Negative influence of a mediatised video on low back pain-related misbeliefs and attitudes in the general population
DOI:
https://doi.org/10.52057/erj.v3i1.26Keywords:
Beliefs; Fear; Knowledge; Back pain; CommunicationAbstract
Background: Low back pain (LBP)-related misbeliefs are a risk factor for chronicity and thereby requires further attention.
Objective: To assess the influence of a video clip on low back pain (LBP)-related misbeliefs in the general population and examine whether participants intended to change their behavior to protect their back after viewing it.
Method: French-speaking adults within the general population were recruited through advertisements and asked to complete a self‐administered questionnaire online from the January to April 2021. The questionnaire asked about socio-demographic information and back pain beliefs (the 10-item Back-PAQ), then invited participants to watch a video clip conveying negative messages. Immediately after viewing, participants indicated their degree of agreement with the messages conveyed, completed the Back-PAQ a second time and indicated whether they planned to change their behavior after watching the video.
Changes in mean Back-PAQ score after viewing the video and the percentage of participants planning to protect their backs more were investigated. Influence of LBP history was also collected.
Results: 1338 participants were included. The initial mean Back-PAQ score was high and increased significantly after viewing the video (Cohen d: 0.42), indicating an increase in negative beliefs. This change was greater than the minimum detectable change for more than 10% of participants. In total, 55% of respondents reported that they would protect their backs more after watching the video. Change in Back-PAQ score post viewing was not influenced by pain history.
Conclusions: This study shows that a video clip shown on social media that conveyed negative messages about LBP reinforced LBP-related misbeliefs and may promote maladaptive behavior in a significant number of individuals. This study also confirms the prevalence of such misbeliefs in the general population and thereby, the necessity for clinicians to explore patients’ misbeliefs and their origin.
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Copyright (c) 2023 Christophe Demoulin, Mathilde Lecaillon , Guillaume Christe, MArc Vanderthommen, Laurent Pitance
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