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Interactive Low Back Pain Intervention Module Based on the Back School Program: A Cluster-Randomized Experimental
Mohd Ismail Ibrahim1, Izani Uzair Zubair2, Mohd Nazri Shafei1
1Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia.
Summary
An interactive Back School Program module effectively reduced low back pain (LBP) symptoms in nurses. This intervention significantly improved Oswestry Disability Scores (ODSs) within three weeks, with sustained benefits at six weeks.
Area of Science:
- Occupational Health
- Rehabilitation Medicine
- Nursing Practice
Background:
- Low back pain (LBP) presents a high prevalence among nursing professionals.
- Effective interventions are crucial to mitigate LBP's impact on nurses' well-being and work capacity.
Purpose of the Study:
- To assess the efficacy of an interactive LBP module, rooted in the Back School Program, for enhancing Oswestry Disability Scores (ODSs) in nurses.
- To evaluate the intervention's impact on nurses in Malaysian government hospitals.
Main Methods:
- A cluster-randomized experimental design involving 284 nurses across four public hospitals in Penang, Malaysia.
- Hospitals were randomized into intervention and control groups, with participants assessed using the Oswestry Disability Questionnaire at baseline, week 3, and week 6.
- An interactive LBP module based on the Back School Program was administered to the intervention group.
Main Results:
- The intervention group demonstrated significantly lower ODSs compared to the control group at both 3-week (p=0.006) and 6-week (p<0.001) follow-ups.
- Within the intervention group, a significant reduction in ODSs was observed from baseline to week 3 (p<0.001) and week 6 (p<0.001).
- The positive effects on LBP symptom reduction were evident as early as three weeks and were sustained up to six weeks.
Conclusions:
- A simple, interactive LBP module derived from the Back School Program is effective in reducing LBP symptoms among nurses.
- The intervention shows rapid and sustained improvements in functional disability, as measured by ODSs.
- This program offers a practical and effective approach to managing LBP in the nursing workforce.
