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Scandinavian Journal of Pain

Official Journal of the Scandinavian Association for the Study of Pain

Editor-in-Chief: Breivik, Harald


CiteScore 2018: 0.85

SCImago Journal Rank (SJR) 2018: 0.494
Source Normalized Impact per Paper (SNIP) 2018: 0.427

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1877-8879
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Volume 16, Issue 1

Issues

The effects of a brief educational intervention on medical students’ knowledge, attitudes and beliefs towards low back pain

Christina Abdel Shaheed
  • Corresponding author
  • School of Public Health, Sydney Medical School, The University of Sydney, Sydney, Australia
  • School of Medicine, Western Sydney University, Sydney, Australia
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Jane Graves / Chris Maher
  • Corresponding author
  • School of Public Health, Sydney Medical School, The University of Sydney, Sydney, Australia
  • Sydney Medical School, University of Sydney, Sydney, Australia
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-07-01 | DOI: https://doi.org/10.1016/j.sjpain.2017.04.002

Abstract

Background and aims

Knowledge, attitudes and beliefs towards low back pain (LBP) can significantly impact a health care provider’s clinical decision making. Several studies have investigated interventions designed to change practitioner attitudes and beliefs towards LBP, however no such studies involving medical students have been identified.

Methods

This study explored medical students ‚ knowledge, attitudes and beliefs towards LBP before and after a brief educational intervention on LBP. Responses from medical students (n = 93) were evaluated before and after a 15-min educational video on back pain. The intervention was developed using Camtasia™ video editor and screen recorder. Knowledge, attitudes and beliefs were measured using the “Modified Back Beliefs Questionnaire”, with items from two previously reported questionnaires on back beliefs. The questionnaire asks participants to indicate their agreement with statements about LBP on a 5-point Likert scale. Preferred responses were based on guidelines for the evidence-based management of LBP. The primary analysis evaluated total score on the nine-inevitability items of the Back Beliefs Questionnaire (“inevitability score”).

Results

Following the brief intervention there was a significant improvement in the inevitability score (post-workshop mean [SD] 20.8 [4.9] vs pre-workshop mean [SD] 26.9 [4.2]; mean difference (MD) 6.1, p < 0.001; lower score more favourable 1) and large improvements in the proportion of students providing correct responses to items on activity (pre: 49% vs post: 79%), bed rest (41% vs 75%), imaging (44% vs 74%) and recovery (25% vs 66%).

Conclusions

After watching the educational video students’ knowledge, beliefs and attitudes towards LBP improved and thus aligned more closely with evidence-based guidelines.

Implications

Medical doctors are at the forefront of managing low back pain in the community, however there is a need to strengthen musculoskeletal education in medical training programmes. The results from this research suggest educational interventions on back pain do not need to be extensive in order to have favourable outcomes on medical students’ knowledge, attitudes and beliefs towards back pain. The translational effects of these changes into clinical practice are not known.

Keywords: Low back pain; Attitudes; Beliefs; Knowledge; Medical education

References

  • [1]

    Kassebaum NJ, Arora M, Barber RM, Bhutta ZA, Brown J. Carter A and the GBD 2015 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study. Lancet 2015;388:1603–58.Google Scholar

  • [2]

    Britt H, Miller GC. General practice activity in Australia 2007–2008. Canberra, Australia: Australian Institute of Health and Welfare; 2008. General Practice Series No. 22, Catalog No. GEP 22.Google Scholar

  • [3]

    Williams CM, Maher CG, Hancock MJ, McAuley JH, McLachlan AJ, Britt H, Fahridin S, Harrison C, Latimer J. Low back pain and best practice care: a survey of general practice physicians. Arch Intern Med 2010;170:271–7.CrossrefWeb of ScienceGoogle Scholar

  • [4]

    Buchbinder R, Staples M, Jolley D. Doctors with a special interest in back pain have poorer knowledge about how to treat back pain. Spine (Phila Pa 1976) 2009;34:1218–26, discussion 27.CrossrefGoogle Scholar

  • [5]

    Jackson JL, Browning R. Impact of national low back pain guidelines on clinical practice. South Med J 2005;98:139–43.PubMedCrossrefGoogle Scholar

  • [6]

    Somerville S, Hay E, Lewis M, Barber J, van der Windt D, Hill J, Sowden G. Content and outcome of usual primary care for back pain: a systematic review. Br J Gen Pract J R Coll Gen Pract 2008;58:790–7, i–vi.CrossrefGoogle Scholar

  • [7]

    Monrad SU, Zeller JL, Craig CL, DiPonio LA. Musculoskeletal education in US medical schools: lessons from the past and suggestions for the future. Curr Rev Musculosk Med 2011;4:91–8.CrossrefGoogle Scholar

  • [8]

    Ramanathan SA, Hibbert PD, Maher CG, Day RO, Hindmarsh DM, Hooper TD, Hannaford NA, Runciman WB. Care track: towards appropriate care for low back pain. Spine (Phila Pa 1976) 2016.Google Scholar

  • [9]

    Symonds TL, Burton AK, Tillotson KM, Main CJ. Do attitudes and beliefs influence work loss due to low back trouble? Occup Med (Oxford, England) 1996;46:25–32.CrossrefGoogle Scholar

  • [10]

    George SZ, Teyhen DS, Wu SS, Wright AC, Dugan JL, Yang G, Robinson ME, Childs JD. Psychosocial education improves low back pain beliefs: results from a cluster randomized clinical trial (NCT00373009) in a primary prevention setting. Eur Spine J 2009;18:1050–8.CrossrefWeb of ScienceGoogle Scholar

  • [11]

    Gross D, Russell A, Ferrari R, Crites Battie M, Schopflocher D, Hu R, Waddell G, Buchbinder R. The Alberta Back Pain Initiative Study: evaluation of a population-based social marketing intervention study for the prevention of disability associated with low back pain; 2016. Final report. Available at: http://www.worksafesask.com/alberta-back-pain-study [accessed November 5].

  • [12]

    Abdel Shaheed C, Maher CG, Mak W, Williams KA, McLachlan AJ. The effects of educational interventions on pharmacists’ knowledge, attitudes and beliefs towards low back pain. Int J Clin Pharm 2015;37:616–25.PubMedWeb of ScienceCrossrefGoogle Scholar

  • [13]

    Australian Acute Musculoskeletal Pain Guidelines Group. Evidence-based management of acute musculoskeletal pain – a guide for clinicians. Bowen Heads, Qld: Australian Academic Press; 2004.Google Scholar

  • [14]

    van Tulder M, Becker A, Bekkering T, Breen A, del Real MT. Hutchinson A and the COST B13 Working Group on Guidelines for the Management of Acute Low Back Pain in Primary Care. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006;15(Suppl. 2):S169–91.CrossrefGoogle Scholar

  • [15]

    Australian Deans Workforce Data; 2015. Available at http://www.medicaldeans.org.au/wp-content/uploads/Workforce-Data-Report-2015.pdf [accessed 20.11.16].

  • [16]

    Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet (London, England) 2009;373:463–72.CrossrefPubMedGoogle Scholar

  • [17]

    Dahm KT, Brurberg KG, Jamtvedt G, Hagen KB. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev 2010:Cd007612.PubMedWeb of ScienceGoogle Scholar

  • [18]

    Coudeyre E, Rannou F, Tubach F, Baron G, Coriat F, Brin S, Revel M, Poiraudeau S. General practitioners’ fear-avoidance beliefs influence their management of patients with low back pain. Pain 2006;124:330–7.Web of SciencePubMedCrossrefGoogle Scholar

  • [19]

    Linton SJ, Vlaeyen J, Ostelo R. The back pain beliefs of health care providers: are we fear-avoidant? J Occup Rehabil 2002;12:223–32.CrossrefPubMedGoogle Scholar

About the article

School of Medicine, Building 30 Goldsmith Avenue, Campbelltown, NSW 2560, Australia.


Received: 2017-02-16

Revised: 2017-03-30

Accepted: 2017-04-01

Published Online: 2017-07-01

Published in Print: 2017-07-01


Conflict of interest: CGM has been an investigator on 2 trials evaluating medicines for back pain that received industry co-funding.

Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.


Citation Information: Scandinavian Journal of Pain, Volume 16, Issue 1, Pages 101–104, ISSN (Online) 1877-8879, ISSN (Print) 1877-8860, DOI: https://doi.org/10.1016/j.sjpain.2017.04.002.

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