Trial reportPain2008
How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners? A survey of UK general practitioners and physiotherapists.
Trial report in Pain, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 83 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective Cohort Study With 52 Weeks Follow-up Investigating the Influence of Disease Perception on Functional Outcome Among Patients Referred From General Practice to Secondary Care for Treatment of Low Back Pain.
Interest of the Return to Primary Care of the "Low Back Booklet" of Health Insurance in the Recovery of Common Acute Low Back Pain
Transformative Learning to Virtual Inter-Professional Education in Musculoskeletal Pain: A Randomised Trial
Who cites it
83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 281 citations in OpenAlex.
- Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review.BMJ open · 2019Pooled it
- What do GPs feel about sickness certification? A systematic search and narrative review.Scandinavian journal of primary health care · 2010Pooled it
- Effectiveness of a pain science education programme in middle school students: a randomised controlled trial.Frontiers in public health · 2024Trial
- The Development and Content of the Vocational Advice Intervention and Training Package for the Study of Work and Pain (SWAP) Trial (ISRCTN 52269669).Journal of occupational rehabilitation · 2019Trial
- Trial
- IMPaCT Back study protocol. Implementation of subgrouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison.BMC musculoskeletal disorders · 2010Trial
- The relationship between patient and practitioner expectations and preferences and clinical outcomes in a trial of exercise and acupuncture for knee osteoarthritis.European journal of pain (London, England) · 2010Trial
- Attitudes, Beliefs, and Clinical Decision-Making Regarding Low Back Pain: A Cross-Sectional Study of Pakistani Medical Practitioners, Physiotherapists, and Exercise Professionals.Musculoskeletal care · 2026Article
- Development and Psychometric Validation of the Guideline-Concordant Low Back Pain Vignette (GCLBP-V) in Undergraduate Physiotherapy Students.Journal of pain research · 2026Article
- Pain medication associated with decreased physical performance and rehabilitation progress.Pain reports · 2025Article
- Measuring guideline adherence in physiotherapy: A scoping review of methodological approaches.Journal of evaluation in clinical practice · 2025Article
- Integrating transformative learning theory in synchronous E-learning in musculoskeletal pain education among primary care nurses: a randomized study.BMC nursing · 2025Article
- Adherence to neck and low back pain clinical practice guidelines based on clinical specialization: a survey of physical therapists.The Journal of manual & manipulative therapy · 2025Article
- Article
- The influence of low back pain-related attitudes and beliefs on the clinical decision making of physical therapists.The Journal of manual & manipulative therapy · 2024Article
- A modern way to teach and practice manual therapy.Chiropractic & manual therapies · 2024Review
- Article
- Is the use of diagnostic imaging and the self-reported clinical management of low back pain patients influenced by the attitudes and beliefs of chiropractors? A survey of chiropractors in the Netherlands and Belgium.Chiropractic & manual therapies · 2024Article
- Transcultural Adaptation and Psychometric Validation of the Spanish Version of the Pain Attitudes and Beliefs Scale for Physiotherapists.Journal of clinical medicine · 2023Article
- Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review.BMC health services research · 2023Article
23 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
Guidelines for the management of low back pain (LBP) have existed for many years, but adherence to these by health care practitioners (HCPs) remains suboptimal. The aim of this study was to measure the attitudes, beliefs and reported clinical behaviour of UK physiotherapists (PTs) and general practitioners (GPs) about LBP and to explore the associations between these. A cross-sectional postal survey of GPs (n=2000) and PTs (n=2000) was conducted that included the Pain Attitudes and Beliefs Scale (PABT.PT), and a vignette of a patient with non-specific LBP (NSLBP) with questions asking about recommendations for work, activity and bedrest. Data from 1022 respondents (442 GPs and 580 PTs) who had recently treated patients with LBP were analysed. Although the majority of HCPs reported providing advice for the vignette patient that was broadly in line with guideline recommendations, 28% reported they would advise this patient to remain off work. Work advice was significantly related to the PABS.PT scores with higher biomedical (F(1,986)=77.5, p<0.0001) and lower behavioural (F(1,981)=31.9, p<0.001) scores associated with advice to remain off work. We have demonstrated that the attitudes and reported practice behaviour of UK GPs and PTs for patients with NSLBP are diverse. Many HCPs held the belief that LBP necessitates some avoidance of activities and work. The attitudes and beliefs of these HCPs were associated with their self-reported clinical behaviour regarding advice about work. Future studies need to investigate whether approaches aimed at modifying these HCP factors can lead to improved patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.