A systematic review on self-management education campaigns for back pain

Loveness A Nkhata, Yolandi Brink, D. Ernstzen, Q. Louw
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引用次数: 6

Abstract

Background Evidence-based clinical practice guidelines on back pain recommend early management and use of approaches that emphasise self-management, psychological and physical therapies. Lately, mass media campaigns, addressing misconceptions about back pain, have been conducted in developed countries. Objectives This study retrieved and synthesised the contents of back pain messages and described the outcomes and effectiveness of the media campaigns. Method Seventeen key words and 10 electronic databases were used to conduct a search between February and July 2018. Authors screened titles, abstracts and full-text articles independently to identify eligible studies. Data were reported using narratives because of heterogeneity in the outcomes. Results Appraisal of articles was done using the Physiotherapy Evidence Database scale for randomised controlled trials (RCT) (one) or the Joanna Briggs Institute checklist for non-RCT (four). The campaigns were conducted in the general population in Australia, Canada, Norway, the Netherlands and Scotland. The message ‘stay as active as possible’ increased participants’ awareness and influenced their health beliefs and healthcare utilisation behaviours resulting in reductions in sick leave days, work disability, healthcare utilisation and claims. Conclusion The back pain campaign message ‘stay as active as possible’ increased participants’ awareness and influenced their health beliefs and healthcare utilisation behaviours. Even though the campaigns were done in high-income countries, their contents and methods are transferable to developing countries. However, their implementation must be tailored and efficient and cost-effective methods need to be explored. Clinical implications Providing information on back pain can contribute to significant changes in sickness behaviours and beliefs.
腰痛自我管理教育活动的系统回顾
背部疼痛的背景循证临床实践指南推荐的早期管理和使用方法,强调自我管理,心理和物理疗法。最近,发达国家开展了大众媒体宣传活动,消除人们对背痛的误解。目的:本研究检索并综合了有关背痛信息的内容,并描述了媒体宣传活动的结果和效果。方法2018年2月~ 7月,使用17个关键词和10个电子数据库进行检索。作者独立筛选标题、摘要和全文文章,以确定符合条件的研究。由于结果的异质性,数据报告使用叙述。结果采用随机对照试验(RCT)的物理治疗证据数据库量表(1份)或乔安娜布里格斯研究所(Joanna Briggs Institute)的非RCT检查表(4份)对文章进行评估。这些运动是在澳大利亚、加拿大、挪威、荷兰和苏格兰的普通民众中进行的。“尽可能保持活跃”的信息提高了参与者的意识,并影响了他们的健康信念和医疗保健利用行为,从而减少了病假天数、工作残疾、医疗保健利用和索赔。结论:“尽可能多运动”增强了参与者对背痛的认识,影响了他们的健康信念和医疗保健利用行为。尽管这些运动是在高收入国家进行的,但其内容和方法可转移到发展中国家。但是,它们的执行必须有针对性,需要探索有效和具有成本效益的方法。临床意义提供有关背部疼痛的信息有助于疾病行为和信念的重大改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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