Overall , as a therapeutic intervention , structured patient education was equal or less effective than other conservative treatments including massage , supervised exercise , and physiotherapy .
However , structured patient education may provide small benefits when combined with physiotherapy .
Either mode of delivery ( ie , oral or written education ) provides similar results in patients with recent WAD .
Results suggest that structured patient education alone can not be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD .
Moreover , structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care .
These benefits are small and short lived
BACKGROUND CONTEXT In 2008 , the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain .
However , the effectiveness of education interventions has recently been challenged .
PURPOSE To up date the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders ( WAD ) or neck pain and associated disorders ( NAD ) .
OUTCOME MEASURES Self-rated recovery , functional recovery ( eg , disability , return to activities , work , or school ) , pain intensity , health-related quality of life , psychological outcomes such as depression or fear , or adverse effects .
Effects of a Media Campaign on Back Beliefs is Sustained 3 Years After Its Cessation
Study Design . Quasi-experimental , nonr and omized , nonequivalent , parallel group-controlled study involving before and after telephone surveys of the general population . Objective . To measure the magnitude of any sustained change in population beliefs about back pain 3 years after cessation of a population -based intervention design ed to alter beliefs about back pain . Summary of Background Data . A media campaign , which ran between September 1997 and December 1999 in Victoria , Australia , provided simple evidence -based advice about back pain . Following the campaign , there were significant improvements in both community and physicians ' beliefs about back pain , as well as a decline in number of workers ' compensation back cl aims . Methods . The campaign 's impact on population beliefs about back pain and fear-avoidance beliefs was measured using telephone surveys . Demographically identical population groups in Victoria and the adjacent control state , New South Wales , were surveyed at 4 times : before , during , immediately after , and 3 years after the media campaign in Victoria ( surveys 1−4 , respectively ) . Back beliefs were measured using the Back Beliefs Question naire ( BBQ ) ( possible score 9–45 , for which a higher score indicates a more positive belief about low back trouble ) . Fear-avoidance beliefs were measured using the Fear-Avoidance Beliefs Question naire consisting of 2 subscales for physical activity and work activity ( possible scores 0–24 and 0–36 , respectively ) , for which a lower score indicates fewer fear-avoidance beliefs . Results . A total of 6230 individuals in the general population completed the surveys . Large statistically significant improvements in population beliefs about back pain were still observed in Victoria 3 years after cessation of the campaign ( mean scores on the BBQ were 26.5 , 28.4 , 29.7 , and 28.8 for surveys 1–4 , respectively ) . No changes were observed in New South Wales ( mean scores on the BBQ were 26.3 , 26.2 , 26.3 , and 26.1 for surveys 1–4 , respectively ) . Of those individuals who reported back pain during the previous year , fear-avoidance beliefs aboutphysical activity in Victoria were also significantly better than at baseline ( mean scores on the Fear-Avoidance Beliefs Question naire for physical activity were 14.0 , 12.5 , 11.6 , and 12.3 for surveys 1–4 , respectively ) . Conclusions . Significant sustained improvements in population beliefs about back pain were observed 3 years after cessation of a media campaign of provision of positive messages about back pain . This result provides further evidence that a primary preventive strategy of altering population beliefs about back pain may be a highly effective way for reducing back-related disability
Overall , as a therapeutic intervention , structured patient education was equal or less effective than other conservative treatments including massage , supervised exercise , and physiotherapy .
However , structured patient education may provide small benefits when combined with physiotherapy .
Either mode of delivery ( ie , oral or written education ) provides similar results in patients with recent WAD .
Results suggest that structured patient education alone can not be expected to yield large benefits in clinical effectiveness compared with other conservative interventions for patients with WAD or NAD .
Moreover , structured patient education may be of benefit during the recovery of patients with WAD when used as an adjunct therapy to physiotherapy or emergency room care .
These benefits are small and short lived
BACKGROUND CONTEXT In 2008 , the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders recommended patient education for the management of neck pain .
However , the effectiveness of education interventions has recently been challenged .
PURPOSE To up date the findings of the Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders and evaluate the effectiveness of structured patient education for the management of patients with whiplash-associated disorders ( WAD ) or neck pain and associated disorders ( NAD ) .
OUTCOME MEASURES Self-rated recovery , functional recovery ( eg , disability , return to activities , work , or school ) , pain intensity , health-related quality of life , psychological outcomes such as depression or fear , or adverse effects .