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BMC Health Services Research

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Open Access 01-12-2022 | Care | Research

Health care providers’ understanding of self-management support for people with chronic low back pain in Ethiopia: an interpretive description

Authors: Mulugeta Bayisa Chala, Jordan Miller, Setareh Ghahari, Yemataw Wondie, Abey Abebe, Catherine Donnelly

Published in: BMC Health Services Research | Issue 1/2022

Abstract

Background

Healthcare providers play a key role in supporting people with chronic low back pain to self-manage their condition. The study aimed at exploring how health care providers understand and conceptualize self-management and how they provide self-management support for people with chronic low back pain in Ethiopia.

Methods

Health care providers who have supported people with low back pain, including medical doctors and physiotherapists, were approached and recruited from three hospitals in Ethiopia. This study employed an interpretive descriptive approach using semi-structured interviews.

Findings

Twenty-four participants (7 women; 17 men) with a median age of 28 (range 24 to 42) years and a median of 9.5 years (range 1 to 11 years) of helping people with chronic low back pain were interviewed. Seven major themes related to health care providers’ understanding of self-management support for people with chronic low back pain in Ethiopia emerged. The findings show that self-management was a new concept to many and health care providers’ had a fragmented understanding of self-management. They used or suggested several self-management support strategies to help people with CLBP self-manage their condition without necessarily focusing on enhancing their self-efficacy skills. The participants also discussed several challenges to facilitate self-management support for people with chronic low back pain. Despite the lack of training on the concept, the providers discussed the potential of providing self-management support for people with the condition.

Conclusions

Self-management was a new concept to health care providers. The providers lack the competencies to provide self-management support for people with chronic low back pain. There is a need to enhance the health care providers’ self-management support competencies through training.

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Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(6):968–74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24665116. [cited 2017 Oct 11].

Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020;8(6):299–9. Available from: /pmc/articles/PMC7186678/?report=abstract. [cited 2020 Dec 2].

Du S, Yuan C, Xiao X, Chu J, Qiu Y, Qian H. Self-management programs for chronic musculoskeletal pain conditions: A systematic review and meta-analysis. Vol. 85, Patient Education and Counseling; 2011. p. e299–310. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0738399111001339. [cited 2017 Oct 10].

Oliveira VC, Ferreira PH, Maher CG, Pinto RZ, Refshauge KM, Ferreira ML. Effectiveness of self-management of low back pain: Systematic review with meta-analysis. Vol. 64, Arthritis Care and Research; 2012. p. 1739–48. Available from: http://doi.wiley.com/10.1002/acr.21737. [cited 2018 Oct 21].

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018. Available from: https://doi.org/10.1016/S0140-6736(18)30480-X. [Cited 2018 May 7].

Gatchel R. The Continuing and Growing Epidemic of Chronic Low Back Pain. Healthcare. 2015;3(3):838–45. Available from: /pmc/articles/PMC4939568/?report=abstract. [cited 2021 Jan 6].

Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions [Internet]. Vol. 391, The Lancet: Lancet Publishing Group; 2018. p. 2368–83. Available from: https://pubmed.ncbi.nlm.nih.gov/29573872/. [cited 2021 Jan 6].

Traeger AC, Buchbinder R, Elshaug AG, Croft PR, Maher CG. Care for low back pain: Can health systems deliver? Bull World Health Organ. 2019;97(6):423–33. Available from: /pmc/articles/PMC6560373/?report=abstract. [cited 2020 Dec 2].

Clark S, Horton R. Low back pain: a major global challenge. Lancet. 2018. Available from: https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(18)30725-6.pdf. [cited 2018 May 7].

10.

Bygbjerg IC. Double burden of noncommunicable and infectious diseases in developing countries. Science. 2012;337(6101):1499-501. https://doi.org/10.1126/science.1223466.

11.

Morris LD, Daniels KJ, Ganguli B, Louw QA. An update on the prevalence of low back pain in Africa: a systematic review and meta-analyses. BMC Musculoskelet Disord. 2018;19(1):196. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30037323. [cited 2018 Nov 6].

12.

Beyera GK, O’Brien J, Campbell S. Determinants of healthcare utilisation for low back pain: A population-based study in Ethiopia. Health Soc Care Community. 2020;28(3):1058–70. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/hsc.12939. [cited 2021 Jan 10].

13.

Zele Y, Ahmed AN, Wondie Y, Yilma TM, Gebreegziabher HW, Weldegebreal MK, et al. Prevalence of low back pain and associated factors among young workers in traditional weaving of the informal sectors, Central and Southern Ethiopia. Vulnerable Child Youth Stud. 2020;15(1):48–59. Available from: https://www.tandfonline.com/doi/abs/10.1080/17450128.2019.1683926. [cited 2021 Jan 10].

14.

Wami SD, Abere G, Dessie A, Getachew D. Work-related risk factors and the prevalence of low back pain among low wage workers: results from a cross-sectional study. BMC Public Health. 2019;19(1). Available from: https://pubmed.ncbi.nlm.nih.gov/31395067/. [cited 2021 Jan 14].

15.

Steenstra IA, Munhall C, Irvin E, Oranye N, Passmore S, Van Eerd D, et al. Systematic Review of Prognostic Factors for Return to Work in Workers with Sub Acute and Chronic Low Back Pain. J Occup Rehabil. 2017;27:369–81. https://doi.org/10.1007/s10926-016-9666-x.CrossRefPubMed

16.

Verkerk K, Luijsterburg PAJ, Miedema HS, Pool-Goudzwaard A, Koes BW. Prognostic factors for recovery in chronic nonspecific low back pain: a systematic reviewPhys Ther. 2012;92(9):1093–108. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22595238. [cited 2017 Dec 2].

17.

da CM CL, Maher CG, McAuley JH, Hancock MJ, Herbert RD, Refshauge KM, et al. Prognosis for patients with chronic low back pain: inception cohort study. BMJ. 2009;339:b3829. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19808766. [cited 2017 Nov 30].

18.

Beattie PF, Silfies SP. Improving long-term outcomes for chronic low back pain: Time for a new paradigm? J Orthop Sports Phys Ther. 2015;45(4):236–9.CrossRef

19.

May S. Self-management of chronic low back pain and osteoarthritis: Nature Reviews Rheumatology Nature Publishing Group; 2010. p. 199–209. Available from: https://www-nature-com.proxy.queensu.ca/articles/nrrheum.2010.26.

20.

Du S, Hu L, Dong J, Xu G, Chen X, Jin S, et al. Self-management program for chronic low back pain: A systematic review and meta-analysis: Patient Education and Counseling Elsevier; 2017. p. 37–49. Available from: http://www.sciencedirect.com/science/article/pii/S073839911630324X?via%3Dihub.

21.

Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLoS One. 2019;14(8):e0220116. Available from: https://doi.org/10.1371/journal.pone.0220116. [cited 2020 Oct 25].

22.

NICE guideline. Low back pain and sciatica in over 16s: assessment and management. 2016. Available from: www.nice.org.uk/guidance/ng59. [cited 2020 Dec 2].

23.

Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Vol. 166, Annals of Internal Medicine: American College of Physicians; 2017. p. 514–30. Available from: https://pubmed.ncbi.nlm.nih.gov/28192789/. [cited 2020 Dec 2].

24.

Meroni R, Piscitelli D, Ravasio C, Vanti C, Bertozzi L, De Vito G, et al. Evidence for managing chronic low back pain in primary care: a review of recommendations from high-quality clinical practice guidelines. Vol. 43, Disability and Rehabilitation: Taylor and Francis Ltd; 2021. p. 1029–43. Available from: https://www.tandfonline.com/doi/abs/10.1080/09638288.2019.1645888. [cited 2020 Dec 8].

25.

Adams K, Greiner AC, Corrigan JM. St Annual Crossing the Quality Chasm Summit: A Focus on Communities Editors, Committee on the Crossing the Quality Chasm: Next Steps Toward a New Health Care System. 2004. Available from: http://www.nap.edu/catalog/11085.html. [cited 2021 Apr 23].

26.

Lorig KR, Holman HR. Self-Management Education : History , Definition , Outcomes , and Mechanisms. Ann Behav Med. 2003;26(1):1–7. Available from: https://academic.oup.com/abm/article/26/1/1/4630312. [cited 2017 Oct 16].

27.

Newman S, Steed L, Mulligan K. Self-management interventions for chronic illness. In: Lancet Elsevier; 2004. p. 1523–1537.

28.

Lorig K, González VM, Laurent DD, Morgan L, Laris BA. Arthritis self-management program variations: three studies. Arthritis Rheum. 1998;11(6):448–54. Available from: https://pubmed.ncbi.nlm.nih.gov/10030176/. [cited 2021 Jan 5].

29.

Lorig KR, Sobel DS, Stewart AL, Brown BW, Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care. 1999;37(1):5–14. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10413387. [cited 2018 Oct 9].

30.

Sadler E, DA WC, McKevitt C. Lay and health care professional understandings of self-management: A systematic review and narrative synthesis. SAGE Open Med. 2014;2:205031211454449. Available from: /pmc/articles/PMC4607208/?report=abstract. [cited 2021 Jan 14].

31.

Grady PA, Gough LL, Barlow J, Wright C, Sheasby J, Turner A, et al. Self-Management: A Comprehensive Approach to Management of Chronic Conditions. Am J Public Health. 2018, 108;(8):S430–6. Available from: /pmc/articles/PMC4103232/?report=abstract. [cited 2017 Oct 16].

32.

Mcgowan P. New perspectives: international conference on patient self-management Centre on aging SELF-MANAGEMENT: a Background Paper; 2005.

33.

Cooper K, Smith BH, Hancock E. Patients’ perceptions of self-management of chronic low back pain: evidence for enhancing patient education and support. Physiotherapy. 2009;95(1):43–50.CrossRef

34.

Kawi J. Influence of self-management and self-management support on chronic low back pain patients in primary care. J Am Assoc Nurse Pract. 2014;26(12):664–73. Available from: http://journals.lww.com/01741002-201412000-00005. [cited 2020 Nov 3].

35.

Jones MC, MacGillivray S, Kroll T, Zohoor AR, Connaghan J. A thematic analysis of the conceptualisation of self-care, self-management and self-management support in the long-term conditions management literature. J Nurs Healthc Chronic Illn. 2011;3(3):174–85. Available from: http://doi.wiley.com/10.1111/j.1752-9824.2011.01096.x. [cited 2020 Nov 5].

36.

Crowe M, Whitehead L, Jo Gagan M, Baxter D, Panckhurst A, Gagan MJ, et al. Self-management and chronic low back pain: a qualitative study. J Adv Nurs. 2010;66(7):1478–86. Available from: http://doi.wiley.com/10.1111/j.1365-2648.2010.05316.x. [cited 2018 Oct 9].

37.

Liddle SD, Baxter GD, Gracey JH. Chronic low back pain: Patients’ experiences, opinions and expectations for clinical management. Disabil Rehabil. 2007;29(24):1899–909. Available from: https://www.tandfonline.com/doi/abs/10.1080/09638280701189895. [cited 2020 Dec 8].

38.

Diriba CD, Leung DYP, Suen LKP. A nurse-led, community-based self management program for people living with type 2 diabetes in Western Ethiopia: A feasibility and pilot study protocol. Diabet Med. 2021;38(8):e14587. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/dme.14587. [cited 2021 Nov 15].

39.

Aklilu T, Hiko D, Mohammed MA, Dekema NH. Diabetic patients’ knowledge of their disease, therapeutic goals, and self-management: association With goal attainment at Dessie referral hospital. Ethiopia Ther Innov Regul Sci. 2014;48(5):583–91.CrossRef

40.

Thorne S, Kirkham SR, O’Flynn-Magee K. The Analytic Challenge in Interpretive Description. Int J Qual Methods. 2004;3(1):1–11. Available from: https://doi.org/10.1177/160940690400300101. [cited 2018 Oct 27].

41.

Thorne S. Interpretive description: Qualitative research for applied practice, Second edition. Interpretive Description: Qualitative Research for Applied Practice, Second Edition: Taylor and Francis; 2016. p. 1–336. Available from: https://www-taylorfrancis-com.proxy.queensu.ca/books/interpretive-description-sally-thorne/10.4324/9781315545196. [cited 2021 Jan 19].

42.

Thorne S, Kirkham SR, MacDonald-Emes J. Interpretive Description: A Noncategorical Qualitative Alternative for Developing Nursing Knowledge. Res Nurs Health. 1997;20(2):169–77. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/%28SICI%291098-240X%28199704%2920%3A2%3C169%3A%3AAID-NUR9%3E3.0.CO%3B2-I. [cited 2021 Jan 15].

43.

Hunt MR. Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health professionals in humanitarian work. Qual Health Res. 2009;19(9):1284–92.CrossRef

44.

Singh G, Newton C, O’Sullivan K, Soundy A, Heneghan NR. Exploring the lived experience and chronic low back pain beliefs of English-speaking Punjabi and white British people: a qualitative study within the NHS. BMJ Open. 2018;8(2):1–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29440143. [cited 2018 Nov 19].

45.

Etikan I. Comparison of Convenience Sampling and Purposive Sampling. Am J Theor Appl Stat. 2016;5(1):1. Available from: http://www.sciencepublishinggroup.com/journal/paperinfo?journalid=146&doi=10.11648/j.ajtas.20160501.11. [cited 2020 Dec 1].

46.

Federal Democratic Republic of Ethiopia. Constitution of the Federal Democratic Republic of Ethiopia 1995. Available from: http://www.wipo.int/edocs/lexdocs/laws/en/et/et007en.pdf.

47.

Malterud K, Siersma VD, Guassora AD. Sample Size in Qualitative Interview Studies: Guided by Information Power. Qual Health Res. 2016;26(13):1753–60. Available from: https://pubmed.ncbi.nlm.nih.gov/26613970/. [cited 2021 Nov 19].

48.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101. Available from: https://www.tandfonline.com/action/journalInformation?journalCode=uqrp20. [cited 2020 Dec 1].

49.

Nvivo. Nvivo 12 for windows. NVivo qualitative data analysis software: QSR International Pty Ltd; 2018.

50.

van Nes F, Abma T, Jonsson H, Deeg D. Language differences in qualitative research: Is meaning lost in translation? Eur J Ageing. 2010;7(4):313–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21212820. [cited 2018 Nov 6].

51.

Teodoro IPP, de CF RV, Thorne SE, de SNKM, de BLSA, Alencar AMPG, et al. Interpretive description: a viable methodological approach for nursing research. Esc Anna Nery. 2018;22(3). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000300601&lng=en&tlng=en. [cited 2018 Dec 5].

52.

Liebenberg L, Jamal A, Ikeda J. Extending youth voices in a participatory thematic analysis approach. Int J Qual Methods. 2020;19:160940692093461. Available from: http://journals.sagepub.com/doi/10.1177/1609406920934614. [cited 2021 Jan 16].

53.

Wright A, Maloney FL, Feblowitz JC. Clinician attitudes toward and use of electronic problem lists: A thematic analysis. BMC Med Inform Decis Mak. 2011, 11;(1):1–10. Available from: https://link.springer.com/articles/10.1186/1472-6947-11-36. [cited 2021 Jan 16].

54.

Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods. 2017.

55.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. Available from: https://academic.oup.com/intqhc/article-lookup/doi/10.1093/intqhc/mzm042. [cited 2021 Jan 6].

56.

Hughes L. Chronic disease self-management: an evolutionary concept analysis A project submitted in partial fulfillment of the requirements for the degree of MASTER OF NURSING in the School of Nursing, Faculty of Human and Social Development. 2010.

57.

Farrell K, Wicks MN, Martin JC. Chronic disease self-management improved with enhanced self-efficacy. Clin Nurs Res. 2004;13(4):289–308. Available from: http://journals.sagepub.com/doi/10.1177/1054773804267878. [cited 2020 Dec 26].

58.

Wilde MH, Garvin S. A concept analysis of self-monitoring. J Adv Nurs. 2007;57(3):339–50. Available from: https://pubmed.ncbi.nlm.nih.gov/17233653/. [cited 2020 Dec 26].

59.

Hutting N, Oswald W, Staal JB, Heerkens YF. Self-management support for people with non-specific low back pain: A qualitative survey among physiotherapists and exercise therapists. Musculoskelet Sci Pract. 2020;1(50):102269.CrossRef

60.

Devan H, Hale L, Hempel D, Saipe B, Perry MA. What works and does not work in a self-management intervention for people with chronic pain? Qualitative systematic review and meta-synthesis. Vol. 98, Physical Therapy: Oxford University Press; 2018. p. 381–97. Available from: https://academic. [cited 2020 Oct 23].

61.

Shaw SJ, Armin J, Torres CH, Orzech KM, Vivian J. Chronic disease self-management and health literacy in four ethnic groups. J Health Commun. 2012;17 Suppl 3(0 3):67–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23030562. [cited 2018 Jul 7].

62.

Hailemichael Y, Hailemariam D, Tirfessa K, Docrat S, Alem A, Medhin G, et al. Catastrophic out-of-pocket payments for households of people with severe mental disorder: A comparative study in rural Ethiopia. Int J Ment Heal Syst. 2019;13(1):39. Available from: https://ijmhs.biomedcentral.com/articles/10.1186/s13033-019-0294-7. [cited 2021 Jan 6].

63.

Mekonen AM, Gebregziabher MG, Teferra AS. The effect of community based health insurance on catastrophic health expenditure in Northeast Ethiopia: A cross sectional study. PLoS One. 2018;13(10). Available from: /pmc/articles/PMC6193712/?report=abstract. [cited 2021 Jan 6].

64.

Boger E, Ellis J, Latter S, Foster C, Kennedy A, Jones F, et al. Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views. Spilsbury K, PLoS One . 2015;10(7):e0130990. Available from: https://dx.plos.org/10.1371/journal.pone.0130990. [cited 2021 Jan 4].

65.

Demain S, Gonçalves A-C, Areia C, Oliveira R, Marcos AJ, Marques A, et al. Living With, Managing and Minimising Treatment Burden in Long Term Conditions: A Systematic Review of Qualitative Research. Macleod U. PLoS One. 2015;10(5):e0125457. Available from: https://dx.plos.org/10.1371/journal.pone.0125457. [cited 2021 Jan 4].

66.

Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: Translating evidence into action. Health Aff. 2001;20(6):64–78. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11816692. [cited 2017 Oct 19].

67.

Jung MJ, Jeong Y. Motivation and Self-Management Behavior of the Individuals With Chronic Low Back Pain. Orthop Nurs. 2016;35(5):330–7. Available from: http://journals.lww.com/00006416-201609000-00011. [cited 2021 Jan 4].

68.

Ehrenberg A, Gustavsson P, Wallin L, Boström A-M, Rudman A. New Graduate Nurses’ Developmental Trajectories for Capability Beliefs Concerning Core Competencies for Healthcare Professionals: a National Cohort Study on Patient-Centered Care, Teamwork, and Evidence-based Practice. Worldviews Evidence-Based Nurs. 2016;13(6):454–62. Available from: http://doi.wiley.com/10.1111/wvn.12178. [cited 2021 Jan 2].

69.

Fishman SM, Young HM, Lucas Arwood E, Chou R, Herr K, Murinson BB, et al. Core competencies for pain management: results of an interprofessional consensus summit. Pain Med (United States). 2013;14(7):971–81.CrossRef

70.

Weber JMK. Core competencies for health care professionals. Vol. 35, Journal of Allied Health: National Academies Press (US); 2006. p. 185. Available from: https://www.ncbi.nlm.nih.gov/books/NBK221519/. [cited 2021 Jan 2].

71.

Blakeman T, Macdonald W, Bower P, Gately C, Chew-Graham C. A qualitative study of GPs’ attitudes to self-management of chronic disease. Br J Gen Pract. 2006;56(527):407–14. Available from: https://bjgp.org/content/bjgp/56/527/407.full.pdf. [cited 2018 Oct 22].

72.

MacDonald W, Rogers A, Blakeman T, Bower P. Practice nurses and the facilitation of self-management in primary care. J Adv Nurs. 2008;62(2):191–199. [cited 2017 Nov 19].

73.

Koes BW, van Tulder MW, Ostelo R, Kim Burton A, Waddell G. Clinical Guidelines for the Management of Low Back Pain in Primary Care. Spine (Phila Pa 1976). 2001;26(22):2504–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11707719. [cited 2017 Nov 30].

74.

Alebachew A, Waddington C. IMPROVING HEALTH SYSTEM EFFICIENCY Health Systems Governance & Financing ETHIOPIA Human resources for health reforms. 2015. Available from: www.who.int. [cited 2021 Mar 4].

75.

Kiflie Y, Jira C, Nigussie D. The quality of care provided to patients with Chronic non-communicable diseases: A retrospective multi-setup study in Jimma zone, Southwest Ethiopia. Ethiop J Health Sci. 2011;21(2):119. Available from: /pmc/articles/PMC3275857/. [cited 2021 Mar 4].

76.

Edward J, Carreon LY, Williams MV, Glassman S, Li J. The importance and impact of patients’ health literacy on low back pain management: a systematic review of literature. Vol. 18, Spine Journal: Elsevier Inc, 2018. p. 370–6.

77.

Bair MJ, Matthias MS, Nyland KA, Huffman MA, Stubbs DLWL, Kroenke K, et al. Barriers and facilitators to chronic pain self-management: A qualitative study of primary care patients with comorbid musculoskeletal pain and depression. Pain Med. 2009;10(7):1280–90. Available from: https://academic.oup.com/painmedicine/article-lookup/doi/10.1111/j.1526-4637.2009.00707.x. [cited 2018 Sep 29].

78.

Gordon K, Rice H, Allcock N, Bell P, Dunbar M, Gilbert S, et al. Barriers to self-management of chronic pain in primary care: A qualitative focus group study. Br J Gen Pract. 2017;67(656):e209-17. https://doi.org/10.3399/bjgp17X688825. Epub 2016 Dec 19.

79.

Simonsen GD, Jensen TS, Kongsted A. Reassuring patients with low back pain in primary care consultations: does it happen, and does it matter? A ChiCo cohort study. Clin J Pain. 2021;37(8):598–606. Available from: https://journals.lww.com/clinicalpain/Fulltext/2021/08000/Reassuring_Patients_With_Low_Back_Pain_in_Primary.5.aspx. [cited 2021 Nov 18].

80.

Geraghty AWA, Roberts LC, Stanford R, Hill JC, Yoganantham D, Little P, et al. Exploring patients’ experiences of internet-based self-management support for low back pain in primary carePain Med. 2020;21(9):1806–17. Available from: https://academic.oup.com/painmedicine/article/21/9/1806/5678766. [cited 2021 Nov 18].

81.

Friedrich M, Gittler G, Halberstadt Y, Cermak T, Heiller I. Combined exercise and motivation program: effect on the compliance and level of disability of patients with chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil. 1998;79(5):475–87. Available from: https://pubmed.ncbi.nlm.nih.gov/9596385/. [cited 2020 Dec 27].

82.

Crowe M, Whitehead L, Gagan MJ, Baxter D, Panckhurst A, Dphil DB. Self-management and chronic low back pain: a qualitative study J A N JOURNAL OF ADVANCED NURSING. Authors J Compil Ó. 2010;66(7):1478–86. Available from: https://journals.scholarsportal.info/pdf/03092402/v66i0007/1478_saclbpaqs.xml. [cited 2018 Oct 9].

83.

Johnson RE, Jones GT, Wiles NJ, Chaddock C, Potter RG, Roberts C, et al. Active exercise, education, and cognitive behavioral therapy for persistent disabling low back pain. Spine (Phila Pa 1976). 2007;32(15):1578–85. Available from: http://journals.lww.com/00007632-200707010-00003. [cited 2020 Dec 27].

84.

Kawi J. Chronic low back pain patients’ perceptions on self-management, self-management support, and functional ability. Pain Manag Nurs. 2014;15(1):258–64. Available from: https://doi.org/10.1016/j.pmn.2012.09.003. [cited 2021 Jan 4].

85.

Keller S, Ehrhardt-Schmelzer S, Herda C, Schmid S, Basler HD. Multidisciplinary rehabilitation for chronic back pain in an outpatient setting: A controlled randomized trial. Eur J Pain. 1997;1(4):279–92. Available from: https://pubmed.ncbi.nlm.nih.gov/15102393/. [cited 2020 Dec 27].

86.

Basler HD, Jäkle C, Kröner-Herwig B. Incorporation of cognitive-behavioral treatment into the medical care of chronic low back patients: A controlled randomized study in German pain treatment centers. Patient Educ Couns. 1997;31(2):113–24. Available from: https://pubmed.ncbi.nlm.nih.gov/9216352/. [cited 2020 Dec 27].

87.

Wagner EH, Bennett SM, Austin BT, Greene SM, Schaefer JK, Vonkorff M. Finding common ground: patient-centeredness and evidence-based chronic illness care. J Altern Complement Med. 2005;11(supplement 1):s-7–s-15. Available from: http://www.liebertonline.com/doi/abs/10.1089/acm.2005.11.s-7.

88.

Lorig KR, Sobel DS, Ritter PL, Laurent D, Hobbs M. Effect of a self-management program on patients with chronic disease. Eff Clin Pract ECP. 2001;4(6):256–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11769298. [cited 2017 Dec 3].

89.

Kawi J, Schuerman S, Alpert PT, Young D. Activation to self-management and exercise in overweight and obese older women with knee osteoarthritis. Clin Nurs Res. 2015;24(6):644–60. Available from: http://journals.sagepub.com/doi/10.1177/1054773814544167. [cited 2021 Jan 5].

90.

Semrau J, Hentschke C, Buchmann J, Meng K, Vogel H, Faller H, et al. Long-term effects of interprofessional biopsychosocial rehabilitation for adults with chronic non-specific low back pain: a multicentre, quasi-experimental study. Quinn TJ, editor. PLoS One. 2015;10(3):e0118609. Available from: https://dx.plos.org/10.1371/journal.pone.0118609. [cited 2021 Jan 5].

91.

Misganaw Dr. A, Mariam DH, Ali A, Araya T. Epidemiology of major non-communicable diseases in Ethiopia: A systematic review. J Health Popul Nutr. 2014;32:1–13. Available from: /pmc/articles/PMC4089066/. [cited 2021 Nov 19].

92.

Ali S, Misganaw A, Worku A, Destaw Z, Negash L, Bekele A, et al. The burden of cardiovascular diseases in Ethiopia from 1990 to 2017: evidence from the global burden of disease study. Int Health. 2021;13(4):318–26.CrossRef

Title: Health care providers’ understanding of self-management support for people with chronic low back pain in Ethiopia: an interpretive description
Authors: Mulugeta Bayisa Chala
Jordan Miller
Setareh Ghahari
Yemataw Wondie
Abey Abebe
Catherine Donnelly
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Care
Back Pain
Back Pain
Back Pain
Published in: BMC Health Services Research / Issue 1/2022
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-022-07610-5

2024 ASCO Annual Meeting

Springer Medicine

Health care providers’ understanding of self-management support for people with chronic low back pain in Ethiopia: an interpretive description

Abstract

Background

Methods

Findings

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Findings

Conclusions

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