Alamam Dalyah, Alrushud Asma, Alodaibi Faris, Alhowimel Ahmed, Almarzouq Raghad, Alangari Raneem, Khunain Sara Bin, Alosaimi Waad, Almoheidib Sara
College of Applied Medical Sciences, Health Rehabilitation Sciences, King Saud University, Riyadh, Saudi Arabia.
Department of Health and Rehabilitation Science, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Musculoskeletal Care. 2022 Dec;20(4):937-944. doi: 10.1002/msc.1683. Epub 2022 Aug 12.
INTRODUCTION/OBJECTIVES: Educational messages related to Low back pain (LBP) are often contradictory and drive maladaptive beliefs, as they conflict with the latest research evidence. This study aims to examine participants' reassurance levels in relation to educational messages regarding LBP among the Saudi population with the condition compared to those without it, and to assess the association between levels of reassurance and fear avoidance.
A list of 13 educational messages about LBP was generated from LBP-educational resources in Saudi Arabia, and from expert consensus on a set of evidence-based key messages for people with LBP. Consented respondents with LBP of various durations and those without the condition completed a questionnaire containing questions on demographic characteristics, the absence or presence of LBP and its intensity, and the fear-avoidance beliefs questionnaire (FABQ). We also asked them to rate their level of perceived reassurance regarding the educational messages using a Likert-type scale from 0 to 10.
Participants (n = 1652) reported that the 13 educational messages had reassured them about LBP. However, there was no significant difference between participants with and without LBP (p ≥ 0.05). There was an overall weak association between the responses to the 13 educational messages and the fear-avoidance questionnaire. However, reassurance levels regarding most of the educational messages were negatively associated with the FABQ.
We demonstrate that people with and without LBP need reassurance about the condition. Furthermore, we show that as reassurance increases, fear-avoidance decreases, confirming the complex nature of LBP.
引言/目的：与腰痛（LBP）相关的教育信息往往相互矛盾，并导致适应不良的信念，因为它们与最新的研究证据相冲突。本研究旨在调查沙特患有LBP的人群与未患LBP的人群对LBP教育信息的安心程度，并评估安心程度与恐惧回避之间的关联。
从沙特阿拉伯的LBP教育资源以及关于LBP患者的一组循证关键信息的专家共识中，生成了一份包含13条关于LBP的教育信息列表。同意参与的不同病程的LBP患者和未患LBP的受访者完成了一份问卷，其中包含有关人口统计学特征、是否存在LBP及其严重程度的问题，以及恐惧回避信念问卷（FABQ）。我们还要求他们使用0至10的李克特量表对他们对教育信息的感知安心程度进行评分。
参与者（n = 1652）报告说，这13条教育信息让他们对LBP感到安心。然而，有LBP和没有LBP的参与者之间没有显著差异（p≥0.05）。对这13条教育信息的回答与恐惧回避问卷之间总体上存在弱关联。然而，大多数教育信息的安心程度与FABQ呈负相关。
我们证明，有LBP和没有LBP的人都需要对这种情况感到安心。此外，我们表明，随着安心程度的增加，恐惧回避会减少，这证实了LBP的复杂性。
