scholarly journals Health Literacy and Health Outcomes in Patients with Back Pain – A Scoping Review

2020 ◽  
Author(s):  
Clarence Ye King See ◽  
Helen Elizabeth Smith ◽  
Lorainne Tudor Car ◽  
Joanne Protheroe ◽  
Wei Cong Wong ◽  
...  

Abstract BACKGROUND: The World Health Organisation highlights back pain as a leading and growing cause of disability worldwide. In the field of chronic pain, higher health literacy is linked to lower pain intensity and better pain control. However, there remains a paucity of evidence, with a recent systematic review finding only three studies meeting its inclusion criteria. OBJECTIVES: This scoping review had two objectives in exploring research in chronic pain, which were to identify:1) The health literacy measures currently employed. 2) The back-pain health outcomes included in such work and the extent to which these reflect the core outcome set for clinical trials in non-specific low back pain.METHODS: The search broadened the search strategy used in the systematic review. It was conducted using thirteen bibliographic databases, employing medical subject heading (MeSH) terms for back pain and health literacy, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A thematic framework approach was used for analysis.RESULTS: The search yielded ten relevant studies for inclusion, amongst which a total of nine health literacy measures and 50 health outcome measures were used. The health outcomes assessed by the included studies could be broadly categorised into: Pain, Disability, Behaviour, Knowledge and Beliefs, and Resource Utilisation. Most outcome measures employed (36 out of 50) were not directly relevant to addressing the core outcome set for clinical trials in non-specific low back pain.CONCLUSIONS: A dearth of studies in this field of research was noted, especially in Asia and low-middle income countries. Methodological limitations were identified, including in study design and outcome measures. To allow for comparison across findings and the development of a rigorous evidence base, future work should include the core outcome set for clinical trials in non-specific low back pain. Furthermore, research thus far has focused on a narrow range of populations and there is an urgent need to broaden the evidence-base to include those with characteristics known to be moderators in health outcomes. Such work demands the incorporation of comprehensive measures of health literacy that have both generic and culturally sensitive components.

2021 ◽  
Author(s):  
Clarence Ye King See ◽  
Helen Elizabeth Smith ◽  
Lorainne Tudor Car ◽  
Joanne Protheroe ◽  
Wei Cong Wong ◽  
...  

Abstract BACKGROUND: The World Health Organisation highlights low back pain as a leading and growing cause of disability worldwide. In the field of chronic pain, higher health literacy is linked to lower pain intensity and better pain control. However, there remains a paucity of evidence, with a recent systematic review finding only three studies meeting its inclusion criteria. OBJECTIVES: This scoping review had two objectives in exploring research in chronic back pain, which were to identify:1) The health literacy measures currently employed for back pain and the aspects of health literacy they include.2) The back-pain health outcomes included in such work and the extent to which these reflect the core outcome set for clinical trials in non-specific low back pain.METHODS: The search broadened the search strategy used in the systematic review, with the eligibility criteria defined by the Joanna Briggs Institute PCC mnemonic, namely: · Population – Patients with LBP (≥ 10% of study population), of any age, gender, or race· Concept – Relationship of LBP health outcomes to HL· Context – Any healthcare setting, in any geographical settingIt was conducted using thirteen bibliographic databases, employing medical subject heading (MeSH) terms for low back pain and health literacy, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A thematic framework approach was used for analysis.RESULTS: The search yielded ten relevant studies for inclusion, amongst which a total of nine health literacy measures and 50 health outcome measures were used. The health outcomes assessed by the included studies could be broadly categorised into: Pain, Disability, Behaviour, Knowledge and Beliefs, and Resource Utilisation. Most outcome measures employed (36 out of 50) were not directly relevant to addressing the core outcome set for clinical trials in non-specific low back pain.CONCLUSIONS: A dearth of studies in this field of research was noted, especially in Asia and low-middle income countries. Methodological limitations were identified, including in study design and outcome measures. To allow for comparison across findings and the development of a rigorous evidence base, future work should include the core outcome set for clinical trials in non-specific low back pain. Furthermore, research thus far has focused on a narrow range of populations and there is an urgent need to broaden the evidence-base to include those with characteristics known to be moderators in health outcomes. Such work demands the incorporation of comprehensive measures of health literacy that have both generic and culturally sensitive components.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ye King Clarence See ◽  
Helen Elizabeth Smith ◽  
Lorainne Tudor Car ◽  
Joanne Protheroe ◽  
Wei Cong Wong ◽  
...  

Abstract Background Low back pain is a leading cause of disability worldwide. Health literacy has been associated with pain intensity and pain control. However, there is a paucity of evidence regarding this association. In the field of low back pain research, inconsistent reporting of outcomes has been highlighted. To address this issue a Core Outcome Set has been developed. Objectives The objectives of this scoping review were: (1) The health literacy measures currently employed for low back pain and the aspects of health literacy they include. (2) The low back pain health outcomes included in such work. (3) The extent to which these health outcomes reflect the Core Outcome Set for Clinical Trials in Non-Specific Low Back Pain. Methods The search included thirteen bibliographic databases, using medical subject heading terms for low back pain and health literacy, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. The eligibility criteria were defined by the Joanna Briggs Institute PCC mnemonic. A thematic framework approach was used for analysis. Results The search yielded ten relevant studies for inclusion, amongst which a total of nine health literacy measures and 50 health outcome measures were used. Most health literacy measures focused on functional health literacy, with few assessing communicative and critical health literacy. The health outcomes assessed by the included studies could be broadly categorised into: Pain, Disability, Behaviour, Knowledge and Beliefs, and Resource Utilisation. Most of these outcome measures studied (36 out of 50) did not directly reflect the Core Outcome Set for Clinical Trials in Non-Specific Low Back Pain. Conclusions To allow for comparison across findings and the development of a rigorous evidence base, future work should include the Core Outcome Set for Clinical Trials in Non-Specific Low Back Pain. There is an urgent need to broaden the evidence-base to include regions where low back pain morbidity is high, but data is lacking. Such work demands the incorporation of comprehensive measures of health literacy that have both generic and culturally sensitive components.


Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Alessandro Chiarotto ◽  
Caroline B Terwee ◽  
Richard A Deyo ◽  
Maarten Boers ◽  
Chung-Wei Christine Lin ◽  
...  

2012 ◽  
Vol 22 (5) ◽  
pp. 995-1001 ◽  
Author(s):  
Grzegorz Miekisiak ◽  
Marta Kollataj ◽  
Jan Dobrogowski ◽  
Wojciech Kloc ◽  
Witold Libionka ◽  
...  

2020 ◽  
Vol 29 (10) ◽  
pp. 2413-2430
Author(s):  
AlShaymaa Abdeldaiem ◽  
Emad S. B. Saweeres ◽  
Abd-Elhafiz Abd-Elsalam Shehab-Eldien ◽  
Anne F. Mannion ◽  
Aliaa Rehan Youssef

2012 ◽  
Vol 21 (12) ◽  
pp. 2539-2549 ◽  
Author(s):  
Kjersti Storheim ◽  
Jens Ivar Brox ◽  
Ida Løchting ◽  
Erik L. Werner ◽  
Margreth Grotle

2011 ◽  
Vol 21 (1) ◽  
pp. 130-137 ◽  
Author(s):  
Stéphane Genevay ◽  
Christine Cedraschi ◽  
Marc Marty ◽  
Sylvie Rozenberg ◽  
Pierre De Goumoëns ◽  
...  

2020 ◽  
Author(s):  
Matevž Topolovec ◽  
David Vozlič ◽  
Nejc Plohl ◽  
Rok Vengust ◽  
Miha Vodičar ◽  
...  

Abstract Background: To conduct a cross-cultural adaptation and validation of the Core Outcome Measures Index (COMI) in the Slovenian language, for use in patients with low back pain. Methods: The English version of COMI was translated into Slovene following established guidelines. 353 patients with chronic low back pain were recruited from the Orthopedic clinic department of a tertiary care teaching institution. Data quality, construct validity, responsiveness, and test-retest reliability of the COMI were assessed. Results: The questionnaire was generally well accepted with no missing values. The majority of items exhibited only mild floor and ceiling effects. Correlations with Oswestry Disability Index (ODI) were high (ρ = 0.76 between overall COMI and ODI scores), suggesting that the Slovene version of COMI had high construct validity. Additionally, the Slovene version of COMI successfully captured surgical patients’ improvement in their low back problem (indicator of responsiveness) and showed acceptable test-retest reliability (ICC = 0.86). Conclusions: The Slovene version of COMI showed good psychometric properties, comparable to those of previously tested language versions. It represents a valuable instrument for the use in future domestic and multicenter clinical studies.


2016 ◽  
Vol 21 (6) ◽  
pp. 723-726 ◽  
Author(s):  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Zahra Eskandari ◽  
Nasser Salsabili ◽  
Ramin Kordi ◽  
...  

2020 ◽  
Author(s):  
Matevž Topolovec ◽  
David Vozlič ◽  
Nejc Plohl ◽  
Rok Vengust ◽  
Miha Vodičar ◽  
...  

Abstract Background: To conduct a cross-cultural adaptation and validation of the Core Outcome Measures Index (COMI) in the Slovenian language, for use in patients with low back pain.Methods: The English version of COMI was translated into Slovene following established guidelines. 353 patients with chronic low back pain were recruited from the Orthopedic clinic department of a tertiary care teaching institution. Data quality, construct validity, responsiveness, and test-retest reliability of the COMI were assessed. Results: The questionnaire was generally well accepted with no missing values. The majority of items exhibited only mild ceiling effects (below 20.0%) and somewhat more prominent floor effects, which were similar to previous studies (4.5%-78.8%). Correlations with Oswestry Disability Index (ODI) were high (ρ = 0.76 between overall COMI and ODI scores), suggesting that the Slovene version of COMI had high construct validity. Additionally, the Slovene version of COMI successfully captured surgical patients’ improvement in their low back problem after surgery (overall COMI score change: Z = -9.34, p < .001, r = -0.53) and showed acceptable test-retest reliability (ICC = 0.86). Conclusions: The Slovene version of COMI showed good psychometric properties, comparable to those of previously tested language versions. It represents a valuable instrument for the use in future domestic and multicenter clinical studies.


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