http://www.mendeley.com/research/groupbased-reassuring-information-alter-low-back-pain-behavior-clusterrandomized-controlled-trial", "reader_count"=>43, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>1, "Student > Master"=>9, "Other"=>6, "Student > Bachelor"=>1, "Lecturer"=>3, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>1, "Student > Master"=>9, "Other"=>6, "Student > Bachelor"=>1, "Lecturer"=>3, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Nursing and Health Professions"=>9, "Medicine and Dentistry"=>9, "Agricultural and Biological Sciences"=>1, "Arts and Humanities"=>1, "Sports and Recreations"=>5, "Psychology"=>5, "Social Sciences"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Social Sciences"=>{"Social Sciences"=>5}, "Sports and Recreations"=>{"Sports and Recreations"=>5}, "Psychology"=>{"Psychology"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>9}, "Unspecified"=>{"Unspecified"=>8}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "group_count"=>6}

Scopus | Further Information

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