Evidence map›Paper›PMID 39043591›Full record

ArticleBMJ open2024

Perceptions of advice for acute low back pain: a content analysis of qualitative data collected in a randomised experiment.

Lidiya Augustine, Joshua Zadro, Christopher Maher, Adrian C Traeger, Caitlin Jones, Courtney A West, Jingjing Yang, Mary O'Keeffe, Hazel Jenkins, James H McAuley and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

11 authors.

Lidiya AugustineSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia lidiya.aug@gmail.com.
Joshua ZadroSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-8981-2125
Christopher MaherSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Adrian C TraegerSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-1646-1907
Caitlin JonesSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Courtney A WestInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia.
Jingjing YangSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Mary O'KeeffeNational University of Ireland Galway, Galway, Ireland.ORCID 0000-0001-7104-9248
Hazel JenkinsMacquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-0535-687X
James H McAuleyUniversity of New South Wales, Neuroscience Research Australia, Sydney, New South Wales, Australia.
Giovanni E FerreiraSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-8534-195X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore how people perceive three different forms of advice for acute low back pain (LBP).

designContent analysis of qualitative data collected in a three-arm randomised experiment.

participants2200 participants with acute LBP (ie, pain duration for ≤6 weeks) were randomly assigned to receive three types of advice: guideline advice and guideline advice with the addition of either brief pain science or ergonomics messages. PRIMARY AND SECONDARY OUTCOMES: After receiving the advice, participants answered two questions: 'If your health professional gave you this advice, how would it make you feel?' and 'If your health professional gave you this advice, what treatments (if any) do you think you would need?' Two researchers coded responses using deductive content analysis.

resultsWe analysed 4400 free-text responses from 2200 participants. There were little to no differences in participants' feelings, thoughts and expectations after receiving three types of advice for acute LBP. Participants most commonly expressed feeling positive about the advice (38%-35%), reassured (23%-22%) and empowered (10%-8%). Some expressed being unhappy or being frustrated with the advice (4%-3%). Participants most commonly thought they needed no treatment apart from staying active, followed by exercise and medication.

conclusionsGuideline advice with or without the addition of brief pain science or ergonomics messages generated positive feelings, reassurance or a sense of empowerment in many people with acute LBP, with no difference between types of advice. TRIAL REGISTRATION NUMBER: ACTRN12623000364673.

Indexed as

Low Back PainQualitative ResearchAcute PainAdultErgonomicsFemaleHumansMaleMiddle AgedYoung AdultBack painHealth EducationMusculoskeletal disorders

Identifiers

PMID39043591
PMCPMC11268038

What OpenQuestion holds

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Registered trials

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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.