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Absence Resulting From Low Back Trouble Can Be Reduced by Psychosocial Intervention at the Work Place
Abstract
STUDY DESIGN: A 1-year prospective study in industry, assessing effects of an educational pamphlet on various psychosocial parameters and absenteeism resulting from low back trouble. OBJECTIVES: To determine the value of distributing an educational psychosocial pamphlet to reduce absenteeism resulting from back trouble. The pamphlet was designed to alter avoidance behaviors by encouraging a positive, active approach. SUMMARY OF BACKGROUND DATA: Attempts to control back-pain disability have failed. Fear of pain and activity seemingly leads to avoidance behaviors than contribute to chronicity and work loss. Avoidance behaviors are mediated by attitudes and beliefs; such attitudes and beliefs are a reasonable target for educational interventions designed to change "inappropriate" behaviors (e.g., extended absenteeism). Health education pamphlets are advocated widely but tested rarely. METHODS: Three factories participated in the study. Psychosocial data were collected by questionnaires; absence data were extracted from company records. A psychosocial pamphlet was distributed in one factory; the control subjects received either a nonspecific pamphlet or no intervention. The pamphlet emphasized a positive approach to low back trouble (reduction of negative beliefs and attitudes). RESULTS: In the company whose employees received pamphlets, a significant reduction occurred for the number of spells with extended absence and the number of days of absence (70% and 60%, respectively) compared with extrapolated values. A concomitant positive shift in beliefs concerning the locus of pain control and the inevitable consequences of low back trouble was found. CONCLUSION: A simple industrial intervention using a psychosocial pamphlet, which was designed to reduce avoidance behaviors by fostering positive beliefs and attitudes, successfully reduced extended absence resulting from low back trouble.
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“It has been demonstrated that kinesiophobia has shown to be a strong predictor for pain disability and pain chronicity in the longer term [73] associated with higher rates of sick-leaves [74], pain vigilance and disability as well as decreased physical activity levels [75–77].”
From Chronic pain and sex-differences; women accept and move, while men feel blue (2017) · cites this paper as [74]
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Metadata
- Authors
- Symonds, T. L., Burton, A. K., Tillotson, K. M., & Main, C. J.
- Affiliations
- University of Huddersfield (GB)
- Salford Royal NHS Foundation Trust (GB)
- Corresponding author
- Symonds, Tara L.
- Tillotson, K. Malcolm
- Venue
- Spine
- Published
- 1995-12
- Volume
- 20
- Issue
- 24
- Pages
- 2738-2745
- ISSN
- 0362-2436 (ISSN-L)
- OpenAlex
- W2080043403
- Cited by
- 193
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 6 · 2013: 8 · 2012: 8
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Spine (publishedVersion)
- PubMed (publishedVersion)
- University of Huddersfield Repository (University of Huddersfield) (submittedVersion)
- Huddersfield Research Portal (University of Huddersfield) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- low back pain, absenteeism, psychosocial interventions, health education leaflets, avoidance behavior, pain beliefs, locus of control, work loss, industrial workers, chronic pain
- MeSH terms
- Absenteeism, Adult, Fear, Health Surveys, Humans, Pamphlets, Surveys and Questionnaires, Social Support, Time Factors, Work, Low Back Pain, Workplace
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