Helen Slater|Andrew M. Briggs|Samantha Bunzli|Stephanie Davies|Anne Smith|John Quintner
Engaging consumers living in remote areas of Western Australia in the self-management of back pain: a prospective cohort study
Curtin University|Curtin University|Curtin University|Curtin University|Curtin University|Fremantle Hospital
western australia wa health policy recommends encouraging use active selfmanagement strategies part cocare consumers persistent low back pain lbp many areas wa geographically isolated health services limited implementing policy practice critical health outcomes consumers living geographicallyisolated areas improvedin prospective cohort study 51 consumers mean sd age 623 151 years participated evidencebased interdisciplinary pain education program modified self training educative pain sessions msteps delivered three geographically isolated wa sites self report measures included lbp beliefs attitudes back pain beliefs questionnaire bbq fear avoidance beliefs questionnaire fabq use active passive selfmanagement strategies health literacy global perceived impression usefulness gpiu recorded immediately preintervention n 51 day postintervention bbq gpiu n 49 3 months postintervention n 25at baseline consumers demonstrated adequate health literacy elements positive health behaviours reflected use active passive strategies selfmanaging persistent lbp immediately postintervention strong evidence improvement consumers general beliefs lbp demonstrated increase bbq scores baseline mean sd 258 76 day postintervention 288 72 p 0005 however improvement sustained 3 months postintervention majority consumers 864 reported intervention useful rated nrs 710to sustain improved consumer beliefs regarding lbp encourage adoption positive health behaviours additional reinforcement strategies consumers living remote areas service access skilled workforce limited recommended study highlights need aligning health services skilled workforce improve delivery cocare consumers living geographically isolated areas