Transcultural adaption and preliminary evaluation of "understanding low back pain" patient education booklet

• Published in: BMC health services research 2019-12, Vol.19 (1), p.1010-1010, Article 1010
• Main Authors: Simula, Anna Sofia, Jenkins, Hazel J, Holopainen, Riikka, Oura, Petteri, Korniloff, Katariina, Häkkinen, Arja, Takala, Esa-Pekka, Hancock, Mark J, Karppinen, Jaro
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Back pain; Back pain imaging; Child; Clinical medicine; Disabilities; Education; Exercise; Female; Finland; Guideline Adherence - statistics & numerical data; Handbooks; Health education; Health Knowledge, Attitudes, Practice; Health services; Humans; Implementation; Interpreters; Intervention; Low Back Pain - diagnostic imaging; Low Back Pain - psychology; Male; Medical research; Middle Aged; Occupational health; Pain management; Patient education; Patient Education as Topic - methods; Physicians; Practice Guidelines as Topic; Primary care; Primary Health Care; Questionnaires; Surveys and Questionnaires; Translation (Languages); Translations; Young Adult
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-019-4854-y

Low back pain (LBP) is the number one cause of disability globally. LBP is a symptom associated with biological, psychological and social factors, and serious causes for pain are very rare. Unhelpful beliefs about LBP and inappropriate imaging are common. Practitioners report pressure from patients to provide inappropriate imaging. A recently developed patient education and management booklet, 'Understanding low back pain', was designed to target previously identified barriers for reducing inappropriate imaging. The booklet includes evidence-based information on LBP and supports communication between patients and practitioners. Our aim was to 1) describe the translation process into Finnish and 2) study patients' and practitioners' attitudes to the booklet and to evaluate if it improved patients' understanding of LBP and practitioners' ability to follow imaging guidelines. We translated the booklet from English to Finnish. Preliminary evaluation of the booklet was obtained from LBP patients (n = 136) and practitioners (n = 32) using web-based questionnaires. Open-ended questions were analysed using thematic analysis. Approximately half of the patients reported that reading the booklet helped them to understand LBP, while a third thought it encouraged them to perform physical activity and decreased LBP-related fear. Eighty percent of practitioners reported that the booklet helped them to follow imaging guidelines. In addition, practitioners reported that they found the booklet helpful and that it decreased the need for imaging. The booklet seemed to be helpful in LBP management and in decreasing the need for LBP imaging according to patients and practitioners. Further research on the clinical effectiveness of the booklet in controlled study settings is needed. ISRCTN, ISRCTN14389368, Registered 4 April 2019 - Retrospectively registered; ISRCTN11875357, Registered 22 April 2019 - Retrospectively registered.