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Erschienen in: International Journal of Clinical Pharmacy 4/2015

01.08.2015 | Research Article

The effects of educational interventions on pharmacists’ knowledge, attitudes and beliefs towards low back pain

verfasst von: Christina Abdel Shaheed, Christopher G. Maher, Wendy Mak, Kylie A. Williams, Andrew J. McLachlan

Erschienen in: International Journal of Clinical Pharmacy | Ausgabe 4/2015

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Abstract

Background Practitioner beliefs and attitudes towards low back pain (LBP) influence treatment decisions. Little is known about pharmacists’ knowledge, attitudes and beliefs towards LBP. Objectives To investigate the effect of educational interventions on pharmacists’ knowledge, attitudes and beliefs towards LBP. Setting Sydney Metropolitan Area. Methods Knowledge, attitudes and beliefs was measured using the “Pharmacists’ Back Beliefs Questionnaire”, with items from two previously reported questionnaires on back beliefs. Responses from pharmacists attending a 2-h educational workshop on LBP (n = 204) and pharmacists recruiting participants for a LBP clinical trial (n = 66) were compared to responses from a control group of pharmacists (n = 65) to allow an evaluation of the two interventions. Responses from workshop participants were also evaluated before and after the session. Participants indicated their agreement with statements about LBP on a 5-point Likert scale. Preferred responses were based on guidelines for the evidence-based management of LBP. The primary analysis evaluated total score on the nine-inevitability items of the Back Beliefs Questionnaire (“inevitability score”). Main outcome measure Inevitability score. Results There was no significant difference in inevitability score between LBP clinical trial pharmacists and the control group [mean difference (MD) 0.47 (95 % CI −1.35 to 2.29; p = 0.61)]. The educational workshop led to a significant and favourable change in inevitability score (MD 7.23 p < 0.001) and notable changes in responses to misconceptions regarding bed rest and the need for imaging (p < 0.001) among participating pharmacists. Conclusions Pharmacists attending the educational workshop provided the most compelling evidence that education specifically aimed at delivering evidence-based information can be successful in changing practitioner knowledge, beliefs and attitudes towards LBP.
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Literatur
1.
Zurück zum Zitat Chou R, Qaseem A, Snow V, Casey D, Cross TJ Jr, Shekelle P, et al. Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478–91.PubMedCrossRef Chou R, Qaseem A, Snow V, Casey D, Cross TJ Jr, Shekelle P, et al. Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478–91.PubMedCrossRef
2.
Zurück zum Zitat Britt H, Miller GC, Charles J. General practice activity in Australia 2007–2008. Canberra, Australia Australian Institute of Health and Welfare. General Practice Series No. 22. Catalog No. GEP 22, 2008. ISBN: 9781740248280. Britt H, Miller GC, Charles J. General practice activity in Australia 2007–2008. Canberra, Australia Australian Institute of Health and Welfare. General Practice Series No. 22. Catalog No. GEP 22, 2008. ISBN: 9781740248280.
3.
Zurück zum Zitat Hart LG, Deyo RA, Cherkin DC. Physician office visits for low back pain: Frequency, clinical evaluation, and treatment patterns from a U.S. National survey. Spine. 1995;20(1):11–9.PubMedCrossRef Hart LG, Deyo RA, Cherkin DC. Physician office visits for low back pain: Frequency, clinical evaluation, and treatment patterns from a U.S. National survey. Spine. 1995;20(1):11–9.PubMedCrossRef
4.
Zurück zum Zitat Lim S, Vos T, Flaxman AD, Danaei G, Shibuya K, The Global Burden of Disease Study Group. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study. Lancet. 2012;380(9859):2224–60.PubMedCentralPubMedCrossRef Lim S, Vos T, Flaxman AD, Danaei G, Shibuya K, The Global Burden of Disease Study Group. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study. Lancet. 2012;380(9859):2224–60.PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat Schofield DJ, Shrestha RN, Passey M, Earnest A, Fletcher S. Chronic disease and labour force participation among older Australians. Med J Aust. 2008;189(8):447–50.PubMed Schofield DJ, Shrestha RN, Passey M, Earnest A, Fletcher S. Chronic disease and labour force participation among older Australians. Med J Aust. 2008;189(8):447–50.PubMed
6.
Zurück zum Zitat Walker BF, Muller R, Grant WD. Low back pain in Australian adults: health provider utilization and care seeking. J Manipulative Physiol Ther. 2004;27(5):327–35.PubMedCrossRef Walker BF, Muller R, Grant WD. Low back pain in Australian adults: health provider utilization and care seeking. J Manipulative Physiol Ther. 2004;27(5):327–35.PubMedCrossRef
7.
Zurück zum Zitat Silcock J, Moffett JK, Edmondson H, Waddell G, Burton AK. Do community pharmacists have the attitudes and knowledge to support evidence based self-management of low back pain? BMC Musculoskelet Disord. 2007;8:10.PubMedCentralPubMedCrossRef Silcock J, Moffett JK, Edmondson H, Waddell G, Burton AK. Do community pharmacists have the attitudes and knowledge to support evidence based self-management of low back pain? BMC Musculoskelet Disord. 2007;8:10.PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Abdel Shaheed C, Maher CG, Williams KA, McLachlan AJ. Interventions available over the counter and advice for acute low back pain: systematic review and meta-analysis. J Pain. 2014;15(1):2–15.PubMedCrossRef Abdel Shaheed C, Maher CG, Williams KA, McLachlan AJ. Interventions available over the counter and advice for acute low back pain: systematic review and meta-analysis. J Pain. 2014;15(1):2–15.PubMedCrossRef
10.
Zurück zum Zitat Buchbinder R, Staples M, Jolley D. Doctors with a special interest in back pain have poorer knowledge about how to treat back pain. Spine. 2009;34(20):1218–26 (discussion 1227).PubMedCrossRef Buchbinder R, Staples M, Jolley D. Doctors with a special interest in back pain have poorer knowledge about how to treat back pain. Spine. 2009;34(20):1218–26 (discussion 1227).PubMedCrossRef
11.
Zurück zum Zitat Houben RMA, Gijsen A, Peterson J, de Jong PJ, Vlaeyen JWS. Do health care providers’ attitudes towards back pain predict their treatment recommendations? Differential predictive validity of implicit and explicit attitude measures. Pain. 2005;114(3):491–8.PubMedCrossRef Houben RMA, Gijsen A, Peterson J, de Jong PJ, Vlaeyen JWS. Do health care providers’ attitudes towards back pain predict their treatment recommendations? Differential predictive validity of implicit and explicit attitude measures. Pain. 2005;114(3):491–8.PubMedCrossRef
12.
Zurück zum Zitat Linton SJ, Vlaeyen J, Ostelo R. The back pain beliefs of health care providers: are we fear-avoidant? J Occup Rehabil. 2002;12(4):223–32.PubMedCrossRef Linton SJ, Vlaeyen J, Ostelo R. The back pain beliefs of health care providers: are we fear-avoidant? J Occup Rehabil. 2002;12(4):223–32.PubMedCrossRef
13.
Zurück zum Zitat Williams CM, Maher CG, Hancock MJ, McAuley JH, McLachlan AJ, Britt H, et al. Low back pain and best practice care: a survey of general practice physicians. Arch Intern Med. 2010;170(3):271–7.PubMedCrossRef Williams CM, Maher CG, Hancock MJ, McAuley JH, McLachlan AJ, Britt H, et al. Low back pain and best practice care: a survey of general practice physicians. Arch Intern Med. 2010;170(3):271–7.PubMedCrossRef
14.
Zurück zum Zitat Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373(9662):463–72.PubMedCrossRef Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373(9662):463–72.PubMedCrossRef
15.
Zurück zum Zitat Kent P, Keating J. Do primary-care clinicians think that nonspecific low back pain is one condition? Spine. 2004;29(9):1022–31.PubMedCrossRef Kent P, Keating J. Do primary-care clinicians think that nonspecific low back pain is one condition? Spine. 2004;29(9):1022–31.PubMedCrossRef
16.
Zurück zum Zitat van Tulder M, Becker A, Bekkering T, Breen A, Del Real MTG, Hutchinson A, et al. Chapter 3: European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15(Suppl. 2):S169–91.PubMedCentralPubMedCrossRef van Tulder M, Becker A, Bekkering T, Breen A, Del Real MTG, Hutchinson A, et al. Chapter 3: European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15(Suppl. 2):S169–91.PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Frankel BS, Moffett JK, Keen S, Jackson D. Guidelines for low back pain: changes in GP management. Fam Pract. 1999;16(3):216–22.PubMedCrossRef Frankel BS, Moffett JK, Keen S, Jackson D. Guidelines for low back pain: changes in GP management. Fam Pract. 1999;16(3):216–22.PubMedCrossRef
18.
Zurück zum Zitat Gonzalez-Urzelai V, Palacio-Elua L, Lopez-de-Munain J. Routine primary care management of acute low back pain: adherence to clinical guidelines. Eur Spine. 2003;12(6):589–94.CrossRef Gonzalez-Urzelai V, Palacio-Elua L, Lopez-de-Munain J. Routine primary care management of acute low back pain: adherence to clinical guidelines. Eur Spine. 2003;12(6):589–94.CrossRef
19.
Zurück zum Zitat Wilk V, Palmer HD, Stosic RG, McLachlan AJ. Evidence and practice in the self-management of low back pain: findings from an Australian internet-based survey. Clin J Pain. 2010;26(6):533–40.PubMedCrossRef Wilk V, Palmer HD, Stosic RG, McLachlan AJ. Evidence and practice in the self-management of low back pain: findings from an Australian internet-based survey. Clin J Pain. 2010;26(6):533–40.PubMedCrossRef
20.
Zurück zum Zitat Houben RMA, Ostelo RWJG, Vlaeyen JWS, Wolters PMJC, Peters M, Stomp-van den Berg SGM. Health care providers’ orientations towards common low back pain predict perceived harmfulness of physical activities and recommendations regarding return to normal activity. Eur J Pain. 2005;9(2):173–83.PubMedCrossRef Houben RMA, Ostelo RWJG, Vlaeyen JWS, Wolters PMJC, Peters M, Stomp-van den Berg SGM. Health care providers’ orientations towards common low back pain predict perceived harmfulness of physical activities and recommendations regarding return to normal activity. Eur J Pain. 2005;9(2):173–83.PubMedCrossRef
21.
Zurück zum Zitat Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ. 2001;322(7301):1516–20.PubMedCentralPubMedCrossRef Buchbinder R, Jolley D, Wyatt M. Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ. 2001;322(7301):1516–20.PubMedCentralPubMedCrossRef
22.
Zurück zum Zitat Bishop PB, Wing PC. Knowledge transfer in family physicians managing patients with acute low back pain: a prospective randomized control trial. Spine J. 2006;6(3):282–8.PubMedCrossRef Bishop PB, Wing PC. Knowledge transfer in family physicians managing patients with acute low back pain: a prospective randomized control trial. Spine J. 2006;6(3):282–8.PubMedCrossRef
23.
Zurück zum Zitat Dey P, Simpson CWR, Collins SI, Hodgson G, Dowrick CF, Simison AJM, et al. Implementation of RCGP guidelines for acute low back pain: a cluster randomised controlled trial. Br J Gen Pract. 2004;54(498):33–7.PubMedCentralPubMed Dey P, Simpson CWR, Collins SI, Hodgson G, Dowrick CF, Simison AJM, et al. Implementation of RCGP guidelines for acute low back pain: a cluster randomised controlled trial. Br J Gen Pract. 2004;54(498):33–7.PubMedCentralPubMed
24.
Zurück zum Zitat Eccles M, Steen N, Grimshaw J, Thomas L, McNamee P, Soutter J, et al. Effect of audit and feedback, and reminder messages on primary-care radiology referrals: a randomised trial. Lancet. 2001;357(9266):1406–9.PubMedCrossRef Eccles M, Steen N, Grimshaw J, Thomas L, McNamee P, Soutter J, et al. Effect of audit and feedback, and reminder messages on primary-care radiology referrals: a randomised trial. Lancet. 2001;357(9266):1406–9.PubMedCrossRef
25.
Zurück zum Zitat Kerry S, Oakeshott P, Dundas D, Williams J. Influence of postal distribution of the Royal College of Radiologists’ guidelines, together with feedback on radiological referral rates, on X-ray referrals from general practice: a randomized controlled trial. Fam Pract. 2000;17(1):46–52.PubMedCrossRef Kerry S, Oakeshott P, Dundas D, Williams J. Influence of postal distribution of the Royal College of Radiologists’ guidelines, together with feedback on radiological referral rates, on X-ray referrals from general practice: a randomized controlled trial. Fam Pract. 2000;17(1):46–52.PubMedCrossRef
26.
Zurück zum Zitat Symonds TL, Burton AK, Tillotson KM, Main CJ. Do attitudes and beliefs influence work loss due to low back trouble? Occup Med (Oxf). 1996;46(1):25–32.CrossRef Symonds TL, Burton AK, Tillotson KM, Main CJ. Do attitudes and beliefs influence work loss due to low back trouble? Occup Med (Oxf). 1996;46(1):25–32.CrossRef
27.
Zurück zum Zitat George SZ, Teyhen DS, Wu SS, Wright AC, Dugan JL, Yang G, et al. Psychosocial education improves low back pain beliefs: results from a cluster randomized clinical trial (NCT00373009) in a primary prevention setting. Eur Spine J. 2009;18(7):1050–8.PubMedCentralPubMedCrossRef George SZ, Teyhen DS, Wu SS, Wright AC, Dugan JL, Yang G, et al. Psychosocial education improves low back pain beliefs: results from a cluster randomized clinical trial (NCT00373009) in a primary prevention setting. Eur Spine J. 2009;18(7):1050–8.PubMedCentralPubMedCrossRef
29.
Zurück zum Zitat Australian Acute Musculoskeletal Pain Guidelines Group. Evidence-based management of acute musculoskeletal pain—a guide for clinicians. Bowen Heads: Australian Academic Press; 2004. ISBN 9781875378524. Australian Acute Musculoskeletal Pain Guidelines Group. Evidence-based management of acute musculoskeletal pain—a guide for clinicians. Bowen Heads: Australian Academic Press; 2004. ISBN 9781875378524.
30.
Zurück zum Zitat Williams CM, Maher CG, Latimer J, McLachlan AJ, Hancock MJ, Ray RO, et al. Efficacy of paracetamol for acute low-back pain: a double-blind randomised controlled trial. Lancet. 2014;384(9954):1586–96.PubMedCrossRef Williams CM, Maher CG, Latimer J, McLachlan AJ, Hancock MJ, Ray RO, et al. Efficacy of paracetamol for acute low-back pain: a double-blind randomised controlled trial. Lancet. 2014;384(9954):1586–96.PubMedCrossRef
33.
Zurück zum Zitat Mezei L, Murinson BB, Johns Hopkins Pain Curriculum Development T. Pain education in North American medical schools. J Pain. 2011;12(12):1199–208.PubMedCrossRef Mezei L, Murinson BB, Johns Hopkins Pain Curriculum Development T. Pain education in North American medical schools. J Pain. 2011;12(12):1199–208.PubMedCrossRef
37.
Zurück zum Zitat Dahm KT, Brurberg KG, Jamtvedt G, Hagen KB. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010;6:CD007612.PubMed Dahm KT, Brurberg KG, Jamtvedt G, Hagen KB. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2010;6:CD007612.PubMed
38.
Zurück zum Zitat Buer N, Linton SJ. Fear-avoidance beliefs and catastrophizing: occurrence and risk factor in back pain and ADL in the general population. Pain. 2002;99(3):485–91.PubMedCrossRef Buer N, Linton SJ. Fear-avoidance beliefs and catastrophizing: occurrence and risk factor in back pain and ADL in the general population. Pain. 2002;99(3):485–91.PubMedCrossRef
39.
Zurück zum Zitat Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27(5):E109–20.PubMedCrossRef Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27(5):E109–20.PubMedCrossRef
40.
Zurück zum Zitat Gohner W, Schlicht W. Preventing chronic back pain: evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain. Patient Educ Couns. 2006;64(1–3):87–95.PubMedCrossRef Gohner W, Schlicht W. Preventing chronic back pain: evaluation of a theory-based cognitive-behavioural training programme for patients with subacute back pain. Patient Educ Couns. 2006;64(1–3):87–95.PubMedCrossRef
41.
Zurück zum Zitat Hancock MJ, Maher CG, Latimer J, McLachlan AJ, Cooper CW, Day RO, et al. Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. Lancet. 2007;370(9599):1638–43.PubMedCrossRef Hancock MJ, Maher CG, Latimer J, McLachlan AJ, Cooper CW, Day RO, et al. Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. Lancet. 2007;370(9599):1638–43.PubMedCrossRef
42.
Zurück zum Zitat Epstein RM, Hadee T, Carroll J, Meldrum SC, Lardner J, Shields CG. “Could this be something serious?” Reassurance, uncertainty, and empathy in response to patients’ expressions of worry. J Gen Intern Med. 2007;22(12):1731–9.PubMedCentralPubMedCrossRef Epstein RM, Hadee T, Carroll J, Meldrum SC, Lardner J, Shields CG. “Could this be something serious?” Reassurance, uncertainty, and empathy in response to patients’ expressions of worry. J Gen Intern Med. 2007;22(12):1731–9.PubMedCentralPubMedCrossRef
43.
Zurück zum Zitat Murinson BB, Agarwal AK, Haythornthwaite JA. Cognitive expertise, emotional development, and reflective capacity: clinical skills for improved pain care. J Pain. 2008;9(11):975–83.PubMedCentralPubMedCrossRef Murinson BB, Agarwal AK, Haythornthwaite JA. Cognitive expertise, emotional development, and reflective capacity: clinical skills for improved pain care. J Pain. 2008;9(11):975–83.PubMedCentralPubMedCrossRef
44.
Zurück zum Zitat Strassels S, Pepin J, Petty H, Torges K, Driver L. (404) Texas pharmacists’ knowledge, attitudes, and practices may contribute to inadequate pain care. J Pain. 2008;9:77. Strassels S, Pepin J, Petty H, Torges K, Driver L. (404) Texas pharmacists’ knowledge, attitudes, and practices may contribute to inadequate pain care. J Pain. 2008;9:77.
45.
Zurück zum Zitat Artner J, Kurz S, Cakir B, Reichel H, Luttiq F. Intensive interdisciplinary outpatient pain management program for chronic back pain: a pilot study. J Pain Res. 2012;5:209–16.PubMedCentralPubMedCrossRef Artner J, Kurz S, Cakir B, Reichel H, Luttiq F. Intensive interdisciplinary outpatient pain management program for chronic back pain: a pilot study. J Pain Res. 2012;5:209–16.PubMedCentralPubMedCrossRef
46.
Zurück zum Zitat Coudeyre E, Rannou F, Tubach F, Baron G, Coriat F, Brin S, et al. General practitioners’ fear-avoidance beliefs influence their management of patients with low back pain. Pain. 2006;124(3):330–7.PubMedCrossRef Coudeyre E, Rannou F, Tubach F, Baron G, Coriat F, Brin S, et al. General practitioners’ fear-avoidance beliefs influence their management of patients with low back pain. Pain. 2006;124(3):330–7.PubMedCrossRef
47.
Zurück zum Zitat Engers AJ, Wensing M, van Tulder MW, Timmermans A, Oostendorp RAB, Koes BW, et al. Implementation of the Dutch low back pain guideline for general practitioners: a cluster randomized controlled trial. Spine. 2005;30(6):559–600.PubMedCrossRef Engers AJ, Wensing M, van Tulder MW, Timmermans A, Oostendorp RAB, Koes BW, et al. Implementation of the Dutch low back pain guideline for general practitioners: a cluster randomized controlled trial. Spine. 2005;30(6):559–600.PubMedCrossRef
48.
Zurück zum Zitat Jackson JL, Browning R. Impact of national low back pain guidelines on clinical practice. South Med J. 2005;98(2):139–43.PubMedCrossRef Jackson JL, Browning R. Impact of national low back pain guidelines on clinical practice. South Med J. 2005;98(2):139–43.PubMedCrossRef
49.
Zurück zum Zitat Somerville S, Hay E, Lewis M, Barber J, van der Windt D, Hill J, et al. Content and outcome of usual primary care for back pain: a systematic review. Br J Gen Pract. 2008;58(556):790–7 (i–vi).PubMedCentralPubMedCrossRef Somerville S, Hay E, Lewis M, Barber J, van der Windt D, Hill J, et al. Content and outcome of usual primary care for back pain: a systematic review. Br J Gen Pract. 2008;58(556):790–7 (i–vi).PubMedCentralPubMedCrossRef
50.
Zurück zum Zitat Mc Namara KPM. Duncan GJ, McDowell J, Marriott JL. Community pharmacists’ preferences for continuing education delivery in Australia. J Contin Educ Health Prof. 2009;29(1):52–7.CrossRef Mc Namara KPM. Duncan GJ, McDowell J, Marriott JL. Community pharmacists’ preferences for continuing education delivery in Australia. J Contin Educ Health Prof. 2009;29(1):52–7.CrossRef
Metadaten
Titel
The effects of educational interventions on pharmacists’ knowledge, attitudes and beliefs towards low back pain
verfasst von
Christina Abdel Shaheed
Christopher G. Maher
Wendy Mak
Kylie A. Williams
Andrew J. McLachlan
Publikationsdatum
01.08.2015
Verlag
Springer Netherlands
Erschienen in
International Journal of Clinical Pharmacy / Ausgabe 4/2015
Print ISSN: 2210-7703
Elektronische ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-015-0112-5

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