An interactive e-learning module to promote bio-psycho-social management of low back pain in healthcare professionals: a pilot study

References

• Sullivan PO, and Caneiro JP. Unraveling the complexity of low back pain Journal of Orthopaedic & Sports Physical Therapy . 2016;46(11):932–937.
   PubMed Web of Science ®Google Scholar
• Buchbinder R, Van Tulder M, Öberg B, et al. Low back pain: a call for action. Lancet. 2018 Jun;391(10137):2384–2388. PMID: 29573871
   PubMed Web of Science ®Google Scholar
• Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. Lancet. 2018 Jun;391(10137):2356–2367.
   PubMed Web of Science ®Google Scholar
• Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb;389(10070):736–747.
   PubMed Web of Science ®Google Scholar
• Kamper SJ, Yamato TP, Williams CM. The prevalence, risk factors, prognosis and treatment for back pain in children and adolescents: an overview of systematic reviews. Best Pract Res Clin Rheumatol. 2016 Dec;30(6):1021–1036.
   PubMed Web of Science ®Google Scholar
• Nielens H, Zundert J, Mairiaux P, et al. Chronic low back pain. Good clinical practice (GCP). 2006 Dec 1;
   Google Scholar
• Foster NE, Anema JR, Cherkin D, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018 Jun;391(10137):2368–2383.
   PubMed Web of Science ®Google Scholar
• Van Wambeke Leuven PU, President G, and Desomer A (2nd edition; 1st edition: 19 May 2017) , et al. KCE REPORT 287Cs SUMMARY LOW BACK PAIN AND RADICULAR PAIN: ASSESSMENT AND MANAGEMENT. 2017 accessed 27 November 2017; Available from: www.kce.fgov.be
   Google Scholar
• Mafi JN, McCarthy EP, Davis RB, et al. Worsening trends in the management and treatment of back pain. JAMA Intern Med. 2013 Sep 23;173(17):1573.
   PubMed Web of Science ®Google Scholar
• Darlow B, Fullen BM, Dean S, et al. The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review: the association between health care professional attitudes and outcomes of patients with low back pain. Eur J Pain. 2012 Jan;16(1):3–17.
   PubMed Web of Science ®Google Scholar
• Roussel NA, Neels H, Kuppens K, et al. History taking by physiotherapists with low back pain patients: are illness perceptions addressed properly? Disabil Rehabil. 2016 Jun 18;38(13):1268–1279.
   PubMed Web of Science ®Google Scholar
• Gardner T, Refshauge K, Smith L, et al. Physiotherapists’ beliefs and attitudes influence clinical practice in chronic low back pain: a systematic review of quantitative and qualitative studies. J Physiother Korea Inst Orient Med. 2017;63(3):132–143.
   Google Scholar
• Hayden JA, Wilson MN, Riley RD, et al. Individual recovery expectations and prognosis of outcomes in non-specific low back pain: prognostic factor review. Cochrane Database Syst Rev. 2019 Nov 25. DOI:https://doi.org/10.1002/14651858.CD011284.pub2.
   Google Scholar
• Darlow B. Beliefs about back pain: the confluence of client, clinician and community. Int J Osteopath Med. 2016;20:53–61.
   Web of Science ®Google Scholar
• Louw A, Zimney K, Puentedura EJ, et al. The efficacy of pain neuroscience education on musculoskeletal pain: a systematic review of the literature. Physiother Theory Pract. 2016;32(5):332–355. PMID: 27351541
   PubMed Web of Science ®Google Scholar
• O’Keeffe M, O’Sullivan PB, O’Sullivan K. Education can “change the world”: can clinical education change the trajectory of individuals with back pain? Br J Sports Med. 2019;53(22):1385–1386.
   PubMed Web of Science ®Google Scholar
• Puentedura EJ, Flynn T. Combining manual therapy with pain neuroscience education in the treatment of chronic low back pain: a narrative review of the literature. Physiother Theory Pract. 2016 Jul 3;32(5):408–414.
   PubMed Web of Science ®Google Scholar
• Watson JA, Ryan CG, Cooper L, et al. Pain neuroscience education for adults with chronic musculoskeletal pain: a mixed-methods systematic review and meta-analysis. J Pain. 2019;20(10):1140.e1–1140.e22. PMID: 30831273
   PubMed Web of Science ®Google Scholar
• Henrotin Y, Moyse D, Bazin T, et al. Study of the information delivery by general practitioners and rheumatologists to patients with acute low back pain. Eur Spine J. 2011;20(5):720–730. PMID: 21069543
   PubMed Web of Science ®Google Scholar
• Bekkering GE, Engers AJ, Wensing M, et al. Development of an implementation strategy for physiotherapy guidelines on low back pain. Aust J Physiother. 2003;49(3):208–214.
   PubMed Web of Science ®Google Scholar
• Stevenson K, Lewis M, Hay E. Does physiotherapy management of low back pain change as a result of an evidence-based educational programme? J Eval Clin Pract. 2006;12(3):365–375.
   PubMed Web of Science ®Google Scholar
• Jacobs ZG, Michael Elnicki D, Perera S, et al. An E-learning module on chronic low back pain in older adults: effect on medical resident attitudes, confidence, knowledge, and clinical skills. Pain Med U S. 2018;19(6):1112–1120.
   PubMed Web of Science ®Google Scholar
• Overmeer T, Boersma K, Main CJ, et al. Do physical therapists change their beliefs, attitudes, knowledge, skills and behaviour after a biopsychosocially orientated university course? J Eval Clin Pract. 2009 Aug;15(4):724–732.
   PubMed Web of Science ®Google Scholar
• Pransky G, Borkan JM, Young AE, et al. Are we making progress?: the tenth international forum for primary care research on low back pain. Spine [Internet]. 2011;36(19). Available from https://journals.lww.com/spinejournal/Fulltext/2011/09010/Are_We_Making_Progress___The_Tenth_International.14.aspx
   Google Scholar
• Chauhan BF, Jeyaraman M, Mann AS, et al. Behavior change interventions and policies influencing primary healthcare professionals’ practice—an overview of reviews. Implement Sci. 2017 Dec;12(1):3.
   PubMedGoogle Scholar
• Cook DA, Levinson AJ, Garside S, et al. Instructional design variations in internet-based learning for health professions education: a systematic review and meta-analysis. Acad Med J Assoc Am Med Coll United States. 2010 May;85(5):909–922. PMID: 20520049
   Google Scholar
• Means B, Toyama Y, Murphy R, et al. Evaluation of evidence-based practices in online learning : a meta-analysis and review of online learning studies. Washington, D.C.: US Dep Educ Off Plan Eval Policy Dev; 2010.
   Google Scholar
• Rees C, Sheard C, McPherson A. Medical students’ views and experiences of methods of teaching and learning communication skills. Patient Educ Couns. 2004 Jul;54(1):119–121.
   PubMed Web of Science ®Google Scholar
• Bosse HM, Schultz JH, Nickel M, et al. The effect of using standardized patients or peer role play on ratings of undergraduate communication training: a randomized controlled trial. Patient Educ Couns. 2012;87(3):300–306.
   PubMed Web of Science ®Google Scholar
• Douma KFL, Aalfs CM, Dekker E, et al. An E-Learning module to improve nongenetic health professionals’ assessment of colorectal cancer genetic risk: feasibility study. JMIR Med Educ. 2017 Dec 18;3(2):e24.
   PubMedGoogle Scholar
• Christe G, Nzamba J, Desarzens L, et al. Physiotherapists’ attitudes and beliefs about low back pain influence their clinical decisions and advice. Musculoskelet Sci Pract. 2021Jun;53:102382.
   PubMed Web of Science ®Google Scholar
• Cook DA, Levinson AJ, Garside S, et al. Internet-based learning in the health professions. Am Med Assoc. 2008;300(10):1181–1196.
   PubMed Web of Science ®Google Scholar
• Lukaschek K, Schneider N, Schelle M, et al. Applicability of motivational interviewing for chronic disease management in primary care following a web-based E-learning course: cross-sectional study. J Med Internet Res. 2019;21(4). DOI:https://doi.org/10.2196/12540
   Google Scholar
• Beijer LJ, Rietveld TCM, Hoskam V, et al. Evaluating the feasibility and the potential efficacy of e-learning-based speech therapy (EST) as a web application for speech training in dysarthric patients with Parkinson’s disease: a case study. Telemed E-Health. 2010;16(6):732–738.
   PubMed Web of Science ®Google Scholar
• Franchi C, Mari D, Tettamanti M, et al. E-learning to improve the drug prescribing in the hospitalized elderly patients: the ELICADHE feasibility pilot study. Aging Clin Exp Res. 2013;26(4):435–443.
   PubMed Web of Science ®Google Scholar
• Richmond H, Hall AM, Hansen Z, et al. Using mixed methods evaluation to assess the feasibility of online clinical training in evidence based interventions: a case study of cognitive behavioural treatment for low back pain. BMC Med Educ. 2016;16(1):1–12.
   PubMedGoogle Scholar
• Fontaine G, Cossette S, Heppell S, et al. Evaluation of a web-based e-learning platform for brief motivational interviewing by nurses in cardiovascular care: a pilot study. J Med Internet Res. 2016;18(8):1.
   Web of Science ®Google Scholar
• Lukaschek K, Schneider N, Schelle M, et al. Applicability of motivational interviewing for chronic disease management in primary care following a web-based E-learning course: cross-sectional study. J Med Internet Res. 2019. DOI:https://doi.org/10.2196/12540
   Google Scholar
• Weiner DK, Morone NE, Spallek H, et al. E-learning module on chronic low back pain in older adults: evidence of effect on medical student objective structured clinical examination performance. J Am Geriatr Soc. 2014;62(6):1161–1167.
   PubMed Web of Science ®Google Scholar
• Sinclair P, Kable A, Levett-Jones T. The effectiveness of internet-based e-learning on clinician behavior and patient outcomes: a systematic review protocol. JBI Database Syst Rev Implement Rep. 2015;13(1):52–64. PMID: 26447007 DOI:https://doi.org/10.11124/jbisrir-2015-1919.
   PubMedGoogle Scholar
• Almeida M, Saragiotto B, Richards B, et al. Primary care management of non-specific low back pain: key messages from recent clinical guidelines. Med J Aust. 2018;208(6):272–275. PMID: 29614943 DOI:https://doi.org/10.5694/mja17.01152.
   PubMed Web of Science ®Google Scholar
• NICE. Low back pain and sciatica in over 16s : assessment and management(London: National Institute for Health and Care Excellence (UK)). 2019 NICE guideline [NG59].
   Google Scholar
• Darlow B, Dean S, Perry M, et al. Easy to Harm, hard to heal: patient views about the back. Spine (Phila Pa 1976). 2015 Jun;40(11):842–850. DOI:https://doi.org/10.1097/BRS.0000000000000901.
   PubMed Web of Science ®Google Scholar
• Deyo RA, Mirza SK, Turner JA, et al. Overtreating chronic back pain: time to back off? J Am Board Fam Med. 2009;22(1):62–68.
   PubMed Web of Science ®Google Scholar
• Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–2367.
   PubMed Web of Science ®Google Scholar
• Suri P, Delaney K, Rundell SD, et al. Predictive validity of the start back tool for risk of persistent disabling back pain in a U.S. primary care setting. Arch Phys Med Rehabil. 2018 Aug;99(8):1533–1539.e2. DOI:https://doi.org/10.1016/j.apmr.2018.02.016
   PubMed Web of Science ®Google Scholar
• Hill JC, Dunn KM, Lewis M, et al. A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Rheum. 2008 May 15;59(5):632–641. DOI:https://doi.org/10.1002/art.23563.
   PubMed Web of Science ®Google Scholar
• Clayton J. The validation of the online learning environment survey. ASCILITE 2007 - Australas Soc Comput Learn Tert Educ. 2007;159–167.
   Google Scholar
• Hurley DA, Keogh A, Ardle DM, et al. Evaluation of an e-learning training program to support implementation of a group-based, theory-driven, self-management intervention for osteoarthritis and low-back pain: pre-post study. J Med Internet Res. 2019;21(3):e11123.
   PubMed Web of Science ®Google Scholar
• Kobewka D, Backman C, Hendry P, et al. The feasibility of e-learning as a quality improvement tool. J Eval Clin Pract. 2014;20(5):606–610.
   PubMed Web of Science ®Google Scholar
• Leong S, Mc Laughlin P, O’Connor OJ, et al. An assessment of the feasibility and effectiveness of an E-learning module in delivering a curriculum in radiation protection to undergraduate medical students. J Am Coll Radiol. 2012;9(3):203–209.
   PubMed Web of Science ®Google Scholar
• Trinidad S, and Pearson J. Implementing and evaluating e-learning environments. Beyond the comfort zone: Proceedings of the 21st ASCILITE Conference 5-8 Dec 2004;(2002 R. Atkinson, C. McBeath, D. Jonas-Dwyer & R. Phillips):895–903 http://www.ascilite.org.au/conferences/perth04/procs/trinidad.htm.
   Google Scholar
• Wilroy JD, Ginis KAM, Rimmer JH, et al. E-learning program for increasing physical activity associated behaviors among people with spinal cord injury: usability study. J Med Internet Res. 2019;21(8). DOI:https://doi.org/10.2196/14788
   Google Scholar
• Yu S, Chen IJ, Yang KF, et al. A feasibility study on the adoption of e-learning for public health nurse continuing education in Taiwan. Nurse Educ Today. 2007;27(7):755–761.
   PubMed Web of Science ®Google Scholar
• Demoulin C, Halleux V, Darlow B, et al. Traduction en français du « back pain attitudes questionnaire » et étude de ses qualités métrologiques. Kinésithérapie Rev Elsevier Masson SAS. 2017;17(184):22–23.
   Google Scholar
• Darlow B, Perry M, Mathieson F, et al. The development and exploratory analysis of the back pain attitudes questionnaire (Back-PAQ). BMJ Open. 2014;4(5):e005251.
   PubMed Web of Science ®Google Scholar
• Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol [Internet]. 2013 cited 2021 Aug 27;4. DOI:https://doi.org/10.3389/fpsyg.2013.00863.
   Google Scholar
• Sawilowsky SS. New Effect Size Rules of Thumb. J Mod Appl Stat Methods. 2009 Nov 1;8(2):597–599.
   Google Scholar
• Young D, Callaghan M, Hunt C, et al. Psychologically informed approaches to chronic low back pain: exploring musculoskeletal physiotherapists’ attitudes and beliefs. Musculoskeletal Care. 2019;17(2):272–276.
   PubMed Web of Science ®Google Scholar
• Chance-Larsen F, Chance-Larsen K, Divanoglou A, et al. The use of an e-learning module on return to work advice for physiotherapists – a prospective cohort study. Physiother Theory Pract. 2018;1–9. DOI:https://doi.org/10.1080/09593985.2018.1485193.
   Google Scholar
• Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. Br Med J. 2001;322(7301):1516–1520. PMID: 11420272 DOI:https://doi.org/10.1136/bmj.322.7301.1516.
   PubMed Web of Science ®Google Scholar
• Buchbinder R, Jolley D. Population based intervention to change back pain beliefs: three year follow up population survey. BMJ. 2004 Feb 7;328(7435):321. DOI:https://doi.org/10.1136/bmj.328.7435.321.
   PubMed Web of Science ®Google Scholar
• Slater H, Briggs AM, Smith AJ, et al. Implementing evidence-informed policy into practice for health care professionals managing people with low back pain in Australian rural settings: a preliminary prospective single-cohort study. Pain Med. 2014 Oct;15(10):1657–1668.
   PubMed Web of Science ®Google Scholar
• Domenech J, Sánchez-Zuriaga D, Segura-Ortí E, et al. Impact of biomedical and biopsychosocial training sessions on the attitudes, beliefs, and recommendations of health care providers about low back pain: a randomised clinical trial. Pain Int Assoc Study Pain. 2011;152(11):2557–2563.
   PubMed Web of Science ®Google Scholar
• Nijs J, Roussel N, Paul van Wilgen C, et al. Thinking beyond muscles and joints: therapists’ and patients’ attitudes and beliefs regarding chronic musculoskeletal pain are key to applying effective treatment. Man Ther Elsevier Ltd. 2013;18(2):96–102. Doi:https://doi.org/10.1016/j.math.2012.11.001.
   Google Scholar
• Vaona A, Banzi R, Kwag KH, et al. E-learning for health professionals. Cochrane effective practice and organisation of care group, editor. Cochrane Database Syst Rev [Internet]. 2018 Jan 22. cited 2020 Apr 2 DOI:https://doi.org/10.1002/14651858.CD011736.pub2
   Google Scholar
• Festinger L. A Theory of cognitive dissonance (Printed in the United States of America: Row, Peterson and Company, 1957 Reissued by Stanford University Press in 1962). 1957.
   Google Scholar
• Nickerson RS. Confirmation bias: a ubiquitous phenomenon in many guises. Rev Gen Psychol. 1998 Jun;2(2):175–220.
   Google Scholar
• Buchbinder R, Underwood M, Hartvigsen J, et al. the lancet series call to action to reduce low value care for low back pain: an update. Pain. 2020 Sep;161(Supplement1):S57–S64.
   PubMedGoogle Scholar