Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Can group-based reassuring information alter low back pain behavior? A cluster-randomized controlled trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Rygsygdomme

    Publikation: Bidrag til bog/antologi/rapportBidrag til bog/antologiForskningpeer review

  2. System influences on work disability due to low back pain: An international evidence synthesis

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Individual courses of low back pain in adult Danes: a cohort study with 4-year and 8-year follow-up

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Does elite swimming accelerate lumbar intervertebral disc degeneration and increase low back pain? A cross-sectional comparison

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Whiplash(-like) injury diagnoses and co-morbidities--both before and after the injury: A national registry-based study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Low back pain (LBP) is common in the population and multifactorial in nature, often involving negative consequences. Reassuring information to improve coping is recommended for reducing the negative consequences of LBP. Adding a simple non-threatening explanation for the pain (temporary muscular dysfunction) has been successful at altering beliefs and behavior when delivered with other intervention elements. This study investigates the isolated effect of this specific information on future occupational behavior outcomes when delivered to the workforce.

DESIGN: A cluster-randomized controlled trial.

METHODS: Publically employed workers (n = 505) from 11 Danish municipality centers were randomized at center-level (cluster) to either intervention (two 1-hour group-based talks at the workplace) or control. The talks provided reassuring information together with a simple non-threatening explanation for LBP-the 'functional-disturbance'-model. Data collections took place monthly over a 1-year period using text message tracking (SMS). Primary outcomes were self-reported days of cutting down usual activities and work participation. Secondary outcomes were self-reported back beliefs, work ability, number of healthcare visits, bothersomeness, restricted activity, use of pain medication, and sadness/depression.

RESULTS: There was no between-group difference in the development of LBP during follow-up. Cumulative logistic regression analyses showed no between-group difference on days of cutting down activities, but increased odds for more days of work participation in the intervention group (OR = 1.83 95% CI: 1.08-3.12). Furthermore, the intervention group was more likely to report: higher work ability, reduced visits to healthcare professionals, lower bothersomeness, lower levels of sadness/depression, and positive back beliefs.

CONCLUSION: Reassuring information involving a simple non-threatening explanation for LBP significantly increased the odds for days of work participation and higher work ability among workers who went on to experience LBP during the 12-month follow-up. Our results confirm the potential for public-health education for LBP, and add to the discussion of simple versus multidisciplinary interventions.

OriginalsprogEngelsk
TidsskriftP L o S One
Vol/bind12
Udgave nummer3
Sider (fra-til)e0172003
ISSN1932-6203
DOI
StatusUdgivet - 2017

ID: 52044734