Evidence map›Paper›PMID 31779617›Full record

Trial reportBMC musculoskeletal disorders2019

Association between high fear-avoidance beliefs about physical activity and chronic disabling low back pain in nurses in Japan.

Tomoko Fujii, Hiroyuki Oka, Kenichiro Takano, Fuminari Asada, Takuo Nomura, Kayo Kawamata, Hiroshi Okazaki, Sakae Tanaka, Ko Matsudaira

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Association of Low Back Pain with Shift Work: A Meta-Analysis.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Tomoko FujiiDepartment of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. ort4771@gmail.com.ORCID http://orcid.org/0000-0001-6212-9270
Hiroyuki OkaDepartment of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Kenichiro TakanoResearch Center for the Health Promotion and Employment Support, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Fuminari AsadaResearch Center for the Health Promotion and Employment Support, Osaka Rosai Hospital, Osaka, Japan.
Takuo NomuraDepartment of Rehabilitation Sciences, Kansai University of Welfare Sciences, Osaka, Japan.
Kayo KawamataDepartment of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Hiroshi OkazakiDepartment of Orthopaedic Surgery, Kanto Rosai Hospital, Kawasaki, Kanagawa, Japan.
Sakae TanakaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Ko MatsudairaDepartment of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical & Research Center, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
The University of Tokyo · JPKansai Rosai Hospital · JPKansai University of Welfare Sciences · JPOsaka Rosai Hospital · JPTokyo Medical University · JP

Funding

Ministry of Health, Labour and Welfare H30-Rodo-Ippan-002
6 · The paper itself

Abstract

backgroundHigh prevalence of low back pain (LBP) in nurses has been reported globally. Ergonomic factors and work-related psychosocial factors have been focused on as risk factors. However, evidence on the role of fear-avoidance beliefs (FABs) concerning LBP in nurses is lacking. This study examined LBP prevalence and the association between FABs and chronic disabling LBP that interfered with work and lasted ≥ 3 months.

methodsFemale nurses (N = 3066; mean age = 35.8 ± 10.6 years) from 12 hospitals in Japan participated. A self-reported questionnaire was used to collect information on sociodemographics, LBP, work-related factors, and psychological distress. FABs about physical activity were assessed using a subscale from the FAB Questionnaire (score range = 0-24). The participants were asked to choose one of four statements regarding their LBP in the past 4 weeks: 1) I did not have LBP, 2) I had LBP without work difficulty, 3) I had LBP with work difficulty but without requiring absence from work, and 4) I had LBP requiring absence from work. If the participant had LBP in the past 4 weeks, it was also inquired if the LBP had lasted for ≥ 3 months. Chronic disabling LBP was defined as experiencing LBP with work difficulty in the past 4 weeks which had lasted for ≥ 3 months. In the nurses who had experienced any LBP in the past 4 weeks, we examined the association between FABs and experiencing chronic disabling LBP using multiple logistic regression models adjusting for pain intensity, age, body mass index, smoking status, psychological distress, hospital department, weekly work hours, night shift work, and the12 hospitals where the participants worked.

resultsFour-week and one-year LBP prevalence were 58.7 and 75.9%, respectively. High FABs (≥ 15) were associated with chronic disabling LBP (adjusted odds ratio = 1.76, 95% confidence interval [1.21-2.57], p = 0.003).

conclusionsLBP is common among nurses in Japan. FABs about physical activity might be a potential target for LBP management in nurses.

trial registrationUMIN-CTR UMIN000018087. Registered: June 25, 2015.

Indexed as

Avoidance LearningAdultChronic PainCross-Sectional StudiesCultureExerciseFearFemaleHumansJapanLow Back PainMiddle AgedNursesOccupational DiseasesPersons with DisabilitiesFear-avoidance beliefsLow back painNurses

Identifiers

PMID31779617
PMCPMC6883590
OpenAlexW2991236640

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.