a policy-into-practice intervention to increase the uptake of evidence-based management of low back pain in primary care a prospective cohort studypolicy-into-practice干预增加吸收循证管理的下腰痛在初级保健前瞻性队列研究.pdfVIP

A Policy-into-Practice Intervention to Increase the Uptake of Evidence-Based Management of Low Back Pain in Primary Care: A Prospective Cohort Study 1,2,5 1,2 3 2 Helen Slater *, Stephanie Joy Davies , Richard Parsons , John Louis Quintner , Stephan Alexander Schug4,5 1 School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia, 2 Pain Medicine Unit, Fremantle Hospital and Health Service, Perth, Western Australia, Australia, 3 School of Occupational Therapy and School of Pharmacy, Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia, 4 Pharmacology and Anaesthesiology Unit, University of Western Australia, Perth, Western Australia, Australia, 5 Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, Western Australia, Australia Abstract Background: Persistent non-specific low back pain (nsLBP) is poorly understood by the general community, by educators, researchers and health professionals, making effective care problematic. This study evaluated the effectiveness of a policy- into-practice intervention developed for primary care physicians (PCPs). Methods: To encourage PCPs to adopt practical evidence-based approaches and facilitate time-efficient, integrated management of patients with nsLBP, we developed an interdisciplinary evidence-based, practical pain education program (gPEP) based on a contemporary biopsychosocial framework. One hundred and twenty six PCPs from primary care settings in Western Australia were recruited. PCPs participated in a 6.5-hour gPEP. Self-report measures recorded at baseline and at 2 months post-intervention included PC