Population based intervention to change back pain beliefs and disability: three part evaluation

Abstract Objective: To evaluate the effectiveness of a population based, state-wide public health intervention designed to alter beliefs about back pain, influence medical management, and reduce disability and costs of compensation. Design: Quasi-experimental, non-randomised, non-equivalent, before...

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Bibliographic Details
Published in:BMJ 2001-06, Vol.322 (7301), p.1516-1520
Main Authors: Buchbinder, Rachelle, Jolley, Damien, Wyatt, Mary
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Attitudes
Australia
Back
Back pain
Back Pain - psychology
Back Pain - rehabilitation
Beliefs
Biological and medical sciences
Chronic pain
Depopulation
Design
Disabilities
Disability
Diseases of the osteoarticular system
Diseases of the spine
Effectiveness
Evaluation
Family physicians
Female
Health Education - methods
Health Knowledge, Attitudes, Practice
Health Promotion - methods
Human back
Humans
Intervention
Interventions
Low back pain
Male
Mass Media
Medical personnel
Medical sciences
New South Wales
Pain
Pain management
Persuasive Communication
Physicians, Family - psychology
Polls & surveys
Population
Population decline
Population studies
Program Evaluation
Psychoeducational intervention
Public health
Questionnaires
Risk factors
Surveys
Surveys and Questionnaires
Television advertising
Victoria
Victorians
Workers compensation
Workers' Compensation - statistics & numerical data
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Summary:Abstract Objective: To evaluate the effectiveness of a population based, state-wide public health intervention designed to alter beliefs about back pain, influence medical management, and reduce disability and costs of compensation. Design: Quasi-experimental, non-randomised, non-equivalent, before and after telephone surveys of the general population and postal surveys of general practitioners with an adjacent state as control group and descriptive analysis of claims database. Setting: Two states in Australia. Participants: 4730 members of general population before and two and two and a half years after campaign started, in a ratio of 2:1:1; 2556 general practitioners before and two years after campaign onset. Main outcome measures: Back beliefs questionnaire, knowledge and attitude statements about back pain, incidence of workers' financial compensation claims for back problems, rate of days compensated, and medical payments for claims related to back pain and other claims. Results: In the intervention state beliefs about back pain became more positive between successive surveys (mean improvement in questionnaire score 1.9 (95% confidence interval 1.3 to 2.5), P
ISSN:0959-8138
0959-8146
0959-535X
1468-5833
1756-1833
DOI:10.1136/bmj.322.7301.1516