ArticleBMC musculoskeletal disorders2011
Individuals with chronic low back pain have greater difficulty in engaging in positive lifestyle behaviours than those without back pain: an assessment of health literacy.
Article in BMC musculoskeletal disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Cognitive Functional Therapy for Chronic Low Back Pain: A Systematic Review and Meta-Analysis.Physical therapy · 2024Pooled it
- Do people with musculoskeletal pain differ from healthy cohorts in terms of global measures of strength? A systematic review and meta-analysis.Clinical rehabilitation · 2023Pooled it
- Different Measures, Different Outcomes? A Systematic Review of Performance-Based versus Self-Reported Measures of Health Literacy and Numeracy.Journal of general internal medicine · 2015Pooled it
- Trial
- Trial
- A single group follow-up study of non-surgical patients seen by physiotherapists working in expanded roles in orthopaedic departments: recall of recommendations, change in exercise and self-efficacy.BMC research notes · 2012Trial
- An oral health literacy intervention for Indigenous adults in a rural setting in Australia.BMC public health · 2012Trial
- Exploring the Needs of People With Chronic Low Back Pain and Health Care Professionals for mHealth Devices to Support Self-Managed Physical Activity and Pain: User-Centered Design Approach.JMIR human factors · 2024Article
- Eating habits and the desire to eat healthier among patients with chronic pain: a registry-based study.Scientific reports · 2024Article
- Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis.Healthcare (Basel, Switzerland) · 2024Review
- Personalized Multimodal Lifestyle Intervention as the Best-Evidenced Treatment for Chronic Pain: State-of-the-Art Clinical Perspective.Journal of clinical medicine · 2024Review
- Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults.Frontiers in public health · 2024Article
- Spinal Pain, Chronic Health Conditions and Health Behaviors: Data from the 2016-2018 National Health Interview Survey.International journal of environmental research and public health · 2023Article
- Development of the health literacy assessment instrument for chronic pain patients: A Delphi study.Nursing open · 2023Article
- Prevalence of Low Back Pain and Associated Risk Factors among Farmers in Jeju.Safety and health at work · 2021Article
- The relationship between readiness to change pain-related exercise participation and perceived work ability: a cross-sectional study of factory workers.BMC musculoskeletal disorders · 2021Article
- Health literacy and health outcomes in patients with low back pain: a scoping review.BMC medical informatics and decision making · 2021Article
- Development and Validation of the Health Literacy Assessment Instrument for Patients with Chronic Pain.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Nonspecific Low Back Pain among Kyokushin Karate Practitioners.Medicina (Kaunas, Lithuania) · 2020Article
- A multisite longitudinal evaluation of patient characteristics associated with a poor response to non-surgical multidisciplinary management of low back pain in an advanced practice physiotherapist-led tertiary service.BMC musculoskeletal disorders · 2020Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundDespite the large volume of research dedicated to understanding chronic low back pain (CLBP), patient outcomes remain modest while healthcare costs continue to rise, creating a major public health burden. Health literacy - the ability to seek, understand and utilise health information - has been identified as an important factor in the course of other chronic conditions and may be important in the aetiology of CLBP. Many of the currently available health literacy measurement tools are limited since they measure narrow aspects of health literacy. The Health Literacy Measurement Scale (HeLMS) was developed recently to measure broader elements of health literacy. The aim of this study was to measure broad elements of health literacy among individuals with CLBP and without LBP using the HeLMS.
methodsThirty-six community-dwelling adults with CLBP and 44 with no history of LBP responded to the HeLMS. Individuals were recruited as part of a larger community-based spinal health study in Western Australia. Scores for the eight domains of the HeLMS as well as individual item responses were compared between the groups.
resultsHeLMS scores were similar between individuals with and without CLBP for seven of the eight health literacy domains (p > 0.05). However, compared to individuals with no history of LBP, those with CLBP had a significantly lower score in the domain 'Patient attitudes towards their health' (mean difference [95% CI]: 0.46 [0.11-0.82]) and significantly lower scores for each of the individual items within this domain (p < 0.05). Moderate effect sizes ranged from d = 0.47-0.65.
conclusionsAlthough no differences were identified in HeLMS scores between the groups for seven of the health literacy domains, adults with CLBP reported greater difficulty in engaging in general positive health behaviours. This aspect of health literacy suggests that self-management support initiatives may benefit individuals with CLBP.
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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.