- Title
- "Myths and Facts" Education Is Comparable to "Facts Only" for Recall of Back Pain Information but May Improve Fear-Avoidance Beliefs: An Embedded Randomized Trial
- Creator
- Da Silva, Priscilla Viana; Kamper, Steven J.; Help, Trial Working Group; Robson, Emma; Davidson, Simon R. E.; Gleadhill, Connor; Donald, Bruce; Yamato, Tie Parma; Nolan, Erin; Lee, Hopin; Williams, Christopher
- Relation
- NHMRC.APP1100992 http://purl.org/au-research/grants/nhmrc/1100992
- Relation
- Journal of Orthopaedic & Sports Physical Therapy Vol. 52, Issue 9, p. 586-594
- Publisher Link
- http://dx.doi.org/10.2519/jospt.2022.10989
- Publisher
- Journal of Orthopaedic & Sports Physical Therapy, Inc.
- Resource Type
- journal article
- Date
- 2022
- Description
- Objective: To assess the effectiveness of patient education with “myths and facts” versus “facts only” on recall of back pain information and fear-avoidance beliefs in patients with chronic low back pain (LBP). Design: Randomized Study Within A Trial. Methods; One hundred fifty-two participants with chronic LBP were included. Participants allocated to the “facts only” group received an information sheet with 6 LBP facts, whereas those allocated to the “myths and facts” group received the same information sheet, with each myth refuted by its respective fact. The primary outcome was a correct recall of back pain facts, and the secondary outcome was the physical activity component of the Fear-Avoidance Beliefs Questionnaire (FABQ-PA), 2 weeks after the provision of the information sheet. Results: There was no evidence of a difference in the proportion of participants with a correct recall between the “myths and facts” and “facts only” groups (odds ratio = 0.98; 95% confidence interval [CI]: 0.48, 1.99) and no significant difference in FABQ-PA mean scores between groups (−1.58; 95% CI: −3.77, 0.61). Sensitivity analyses adjusted for prognostic factors showed no difference in information recall but a larger difference in FABQ-PA scores (−2.3; 95% CI: −4.56, −0.04). Conclusion: We found no overall difference in the recall of back pain information for patients provided with “myths and facts” compared with that for patients provided with “facts only” and a slight reduction in fear-avoidance beliefs for physical activity using “myths and facts” compared with that using “facts only,” but the meaningfulness of this result is uncertain.
- Subject
- low back pain; musculoskeletal; myths and facts; pain education
- Identifier
- http://hdl.handle.net/1959.13/1480224
- Identifier
- uon:50459
- Identifier
- ISSN:0190-6011
- Language
- eng
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