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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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| Published in: | BMJ 2001-06, Vol.322 (7301), p.1516-1520 |
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| description | 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 |
| doi_str_mv | 10.1136/bmj.322.7301.1516 |
| format | article |
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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<0.001 and 3.2 (2.6 to 3.9), P<0.001, between baseline and the second and third survey, respectively). Beliefs about back pain also improved among doctors. There was a clear decline in number of claims for back pain, rates of days compensated, and medical payments for claims for back pain over the duration of the campaign. Conclusions: A population based strategy of provision of positive messages about back pain improves population and general practitioner beliefs about back pain and seems to influence medical management and reduce disability and workers' compensation costs related to back pain. What is already known on this topic The number of people with disability from back pain has risen rapidly in the past 50 years Most attempts to limit this disability include modification of occupational risk factors or dealing with the problem once it has developed Patients' attitudes and beliefs play an important part in the development of such chronic disability What this study adds A population based primary prevention intervention that provided explicit advice about back pain improved beliefs about back pain in the general population and knowledge and attitudes in general practitioners The number of workers' compensation claims for back pain decreased and the rate of days compensated and medical payments for back claims were reduced</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>ISSN: 0959-535X</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.322.7301.1516</identifier><identifier>PMID: 11420272</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>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</subject><ispartof>BMJ, 2001-06, Vol.322 (7301), p.1516-1520</ispartof><rights>2001 BMJ Publishing Group Ltd.</rights><rights>Copyright 2001 BMJ</rights><rights>2001 INIST-CNRS</rights><rights>Copyright: 2001 (c) 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright BMJ Publishing Group Jun 23, 2001</rights><rights>2001 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright © 2001, BMJ 2001</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b768t-10e5d418c8dfc32ef113f94064908cd81f05249f1c7c4abb1dfc208b472d06b93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmj.com/content/322/7301/1516.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bmj.com/content/322/7301/1516.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>112,113,230,314,780,784,885,3194,27924,27925,30999,31000,55341,58238,58471,77594,77595,77596,77597</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=999975$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11420272$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buchbinder, Rachelle</creatorcontrib><creatorcontrib>Jolley, Damien</creatorcontrib><creatorcontrib>Wyatt, Mary</creatorcontrib><title>Population based intervention to change back pain beliefs and disability: three part evaluation</title><title>BMJ</title><addtitle>BMJ</addtitle><addtitle>BMJ</addtitle><description>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<0.001 and 3.2 (2.6 to 3.9), P<0.001, between baseline and the second and third survey, respectively). Beliefs about back pain also improved among doctors. There was a clear decline in number of claims for back pain, rates of days compensated, and medical payments for claims for back pain over the duration of the campaign. Conclusions: A population based strategy of provision of positive messages about back pain improves population and general practitioner beliefs about back pain and seems to influence medical management and reduce disability and workers' compensation costs related to back pain. What is already known on this topic The number of people with disability from back pain has risen rapidly in the past 50 years Most attempts to limit this disability include modification of occupational risk factors or dealing with the problem once it has developed Patients' attitudes and beliefs play an important part in the development of such chronic disability What this study adds A population based primary prevention intervention that provided explicit advice about back pain improved beliefs about back pain in the general population and knowledge and attitudes in general practitioners The number of workers' compensation claims for back pain decreased and the rate of days compensated and medical payments for back claims were reduced</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Australia</subject><subject>Back</subject><subject>Back pain</subject><subject>Back Pain - psychology</subject><subject>Back Pain - rehabilitation</subject><subject>Beliefs</subject><subject>Biological and medical sciences</subject><subject>Chronic pain</subject><subject>Depopulation</subject><subject>Design</subject><subject>Disabilities</subject><subject>Disability</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Effectiveness</subject><subject>Evaluation</subject><subject>Family physicians</subject><subject>Female</subject><subject>Health Education - methods</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion - methods</subject><subject>Human back</subject><subject>Humans</subject><subject>Intervention</subject><subject>Interventions</subject><subject>Low back pain</subject><subject>Male</subject><subject>Mass Media</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>New South Wales</subject><subject>Pain</subject><subject>Pain management</subject><subject>Persuasive Communication</subject><subject>Physicians, Family - psychology</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Population decline</subject><subject>Population studies</subject><subject>Program Evaluation</subject><subject>Psychoeducational intervention</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Television advertising</subject><subject>Victoria</subject><subject>Victorians</subject><subject>Workers compensation</subject><subject>Workers' Compensation - statistics & numerical data</subject><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkl1v0zAUhi0EYlXZD-ACFIEEN6T42I7tTNxA-RQTX4IJcWM5jrO6S5NiJxX79zhL1Q6kDXxjye9zjo9fvwjdBTwDoPxpsVrOKCEzQTHMIAN-A02AcZlmktKbaILzLE8lUHmADkNYYowJFTLn2W10AMAIJoJMkPrUrvtad65tkkIHWyau6azf2ObiqGsTs9DNqY2iOUvW2kXM1s5WIdFNmZQu6MLVrjs_SrqFtzYivkvsRtf9RdM76Fal62APt_sUfXv96uv8bXr88c27-fPjtBBcdilgm5UMpJFlZSixVXxilTPMWY6lKSVUOCMsr8AIw3RRQMQIlgUTpMS8yOkUPRv7rvtiZUsT5_e6VmvvVtqfq1Y79afSuIU6bTeKUprjWP54W-7bn70NnVq5YGxd68a2fVCCMyAgMI3ko-tJnDMKNP8nmAnKJHAewYd_gcu29010S9H4oUxIGd2YogdXUQQzjAELeV0rEEJwiC4OrWCkjG9D8Lba2QRYDdlSMVsqZksN2VJDtmLN_cv-7iu2Sbp0tQ5G15XXjXFhx-VxiSxS90ZqGbrW71SSMS5ADO6mo-5CZ3_tdO3PFBdUZOrDyVz9-PL55PvLF-_VPPJPRn6Y-H9eke7xvTVX8r8B_IQKHQ</recordid><startdate>20010623</startdate><enddate>20010623</enddate><creator>Buchbinder, Rachelle</creator><creator>Jolley, Damien</creator><creator>Wyatt, Mary</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7RV</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20010623</creationdate><title>Population based intervention to change back pain beliefs and disability: three part evaluation</title><author>Buchbinder, Rachelle ; Jolley, Damien ; Wyatt, Mary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b768t-10e5d418c8dfc32ef113f94064908cd81f05249f1c7c4abb1dfc208b472d06b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Australia</topic><topic>Back</topic><topic>Back pain</topic><topic>Back Pain - psychology</topic><topic>Back Pain - rehabilitation</topic><topic>Beliefs</topic><topic>Biological and medical sciences</topic><topic>Chronic pain</topic><topic>Depopulation</topic><topic>Design</topic><topic>Disabilities</topic><topic>Disability</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Effectiveness</topic><topic>Evaluation</topic><topic>Family physicians</topic><topic>Female</topic><topic>Health Education - methods</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion - methods</topic><topic>Human back</topic><topic>Humans</topic><topic>Intervention</topic><topic>Interventions</topic><topic>Low back pain</topic><topic>Male</topic><topic>Mass Media</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>New South Wales</topic><topic>Pain</topic><topic>Pain management</topic><topic>Persuasive Communication</topic><topic>Physicians, Family - psychology</topic><topic>Polls & surveys</topic><topic>Population</topic><topic>Population decline</topic><topic>Population studies</topic><topic>Program Evaluation</topic><topic>Psychoeducational intervention</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Risk factors</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Television advertising</topic><topic>Victoria</topic><topic>Victorians</topic><topic>Workers compensation</topic><topic>Workers' Compensation - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buchbinder, Rachelle</creatorcontrib><creatorcontrib>Jolley, Damien</creatorcontrib><creatorcontrib>Wyatt, Mary</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>ProQuest research library</collection><collection>ProQuest Science Journals</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buchbinder, Rachelle</au><au>Jolley, Damien</au><au>Wyatt, Mary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Population based intervention to change back pain beliefs and disability: three part evaluation</atitle><jtitle>BMJ</jtitle><stitle>BMJ</stitle><addtitle>BMJ</addtitle><date>2001-06-23</date><risdate>2001</risdate><volume>322</volume><issue>7301</issue><spage>1516</spage><epage>1520</epage><pages>1516-1520</pages><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><coden>BMJOAE</coden><abstract>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<0.001 and 3.2 (2.6 to 3.9), P<0.001, between baseline and the second and third survey, respectively). Beliefs about back pain also improved among doctors. There was a clear decline in number of claims for back pain, rates of days compensated, and medical payments for claims for back pain over the duration of the campaign. Conclusions: A population based strategy of provision of positive messages about back pain improves population and general practitioner beliefs about back pain and seems to influence medical management and reduce disability and workers' compensation costs related to back pain. What is already known on this topic The number of people with disability from back pain has risen rapidly in the past 50 years Most attempts to limit this disability include modification of occupational risk factors or dealing with the problem once it has developed Patients' attitudes and beliefs play an important part in the development of such chronic disability What this study adds A population based primary prevention intervention that provided explicit advice about back pain improved beliefs about back pain in the general population and knowledge and attitudes in general practitioners The number of workers' compensation claims for back pain decreased and the rate of days compensated and medical payments for back claims were reduced</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>11420272</pmid><doi>10.1136/bmj.322.7301.1516</doi><tpages>5</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); BMJ journals single titles; JSTOR Archival Journals and Primary Sources Collection |
| 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 |
| title | Population based intervention to change back pain beliefs and disability: three part evaluation |
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