scholarly journals The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: A systematic review

2012 ◽  
Vol 16 (1) ◽  
pp. 3-17 ◽  
Author(s):  
B. Darlow ◽  
B.M. Fullen ◽  
S. Dean ◽  
D.A. Hurley ◽  
G.D. Baxter ◽  
...  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Jessica J. Wong ◽  
Andrea C. Tricco ◽  
Pierre Côté ◽  
Laura C. Rosella

Abstract Background A considerable proportion of adults with low back pain (LBP) suffer from depressive symptoms or depression. Those with depressive symptoms or depression may be at risk of poorer LBP recovery and require more health care. Understanding the role of prognostic factors for LBP is critically important to guide management and health services delivery. Our objective is to conduct a systematic review to assess the association between depressive symptoms or depression and health outcomes in adults with LBP with or without radiculopathy. Methods Electronic databases including MEDLINE, Embase, CINAHL, and PsycINFO will be searched from inception to April 2019 to identify relevant studies. Additional citations will be identified by searching reference lists of included studies and related systematic reviews. Cohort and case-control studies assessing the association between depressive symptoms/depression and health outcomes in adults aged 16 years and older with LBP with or without radiculopathy will be included. The following will be included: depressive symptoms as measured on standardized questionnaires (e.g., Center for Epidemiologic Studies Depression Scale, Beck Depression Index), and depression as standardized diagnoses (e.g., International Classification of Diseases codes) or self-reported depression diagnosis on standardized questionnaires. Outcomes of interest are standardized measures for pain, disability, overall health status, satisfaction with care, and health care utilization. These are informed by core outcome domains that international expert panels consider important for LBP research. Pairs of reviewers will screen articles retrieved from the search, extract data, and assess risk of bias using the Risk Of Bias In Non-randomized Studies-of Exposures (ROBINS-E) tool. Reviewers will use these criteria to inform their judgment on the internal validity of studies (e.g., low, moderate, or high risk of bias). If studies are deemed homogeneous, a random effects meta-analysis on the association between depressive symptoms and health outcomes will be performed. The results of the included studies will be descriptively outlined if studies are deemed heterogeneous. Discussion The impact of depressive symptoms and depression on health- and health care-related outcomes for LBP with or without radiculopathy will be assessed and quantified. Findings of this systematic review will advance our understanding of LBP prognosis, and guide decision-making and improve quality of care for adults with LBP. Systematic review registration PROSPERO CRD42019130047


Pain ◽  
2020 ◽  
Vol 161 (4) ◽  
pp. 694-702 ◽  
Author(s):  
Steven J. Kamper ◽  
Gabrielle Logan ◽  
Bethan Copsey ◽  
Jacqueline Thompson ◽  
Gustavo C. Machado ◽  
...  

2003 ◽  
Vol 8 (4) ◽  
pp. 214-222 ◽  
Author(s):  
R.W.J.G Ostelo ◽  
S.G.M Stomp-van den Berg ◽  
J.W.S Vlaeyen ◽  
P.M.J.C Wolters ◽  
H.C.W de Vet

Pain ◽  
2008 ◽  
Vol 136 (3) ◽  
pp. 388-396 ◽  
Author(s):  
B. M. Fullen ◽  
G. D. Baxter ◽  
B. G.G. O’Donovan ◽  
C. Doody ◽  
L. Daly ◽  
...  

Author(s):  
Reem Alyoubi ◽  
Afnan Alotaibi ◽  
Haifa Mohamed ◽  
Lama Alghamdi ◽  
Nouran Alhumaidi ◽  
...  

Background: Low back pain (LBP) is one of the most common reasons for long-term disability among the world. Up to 70–85% of people develop a back pain during the course of their lives. It affects people of all ages and is generally caused by sedentary jobs, obesity, smoking and low socioeconomic status. Chronic low back pain (CLBP) harms one’s work effectiveness, psychological condition and social responsibilities, such as family life. LBP is considered an indication for medical rehabilitation and is increasingly becoming a significant factor in rising healthcare costs. The current LBP guidelines recommend health care professionals to encourage patients to conduct daily physical activity, which includes remaining in purposeful work and staying active daily. Health care practitioners (HCPs) who hold negative beliefs toward CLBP are likely to suggest advice against the present guidelines, including longdays absence from their jobs.On the other hand, HCPs holding positive beliefs are more likely to appreciate the guidelines. Objective: We aimed to evaluate the beliefs and attitudes toward CLBP among medical students in Jeddah, Saudi Arabia at the King Abdulaziz University (KAU), between June–July 2018. Methods: We conducted a qualitative cross-sectional study among 370 medical students at the KAU using an online HC-PAIRS questionnaire. We entered the data using an Excel sheet (2013)and then analyzed it using SPSS (version 23). We used chi-square, one-way ANOVA and summary and independent t-tests. Results: In this study, we used the mean and standard deviation of the total score to compare our study (µ = 64.43 ± 11.34) with a previous study that focused on functional restoration HCPs at the Tufts University, USA (µ = 38 ± 7) using summary t-test (t = –25.316). The p-value was significant (<0.001). Conclusion: We demonstrated the differences between KAU students and HCPs at Tufts University regarding the HC-PAIRS questionnaire score, which revealed a higher mean score among our participants. This led us to conclude that KAU medical students hold negative attitudes and beliefs concerning the application of CLBP guidelines. In light of this, we recommend raising awareness about CLBP guidelines among the medical students and the society at large.


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