Evaluation of a web-based back prevention program for primary school children: a randomized controlled trial

Area of Science:

• Pediatric health
• Digital health interventions
• Spinal health education

Background:

• Back pain and poor posture are rising concerns in primary school children.
• These issues can persist into adulthood, necessitating early intervention.
• Web-based programs offer a scalable approach to health promotion.

Purpose of the Study:

• To evaluate a 12-week web-based preventive back-care intervention for children aged 6-11.
• To assess the intervention's impact on back pain, posture, and related knowledge.
• To explore effects on psychological well-being and physical endurance.

Main Methods:

• Randomized controlled trial with 141 children (6-11 years).
• Intervention group received exercise and education videos; control group received general health videos.
• Outcomes measured included posture, pain, trunk endurance, knowledge, and psychological measures.

Main Results:

• The intervention significantly improved back-related knowledge (p < .001) and positive self-compassion (p = .011).
• No significant group differences were found in posture, back pain, trunk endurance, or functional mobility.
• Adherence varied, and limitations in postural assessment were noted.

Conclusions:

• Web-based interventions can enhance specific aspects of pediatric health knowledge and psychological well-being.
• Current digital formats may face challenges in improving physical outcomes like posture and endurance in young children.
• Future interventions should consider increased interactivity, parental engagement, and in-person elements for optimal spinal health support.