The back home trial: general practitioner-supported leaflets may change back pain behavior

Roberts, Lisa, Little, Paul, Chapman, Judith, Cantrell, Ted, Pickering, Ruth and Langridge, John (2002) The back home trial: general practitioner-supported leaflets may change back pain behavior. Spine, 27, (17), 1821-1828. (doi:10.1097/00007632-200209010-00002).


PDF - Version of Record
Download (346Kb)


Study Design: a single-blind randomized controlled trial of a leaflet developed for people with acute low back pain was compared with the usual general practitioner management of back pain.

Objective: to test the effectiveness of a patient information leaflet on knowledge, attitude, behavior, and function.

Summary of Background Data: despite the commonality of back pain in general practice, little evidence on the effectiveness of simple interventions such as leaflets and advice on self-management has been reported. On the basis of a five-stage needs analysis, a simple leaflet was developed that considered the views of patients and health professionals.

Methods: for this study, 64 patients with acute back pain were assigned to the leaflet or control group. The participants were visited at home after 2 days, 2 weeks, then 3, 6, and 12 months, where they completed a range of self-report measures. Behavioral aspects were discreetly recorded by a "blinded" researcher. Primary outcomes were knowledge, attitude, behavior, and function.

Results: in all, 272 home visits were undertaken. The findings show that at 2 weeks, knowledge about sitting posture was greater in the leaflet group (P = 0.006), which transferred to a behavioral difference (sitting with lumbar lordosis support) when participants were unaware that they were being observed (P = 0.009). This difference remained significant at 3 months. Patients in the leaflet group also were better at maintaining a wide base of support when lifting a light object than the control subjects throughout all five assessments. There were no significant differences in the functional outcomes tested.

Conclusions: this trial demonstrates that written advice for patients can be a contributory factor in the initial general practitioner consultation because it may change aspects of knowledge and behavior. This has implications for the management of acute back pain, with potential health gain.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1097/00007632-200209010-00002
ISSNs: 1528-1159 (print)
Related URLs:
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RA Public aspects of medicine
Divisions : University Structure - Pre August 2011 > Superseded (SOHPRS)
University Structure - Pre August 2011 > School of Medicine > Community Clinical Sciences
ePrint ID: 24483
Accepted Date and Publication Date:
1 September 2002Published
Date Deposited: 30 Mar 2006
Last Modified: 31 Mar 2016 11:45

Actions (login required)

View Item View Item

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics