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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

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General practitioner experiences using a low back pain management booklet aiming to decrease non-indicated imaging

Hazel J Jenkins^1,2, Niamh A Moloney^3,4, Simon D French⁵

¹Department of Health Professions, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia. hazel.jenkins@mq.edu.au.

Implementation Science Communications

|June 28, 2022

Summary

This summary is machine-generated.

A new booklet intervention helps reduce unnecessary imaging for low back pain. General practitioners found it useful, especially when patients requested scans, though barriers to use were identified.

Keywords:

Diagnostic imaging Feasibility studies General practitioners Implementation science Low back pain Patient education

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Area of Science:

Health Services Research
Behavioral Science
Primary Care

Background:

Overuse of medical imaging for low back pain leads to overdiagnosis, increased healthcare utilization, and costs.
Few interventions effectively reduce inappropriate imaging, and those developed often lack a basis in behavior change theory.
A novel intervention, incorporating a low back pain management booklet, was developed using behavioral change theory to address this issue.

Purpose of the Study:

To assess the adoption and feasibility of a new intervention designed to decrease non-indicated imaging for low back pain.
To identify barriers to the intervention's use in clinical practice.
To determine appropriate implementation strategies for wider adoption.

Main Methods:

Fourteen general medical practitioners (GMPs) were trained to use the booklet with low back pain patients over five months.
Quantitative data on booklet usage and qualitative data from GMP interviews were collected and analyzed.
Barriers were identified and mapped to implementation strategies using the Behavior Change Wheel.

Main Results:

The booklet was used with 63% of patients presenting with low back pain (73 patients total).
Facilitators included patient requests for imaging and lower practitioner confidence; barriers involved booklet storage and recall.
Implementation strategies, such as a digital booklet version, were proposed to enhance adoption.

Conclusions:

GMPs reported the booklet and training were beneficial, particularly for patients requesting imaging.
Identified barriers will inform future effectiveness studies aiming to reduce non-indicated imaging.
Successful implementation could lower healthcare costs and improve low back pain patient management.