Transcultural adaption and preliminary evaluation of “understanding low back pain” patient education booklet
Simula, A. S., Jenkins, H. J., Holopainen, R., Oura, P., Korniloff, K., Häkkinen, A., Takala, E.-P., Hancock, M. J., & Karppinen, J. (2019). Transcultural adaption and preliminary evaluation of “understanding low back pain” patient education booklet. BMC Health Services Research, 19, Article 1010. https://doi.org/10.1186/s12913-019-4854-y
Published in
BMC Health Services ResearchAuthors
Date
2019Copyright
© 2019 the Authors
Background: Low back pain (LBP) is the number one cause of disability globally. LBP is a symptom associated with
biological, psychological and social factors, and serious causes for pain are very rare. Unhelpful beliefs about LBP
and inappropriate imaging are common. Practitioners report pressure from patients to provide inappropriate
imaging. A recently developed patient education and management booklet, ‘Understanding low back pain’, was
designed to target previously identified barriers for reducing inappropriate imaging. The booklet includes evidencebased information on LBP and supports communication between patients and practitioners. Our aim was to 1) describe the translation process into Finnish and 2) study patients’ and practitioners’ attitudes to the booklet and to
evaluate if it improved patients’ understanding of LBP and practitioners’ ability to follow imaging guidelines.
Methods: We translated the booklet from English to Finnish. Preliminary evaluation of the booklet was obtained
from LBP patients (n = 136) and practitioners (n = 32) using web-based questionnaires. Open-ended questions were
analysed using thematic analysis.
Results: Approximately half of the patients reported that reading the booklet helped them to understand LBP,
while a third thought it encouraged them to perform physical activity and decreased LBP-related fear. Eighty
percent of practitioners reported that the booklet helped them to follow imaging guidelines. In addition,
practitioners reported that they found the booklet helpful and that it decreased the need for imaging.
Conclusions: The booklet seemed to be helpful in LBP management and in decreasing the need for LBP imaging
according to patients and practitioners. Further research on the clinical effectiveness of the booklet in controlled
study settings is needed.
...


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https://converis.jyu.fi/converis/portal/detail/Publication/34058017
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- Liikuntatieteiden tiedekunta [2057]
Additional information about funding
Funding for research nurse (sampling the web-based questionnaire data) in Mikkeli awarded from The South Savo Social and Health Care Authority (ESSOTE).License
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