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 .
2001 Volvo Award Winner in Clinical Studies: Effects of a Media Campaign on Back Pain Beliefs and Its Potential Influence on Management of Low Back Pain in General Practice
Study Design . Quasi-experimental , nonr and omized , nonequivalent , parallel group-controlled study involving before and after telephone surveys of the general population and postal surveys of general practitioners was conducted , with an adjacent state used as a control group . Objectives . To evaluate the effectiveness of a population -based intervention design ed to alter beliefs about back pain , influence medical management , and reduce disability and workers ’ compensation – related costs . Summary of Background Data . A multimedia campaign begun during 1997 in Victoria , Australia , positively advised patients with back pain to stay active and exercise , not to rest for prolonged periods , and to remain at work . Methods . The campaign ’s impact on population beliefs about back pain and fear-avoidance beliefs was measured in telephone surveys , and the effect of the campaign on the potential management of low back pain by general practitioners was assessed by eliciting their likely approach to two hypothetical scenarios in mailed surveys . Demographically identical population groups in Victoria and the control state , New South Wales , were surveyed at three times : before , during , and after intervention in Victoria . Results . The studies were completed by 4730 individuals in the general population and 2556 general practitioners . There were large statistically significant improvements in back pain beliefs over time in Victoria ( mean scores on the Back Beliefs Question naire , 26.5 , 28.4 , and 29.7 ) , but not in New South Wales ( 26.3 , 26.2 , and 26.3 , respectively ) . Among those who reported back pain during the previous year , fear-avoidance beliefs about physical activity improved significantly in Victoria ( mean scores on the Fear-Avoidance Beliefs Question naire for physical activity , 14 , 12.5 , and 11.6 ) , but not in New South Wales ( 13.3 , 13.6 , and 12.7 , respectively ) . General practitioners in Victoria reported significant improvements over time in beliefs about back pain management , as compared with their interstate colleagues . There were statistically significant interactions between state and time for 7 of 10 responses on management of acute low back pain , and for 6 of 10 responses on management of subacute low back pain . Conclusion . A population -based strategy of providing positive messages about back pain improves the beliefs of the general population and general practitioners about back pain and appears to influence medical management
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 .