Department of Chiropractic, Macquarie University, Sydney, New South Wales, Australia.
Faculty of Health Sciences, School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Pain. 2019 Dec;160(12):2787-2797. doi: 10.1097/j.pain.0000000000001663.
People with back pain regularly search for information online; however, the quality of this online information is often poor. We established a list of the most important messages about diagnosis, imaging, and self-care for people with low back pain, based on consensus opinion and prioritised in order of importance. A list of key messages was derived from clinical practice guidelines for back pain. During 2 survey rounds, a Delphi panel of consumers with back pain and experts rated the importance of each item and suggested additional statements. Messages were retained that were rated as important by more than 70% of the panel. Retained messages were reviewed by consumer focus groups. A priority pairwise ranking activity determined the rank order of the important messages. A final online survey determined the robustness and currency of the final list of statements. The Delphi process and consumer focus groups resulted in 30 unique messages. Experts considered that the most important messages for patients are (1) remain active and (2) reassurance that back pain is a normal experience and not necessarily related to serious harm. This differed from the preferences of people with back pain who prioritised messages related to (1) identification of more serious pathology and (2) principles of management. This list of important key messages about diagnosis, imaging, and general self-care for people with back pain can be used to inform the development of education resources, including new web sites, as well as to direct clinicians in the information they provide to patients.
患有背痛的人经常在网上搜索信息；然而，这些在线信息的质量往往很差。我们根据共识意见，并按重要性顺序对诊断、影像学和自我护理的最重要信息进行了优先排序，为患有下背痛的人制定了一个重要信息列表。从背痛的临床实践指南中得出了一份关键信息清单。在两轮调查中，一个由背痛患者和专家组成的德尔菲小组对每个项目的重要性进行了评估，并提出了其他陈述。被超过 70%的小组评为重要的信息保留下来。保留下来的信息由消费者焦点小组进行了审查。一项优先配对排名活动确定了重要信息的排名顺序。最终的在线调查确定了最终陈述清单的稳健性和时效性。德尔菲流程和消费者焦点小组产生了 30 条独特的信息。专家认为，对患者最重要的信息是（1）保持活跃，（2）放心，背痛是一种正常体验，不一定与严重伤害有关。这与背痛患者的偏好不同，他们更看重与（1）更严重的病理识别和（2）管理原则相关的信息。这份关于诊断、影像学和背痛一般自我护理的重要关键信息列表可用于为开发教育资源提供信息，包括新网站，并为临床医生提供他们向患者提供的信息提供指导。
