Core qualities of an educational program to reduce fears and beliefs of GPs about low back pain: Results of a GPs, experts and literature survey

• Published in: Journal of back and musculoskeletal rehabilitation 2021-01, Vol.34 (2), p.221-233
• Main Authors: Facione, Julia, Daste, Camille, Verdaguer, Claire, Lapeyre, Éric, Lefèvre-Colau, Marie-Martine, Rannou, François, Nguyen, Christelle
• Format: Article
• Language: English
• Subjects: Back pain; Family physicians; Feasibility studies; Intervention; Knowledge; Low back pain; Medical education
• ISSN: 1053-8127; 1878-6324
• DOI: 10.3233/BMR-191596

Despite the fact that non-specific low back pain (LBP) is a frequent symptom, its management remains suboptimal in primary care. A plausible reason is the persistence of erroneous fears and beliefs among general practitioners (GPs). We aimed to determine the core qualities an educational program should have to reduce erroneous fears and beliefs about LBP among GPs. We used a two step-approach. In the first step, meaningful qualities were collected using comprehensive data source triangulation from GPs, experts and literature. In the second step, qualities were extracted by three independent investigators in a standardized manner using the Template for Intervention Description and Replication checklist. Qualities were collected from 8 GPs, 24 experts and 15 articles. Extraction revealed a wide range of qualities depending on participants' background and literature. After consensus between investigators, the most meaningful qualities included evidence-based messages and web-based interventions (videos and classes) delivered by a multidisciplinary panel of experts. We found no systematic trend for when and how much, and how to tailor the intervention. Data source triangulation revealed that the core qualities of an educational program targeting fears and beliefs about LBP among GPs should include evidence-based information, web-based interventions and a multidisciplinary panel of experts. Our findings will help us to design a provisional targeted educational intervention. This will be further assessed in a mixed-method feasibility study and then in a randomized controlled trial.