Measuring the impact of the French version of The Whiplash Book on both treatment approach and fear-avoidance beliefs among emergency physicians. A cluster randomized controlled trial.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
30
08
2017
accepted:
15
02
2020
entrez:
19
3
2020
pubmed:
19
3
2020
medline:
21
7
2020
Statut:
epublish
Résumé
Whiplash-associated disorders have been the subject of much attention in the scientific literature and remain a major public health problem. Measure the impact of a validated information booklet on the fear-avoidance beliefs of emergency physicians and their approach to management regarding the treatment of whiplash-associated disorders. A prospective cluster randomized controlled study conducted with a sample of emergency medicine physicians. Fear-avoidance beliefs were measured using The Whiplash Belief Questionnaire (WBQ) and Fear-Avoidance Beliefs Questionnaire (FABQ). We assessed the approach to management based on the prescription of pharmacological and non-pharmacological treatments based on the advice given to patients. The validated information booklet was the French version of The Whiplash Book. A set of questionnaires was sent to participants pre- and post-intervention. The experimental intervention was the provision of The Whiplash Book. The control arm did not receive any training or information. Mean fears and beliefs scores on inclusion were high: WBQ = 19.09 (± 4.06); physical activity FABQ = 11.45 (± 4.73); work FABQ = 13.85 (± 6.70). Improvement in fear-avoidance beliefs scores being greater in the intervention group was further confirmed by the variation in WBQ (-20 [-32; -6] vs. -6 [-16; 9]; p = 0.06), physical activity FABQ (-70 [-86; -50] vs. -15 [-40; 11]; p < 0.001), and work FABQ (-40 [-71; 0] vs. 0 [-31; 50]; p = 0.02). The emergency physicians' initial approach to management was not consistent with current guidelines. Reading the French version of The Whiplash Book could contribute to changing their approach to management in several areas on intra-group analysis. The French version of The Whiplash Book positively influenced fear-avoidance beliefs among emergency physicians.
Sections du résumé
BACKGROUND
Whiplash-associated disorders have been the subject of much attention in the scientific literature and remain a major public health problem.
OBJECTIVE
Measure the impact of a validated information booklet on the fear-avoidance beliefs of emergency physicians and their approach to management regarding the treatment of whiplash-associated disorders.
METHODS
A prospective cluster randomized controlled study conducted with a sample of emergency medicine physicians. Fear-avoidance beliefs were measured using The Whiplash Belief Questionnaire (WBQ) and Fear-Avoidance Beliefs Questionnaire (FABQ). We assessed the approach to management based on the prescription of pharmacological and non-pharmacological treatments based on the advice given to patients. The validated information booklet was the French version of The Whiplash Book. A set of questionnaires was sent to participants pre- and post-intervention. The experimental intervention was the provision of The Whiplash Book. The control arm did not receive any training or information.
RESULTS
Mean fears and beliefs scores on inclusion were high: WBQ = 19.09 (± 4.06); physical activity FABQ = 11.45 (± 4.73); work FABQ = 13.85 (± 6.70). Improvement in fear-avoidance beliefs scores being greater in the intervention group was further confirmed by the variation in WBQ (-20 [-32; -6] vs. -6 [-16; 9]; p = 0.06), physical activity FABQ (-70 [-86; -50] vs. -15 [-40; 11]; p < 0.001), and work FABQ (-40 [-71; 0] vs. 0 [-31; 50]; p = 0.02). The emergency physicians' initial approach to management was not consistent with current guidelines. Reading the French version of The Whiplash Book could contribute to changing their approach to management in several areas on intra-group analysis.
CONCLUSION
The French version of The Whiplash Book positively influenced fear-avoidance beliefs among emergency physicians.
Identifiants
pubmed: 32187610
doi: 10.1371/journal.pone.0229849
pii: PONE-D-17-28344
pmc: PMC7080520
doi:
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0229849Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Musculoskelet Sci Pract. 2017 Feb;27:155-164
pubmed: 27852530
Ann Readapt Med Phys. 2007 Oct;50(7):552-7, 545-51
pubmed: 17597246
Eur Spine J. 2005 Feb;14(1):90-4
pubmed: 15160316
PM R. 2012 Oct;4(10):739-47
pubmed: 22819305
Spine (Phila Pa 1976). 2011 Dec 1;36(25 Suppl):S238-43
pubmed: 22020599
Spine (Phila Pa 1976). 2011 Dec 1;36(25 Suppl):S257-62
pubmed: 22020621
Phys Ther. 2014 Oct;94(10):1396-409
pubmed: 24830716
BMJ. 2004 Feb 7;328(7435):321
pubmed: 14764492
Emerg Med J. 2003 Nov;20(6):514-7
pubmed: 14623835
J Orthop Sports Phys Ther. 2008 Sep;38(9):A1-A34
pubmed: 18758050
J Clin Epidemiol. 2011 Sep;64(9):936-48
pubmed: 21411284
Eur J Pain. 2012 Jan;16(1):3-17
pubmed: 21719329
Ann Readapt Med Phys. 2003 Apr;46(3):158-70
pubmed: 12763647
Ugeskr Laeger. 2010 Jun 14;172(24):1812-4
pubmed: 20566152
Spine (Phila Pa 1976). 1999 Dec 1;24(23):2484-91
pubmed: 10626311
J Rehabil Med. 2013 Nov;45(10):1034-41
pubmed: 23974853
Aust Health Rev. 2013 Nov;37(5):688-94
pubmed: 24160566
PLoS One. 2007 Aug 08;2(8):e706
pubmed: 17684553
Pain. 2006 Oct;124(3):330-7
pubmed: 16750297
J Manipulative Physiol Ther. 2003 Sep;26(7):412-20
pubmed: 12975627
BMJ. 2001 Nov 10;323(7321):1123-4
pubmed: 11701584
Cochrane Database Syst Rev. 2008 Jul 16;(3):CD004398
pubmed: 18646106
J Clin Epidemiol. 2004 Aug;57(8):785-94
pubmed: 15485730
Pain Pract. 2015 Nov;15(8):730-7
pubmed: 25269428
Eur J Pain. 2009 May;13(5):518-23
pubmed: 18640860
Spine (Phila Pa 1976). 2004 Apr 15;29(8):908-13
pubmed: 15082995
Man Ther. 2007 May;12(2):167-75
pubmed: 16914363
Eur Spine J. 2008 Oct;17(10):1350-7
pubmed: 18704519
BMJ. 2001 Jun 23;322(7301):1516-20
pubmed: 11420272
BMC Health Serv Res. 2013 Jun 13;13:213
pubmed: 23758939
Spine (Phila Pa 1976). 1995 Apr 15;20(8 Suppl):1S-73S
pubmed: 7604354
Spine (Phila Pa 1976). 2004 Oct 1;29(19):2173-7
pubmed: 15454712
N Engl J Med. 2003 Dec 25;349(26):2510-8
pubmed: 14695411
Health Technol Assess. 2012;16(49):iii-iv, 1-141
pubmed: 23241145
Open Orthop J. 2013 Sep 20;7:494-505
pubmed: 24115971
Aust J Physiother. 2006;52(3):165-74
pubmed: 16942451
Pain. 1993 Feb;52(2):157-68
pubmed: 8455963
Physiother Res Int. 2015 Jun;20(2):77-86
pubmed: 25056414
Pain. 2008 Sep 15;138(3):617-29
pubmed: 18407412
Lancet. 2013 Feb 16;381(9866):546-56
pubmed: 23260167