Can a patient educational book change behavior and reduce pain in chronic low back pain patients?

The Spine Journal : Official Journal of the North American Spine Society
Brian E UdermannJohn Tillotson

Abstract

This study was prompted by 1) the almost universal use of patient education as an initial or at least an ancillary step in the treatment of patients presenting with low back pain, 2) the relative dearth of studies evaluating the effectiveness of patient education and 3) the complete lack of support in the few existing studies for the efficacy of education in improving patients' long-term health status. A feasibility study to evaluate the efficacy of an individualized biomechanical treatment educational booklet to effect improvement in health status. A prospective, longitudinal cohort study. Sixty-two subjects (35 female, 27 male), average age 42.4 years, reported a mean duration of back pain before inclusion of 10.4 years. However, because of attrition, only 48 subjects had complete data across the 18-month follow-up period. Outcome measures included pain status, number of back pain episodes, subject compliance with self-care behaviors, knowledge and opinion of booklet content. Volunteers with chronic low back pain were provided a copy of an individualized biomechanical treatment educational book and told they would undergo a written survey of its content 1 week after reading the book. Subjects' health status at 9 and 18 months...Continue Reading

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