The Influence of an Educational Intervention in the Beliefs and Attitudes of Primary Care Professionals

NCT02962817 | Unknown DMC

• 1 other identifier: ULleida P16/124
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The primary aim of this project is to identify the fear-avoidance beliefs and attitudes of primary care physicians and nurses towards the treatment of chronic nonspecific low back pain to subsequently develop a biopsychosocial educational tool using a web platform. The secondary aim of this project is to evaluate the effectiveness of this educational intervention about pain neurophysiology and fear-avoidance beliefs, using a web platform for primary care physicians and nurses. Methods: Exploratory sequential mixed method design. For the qualitative phase of this study, researchers will use personal semistructured interviews. For the quantitative phase the authors will use an experimental study design. Subjects: medical and nursing staff working in primary care centers in the city of Lleida, Spain. Expected outcomes: the authors expect to change and modify wrong beliefs and attitudes about chronic low back pain of physicians and nurses working in primary care settings, using a web-based educational tool with the additional result of increasing knowledge on pain neurophysiology and reducing fear-avoidance beliefs.

Conditions

Chronic Nonspecific Low Back Pain

Outcome Measures

Primary Outcomes (1)

• Knowledge about the pain neurophysiology

  Using the pain neurophysiology questionnaire. This self-administered questionnaire was developed by Lorimer Moseley in 2003 to assess how an individual conceptualizes pain. An acceptable internal consistency and good test-retest reliability was demonstrated. The original English version was translated into Spanish by the Language Service of the Rovira and Virgili University. The questionnaire consists of 19 statements that refer to the origin and meaning of pain with three possible answers: true, false or doubtful. Each correct answer is scored with 1 point, while incorrect, doubtful or unanswered responses are scored with 0 points.

  2 weeks

Secondary Outcomes (2)

• Fear-avoidance beliefs

  2 weeks

• Fear-avoidance beliefs and attitudes

  2 weeks

Study Arms (2)

Educational intervention through a web platform

EXPERIMENTAL

This group will have access to our web platform where they will find information related to nonspecific chronic low back pain. This information will be presented through dynamic explanatory 3D videos made by the author. The aim of this intervention is to change and modify wrong beliefs and attitudes about chronic low back pain of physicians and nurses working in primary care settings, using a web-based educational tool with the additional result of increasing knowledge on pain neurophysiology and reducing fear-avoidance beliefs.

Other: Educational intervention

Clinical practice guidelines on low back pain

ACTIVE COMPARATOR

Control group: They will have access to a video where medical staff and primary care nurses explain the content of the clinical practice guideline for addressing back pain.

Other: Video explaining the clinical practice guidelines on low back pain

Interventions

Educational intervention OTHER

Educational intervention through a web platform

Video explaining the clinical practice guidelines on low back pain OTHER

Clinical practice guidelines on low back pain

Eligibility Criteria

• Age: 22 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Graduated in medicine and specialized in family and community medicine.
• Graduates in nursing.
• Registered health professionals.
• Professionals working in any of the primary care centers.
• Accept and sign the informed consent form.

Sponsors & Collaborators

• Universitat de Lleida: lead

Study Sites (1)

Primary care

Lleida, 25198, Spain

Location

Related Publications (2)

• Garcia-Martinez E, Soler-Gonzalez J, Blanco-Blanco J, Rubi-Carnacea F, Masbernat-Almenara M, Valenzuela-Pascual F. Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study. BMC Prim Care. 2022 Jan 14;23(1):9. doi: 10.1186/s12875-021-01617-3.

  PMID: 35172719 DERIVED

• Garcia-Martinez E, Soler-Gonzalez J, Rubi-Carnacea F, Garcia-Martinez B, Climent-Sanz C, Blanco-Blanco J, Valenzuela-Pascual F. The influence of an educational internet-based intervention in the beliefs and attitudes of primary care professionals on non-specific chronic low back pain: study protocol of a mixed methods approach. BMC Fam Pract. 2019 Feb 21;20(1):31. doi: 10.1186/s12875-019-0919-6.

  PMID: 30791879 DERIVED

MeSH Terms

Interventions

Early Intervention, Educational

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services

Study Officials

• Francesc Valenzuela Pascual, BSc(PT)

  Universitat de Lleida

  STUDY DIRECTOR

• Jorge Soler Gonzalez, MD

  Universitat de Lleida

  STUDY DIRECTOR

• Ester García Martínez, BSc(PT)

  Universitat de Lleida

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ester García Martínez, Faculty of Nursing and Physiotherapy, Universitat de Lleida

Study Record Dates

• First Submitted: November 9, 2016
• First Posted: November 11, 2016
• Study Start: October 1, 2016
• Primary Completion: February 1, 2018
• Study Completion: June 1, 2022
• Last Updated: December 10, 2021

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)