The Effect of Interactive Multimedia Versus Illustrated Booklet on Behavior to Prevent Lower Back Pain in Working Nurses.

Study Overview
=================
Brief Summary
-----------------
The present study was conducted to compare the effect of interactive multimedia and illustrated booklet methods on knowledge, attitude and improvement of behavior in preventing lower back pain amongst lower back pain amongst nurses.

Detailed Description
-----------------
In this single blind randomized controlled trial, 153 eligible nurses working in hospitals during 2019 were enrolled. The participants were randomly allocated into three parallel groups: interactive multimedia (n=55), illustrated booklet (n= 55), and the control (n= 43). The study samples were blinded to intervention and control groups. A researcher-made questionnaire was completed by the eligible subjects before, after, and four weeks after the intervention to assess their knowledge, attitude and behavior in preventing chronic lower back pain amongst working nurses.

Official Title
-----------------
Comparison of the Effect of Interactive Multimedia Versus Illustrated Booklet on Behavior to Prevent Lower Back Pain in Working Nurses in the Hospitals Affiliated to Shiraz University of Medical Sciences.

Conditions
-----------------
Low Back Pain

Intervention / Treatment
-----------------
* Behavioral: Interactive multimedia training and illustrated booklet


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Minimum education level of bachelor's degree in nursing Employment in governmental hospitals Willing to participate in the study and complete the informed consent Minimum knowledge of working with computers Exclusion Criteria: Congenital anomalies low back pain History of back surgery History of trauma to the back Pregnancy Severe osteoporosis
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interactive multimedia training<br>the intervention group 1 completed the pretest knowledge, attitude, and behavior questionnaire. Then, interactive multimedia was made available to this group. The questionnaire was completed again by the group, one week after completion of training, and then one month afterward. | Behavioral: Interactive multimedia training and illustrated booklet<br>* The experimental groups conducted interactive multimedia training and illustrated booklet<br>|
| Experimental: illustrated booklet<br>First, the intervention group 2 completed the pretest knowledge, attitude, and behavior questionnaire. Then, illustrated booklet was made available to this group. The questionnaire was completed again by the group one week after completion of training, and then one month afterward. | Behavioral: Interactive multimedia training and illustrated booklet<br>* The experimental groups conducted interactive multimedia training and illustrated booklet<br>|
| Experimental: No Intervention<br>In the control group, no intervention was performed. Only before the intervention, one week and one month after the intervention, they completed the knowledge, attitude and behavior questionnaires. | Behavioral: Interactive multimedia training and illustrated booklet<br>* The experimental groups conducted interactive multimedia training and illustrated booklet<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behavior of the employed nurses in order to prevent low back pain | Researcher made questionnaire for measuring behavior with 19 questions based on a six-point Likert scale. | 5 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge of the employed nurses in order to prevent low back pain | A Researcher made questionnaire for measuring knowledge with 10 four-option questions. | 5 weeks | 
| Attitude of the employed nurses in order to prevent low back pain | A researcher made questionnaire for measuring attitude with 18 questions based on a six-point Likert scale. | 5 weeks |