Effect of an E-learning Intervention on Knowledge, Attitudes and Beliefs of Healthcare Professionals Managing Low Back Pain.

NCT05284669 | Completed DMC

• 1 other identifier: 20/51/714
• Study Type: interventional
• Target: 2,720
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the current research project is to examine if the healthcare professionals (HCPs) knowledge, attitudes, beliefs and behavior about the management of low back pain (LBP) patients changes following an e-learning intervention (experimental interactive e-learning versus traditional non-interactive e-learning)

Conditions

Knowledge, Attitudes, Practice; Low Back Pain; Physical Therapy; Physicians

Keywords

Distance education; Musculoskeletal pain; Guideline adherence; First-line care

Outcome Measures

Primary Outcomes (2)

• The Health Care Providers Pain and Impairment Relationship Scale (HC-PAIRS)

  The HC-PAIRS assesses attitudes and beliefs about functional expectations for patients with chronic LBP. It consists of 13 statements that must be rated on a seven-point Likert scale, ranging from 'totally disagree' to 'totally agree'. A high score on the HC-PAIRS reflects a belief with a strong relationship between pain and impairment. Psychometric properties of this questionnaire have been established.

  Baseline assessment and post-intervention assessment (between 2 and 4 weeks after baseline)

• Vignette of Rainville

  The clinical vignette described a patient with non-specific LBP. This vignette was developed by Rainville. Participants were asked to assess the patient's ability to work, from 1 (full-time) to 5 (remain out of work) and gave their opinion on the appropriate level of activity, with choices graded from 1 (no limitations on activity) to 5 (limit all physical activity). If the score of the participant was between 1 and 2 it was considered guideline adherent. If the score was between 3 and 5 it was considered guidelines discordant.

  Baseline assessment and post-intervention assessment (between 2 and 4 weeks after baseline)

Secondary Outcomes (5)

• The Back Pain and Attitudes Questionnaire (Back-PAQ ; 10-items version)

  Baseline assessment and post-intervention assessment (between 2 and 4 weeks after baseline)

• The Neurophysiology of Pain Questionnaire (NPQ)

  Baseline assessment and post-intervention assessment (between 2 and 4 weeks after baseline)

• Fictive clinical cases of patients with LBP

  Baseline assessment and post-intervention assessment (between 2 and 4 weeks after baseline)

• Experiences of HCPs with the e-learning (quantitative)

  Post-intervention assessment (between 2 and 4 weeks after baseline)

• Experiences of HCPs with the e-learning (qualitative)

  Between 4 and 6 weeks after baseline

Study Arms (2)

Experimental e-learning

EXPERIMENTAL

The experimental interactive intervention is based on international guidelines for the management of LBP and includes multiple interactions with the participant in a virtual environment. Metaphors and concrete clinical situations are presented to translate the knowledge (i.e. the management of low back pain from a biopsychosocial point of view) to clinical practice. Interactions consists of videos, open and closed questions and audio records.

Other: Experimental e-learning

Traditional e-learning

OTHER

The traditional intervention consists of a traditional online lecture based on international guidelines for the management of LBP without any interaction. The focus is more fundamental (theoretical) without metaphors or clinical cases.

Other: Traditional e-learning

Interventions

Experimental e-learning OTHER

Interactive lecture based on the guidelines for the management of LBP with a focus on self-management and patient's reassurance

Experimental e-learning

Traditional e-learning OTHER

Traditional lecture based on the guidelines for the management of LBP with a focus on diagnostic triage and specific cause of LBP

Traditional e-learning

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To be an healthcare practitioner (general practitioner, physiotherapist, specialist physician, student in medicine including specialization, student in physiotherapy)
• Working or studying in Belgium or France
• Being in possession of an internet connected device (e.g. computer, tablet or smartphone) with speaker

Sponsors & Collaborators

• Antoine Fourré: lead
• University of Mons: collaborator
• Universiteit Antwerpen: collaborator
• Universite de Picardie Jules Verne: collaborator

Study Sites (1)

Online study

Brussels, Belgium

Location

Related Publications (1)

• Fourre A, Fierens A, Michielsen J, Ris L, Dierick F, Roussel N. An interactive e-learning module to promote bio-psycho-social management of low back pain in healthcare professionals: a pilot study. J Man Manip Ther. 2022 Apr;30(2):105-115. doi: 10.1080/10669817.2021.1988397. Epub 2021 Oct 22.

  PMID: 34678129 RESULT

Related Links

• Website of the European project (Interreg FWVl NOMADe - N° 4.7.360)

MeSH Terms

Conditions

Behavior; Low Back Pain; Musculoskeletal Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Muscular Diseases; Musculoskeletal Diseases

Study Officials

• Nathalie Roussel, PhD

  Universiteit Antwerpen

  PRINCIPAL INVESTIGATOR

• Laurence Ris, PhD

  University of Mons

  STUDY DIRECTOR

• Antoine Fourré, MSc

  University of Mons / University of Antwerp

  PRINCIPAL INVESTIGATOR

• Rob Vanderstraeten, MSc

  Universiteit Antwerpen

  PRINCIPAL INVESTIGATOR

• Jef Michielsen, MD, PhD

  Universiteit Antwerpen

  STUDY DIRECTOR

• Hilde Bastiaens, MD, PhD

  Universiteit Antwerpen

  STUDY DIRECTOR

• Sybil Anthierens, PhD

  Universiteit Antwerpen

  STUDY DIRECTOR

• Frédéric Telliez, PhD

  Universite de Picardie Jules Verne

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: PhD student - Research Assistant

Study Record Dates

• First Submitted: March 10, 2022
• First Posted: March 17, 2022
• Study Start: August 27, 2021
• Primary Completion: December 31, 2022
• Study Completion: March 1, 2023
• Last Updated: May 10, 2023

Record last verified: 2023-05

Locations

BE (1)