People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies

a systematic review

Yuan Z Lim, Louisa Chou, Rebecca TM Au, KL Maheeka Seneviwickrama, Flavia M Cicuttini, Andrew M Briggs, Kaye Sullivan, Donna M Urquhart, Anita E Wluka

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Question: What health information needs are perceived by people with low back pain? Design: Systematic review of publications examining perceived health information needs related to low back pain identified through Medline, EMBASE, CINAHL and PsycINFO (1990 to 2018). Participants: Adults with low back pain of any duration. Data extraction and analysis: Two reviewers independently extracted descriptive data regarding study design and methodology, and assessed risk of bias. Aggregated findings of the perceived needs of people with low back pain regarding health information were meta-synthesised. Results: Forty-one studies (34 qualitative, four quantitative and three mixed-methods) were identified. Two major areas of perceived health information needs for low back pain emerged. The first major area was needs related to information content: general information related to low back pain, its cause and underlying pathology; strong desire for diagnosis and imaging; prognosis, future disability and effect on work capacity; precipitants and management of flares; general management approaches; self-management strategies; prevention; and support services. The second major area of needs related to how the information was delivered. People with low back pain wanted clear, consistent information delivered in suitable tone and understandable language. Conclusion: Available data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.

Original languageEnglish
Pages (from-to)124-135
Number of pages12
JournalJournal of Physiotherapy
Volume65
Issue number3
DOIs
Publication statusPublished - 1 Jul 2019

Keywords

  • Health information
  • Low back pain
  • Need
  • Patient perspective
  • Preference
  • Systematic review

Cite this

@article{2dd9ca8f49d64378a80dacfb28a7dc1c,
title = "People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: a systematic review",
abstract = "Question: What health information needs are perceived by people with low back pain? Design: Systematic review of publications examining perceived health information needs related to low back pain identified through Medline, EMBASE, CINAHL and PsycINFO (1990 to 2018). Participants: Adults with low back pain of any duration. Data extraction and analysis: Two reviewers independently extracted descriptive data regarding study design and methodology, and assessed risk of bias. Aggregated findings of the perceived needs of people with low back pain regarding health information were meta-synthesised. Results: Forty-one studies (34 qualitative, four quantitative and three mixed-methods) were identified. Two major areas of perceived health information needs for low back pain emerged. The first major area was needs related to information content: general information related to low back pain, its cause and underlying pathology; strong desire for diagnosis and imaging; prognosis, future disability and effect on work capacity; precipitants and management of flares; general management approaches; self-management strategies; prevention; and support services. The second major area of needs related to how the information was delivered. People with low back pain wanted clear, consistent information delivered in suitable tone and understandable language. Conclusion: Available data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.",
keywords = "Health information, Low back pain, Need, Patient perspective, Preference, Systematic review",
author = "Lim, {Yuan Z} and Louisa Chou and Au, {Rebecca TM} and Seneviwickrama, {KL Maheeka} and Cicuttini, {Flavia M} and Briggs, {Andrew M} and Kaye Sullivan and Urquhart, {Donna M} and Wluka, {Anita E}",
year = "2019",
month = "7",
day = "1",
doi = "10.1016/j.jphys.2019.05.010",
language = "English",
volume = "65",
pages = "124--135",
journal = "Journal of Physiotherapy",
issn = "1836-9553",
publisher = "Elsevier",
number = "3",

}

People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies : a systematic review. / Lim, Yuan Z; Chou, Louisa; Au, Rebecca TM; Seneviwickrama, KL Maheeka; Cicuttini, Flavia M; Briggs, Andrew M; Sullivan, Kaye; Urquhart, Donna M; Wluka, Anita E.

In: Journal of Physiotherapy, Vol. 65, No. 3, 01.07.2019, p. 124-135.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies

T2 - a systematic review

AU - Lim, Yuan Z

AU - Chou, Louisa

AU - Au, Rebecca TM

AU - Seneviwickrama, KL Maheeka

AU - Cicuttini, Flavia M

AU - Briggs, Andrew M

AU - Sullivan, Kaye

AU - Urquhart, Donna M

AU - Wluka, Anita E

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Question: What health information needs are perceived by people with low back pain? Design: Systematic review of publications examining perceived health information needs related to low back pain identified through Medline, EMBASE, CINAHL and PsycINFO (1990 to 2018). Participants: Adults with low back pain of any duration. Data extraction and analysis: Two reviewers independently extracted descriptive data regarding study design and methodology, and assessed risk of bias. Aggregated findings of the perceived needs of people with low back pain regarding health information were meta-synthesised. Results: Forty-one studies (34 qualitative, four quantitative and three mixed-methods) were identified. Two major areas of perceived health information needs for low back pain emerged. The first major area was needs related to information content: general information related to low back pain, its cause and underlying pathology; strong desire for diagnosis and imaging; prognosis, future disability and effect on work capacity; precipitants and management of flares; general management approaches; self-management strategies; prevention; and support services. The second major area of needs related to how the information was delivered. People with low back pain wanted clear, consistent information delivered in suitable tone and understandable language. Conclusion: Available data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.

AB - Question: What health information needs are perceived by people with low back pain? Design: Systematic review of publications examining perceived health information needs related to low back pain identified through Medline, EMBASE, CINAHL and PsycINFO (1990 to 2018). Participants: Adults with low back pain of any duration. Data extraction and analysis: Two reviewers independently extracted descriptive data regarding study design and methodology, and assessed risk of bias. Aggregated findings of the perceived needs of people with low back pain regarding health information were meta-synthesised. Results: Forty-one studies (34 qualitative, four quantitative and three mixed-methods) were identified. Two major areas of perceived health information needs for low back pain emerged. The first major area was needs related to information content: general information related to low back pain, its cause and underlying pathology; strong desire for diagnosis and imaging; prognosis, future disability and effect on work capacity; precipitants and management of flares; general management approaches; self-management strategies; prevention; and support services. The second major area of needs related to how the information was delivered. People with low back pain wanted clear, consistent information delivered in suitable tone and understandable language. Conclusion: Available data suggest that the information needs of people with low back pain are centred around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging. People with low back pain expressed a strong desire for clear, consistent and personalised information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues. To correct unhelpful beliefs and optimise delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.

KW - Health information

KW - Low back pain

KW - Need

KW - Patient perspective

KW - Preference

KW - Systematic review

UR - http://www.scopus.com/inward/record.url?scp=85067275836&partnerID=8YFLogxK

U2 - 10.1016/j.jphys.2019.05.010

DO - 10.1016/j.jphys.2019.05.010

M3 - Article

VL - 65

SP - 124

EP - 135

JO - Journal of Physiotherapy

JF - Journal of Physiotherapy

SN - 1836-9553

IS - 3

ER -