Evidence statementsEvidence to recommendations

One RCT compared a novel educational booklet (Back Book) with a traditional booklet and found the Back Book to have no effect on pain, and a non significant effect on disability at 1 year follow-up (1−) (Burton, A. K., Waddell, G., Tillotson, K. M. et al, 1999)

One RCT compared a booklet with usual care and found a significant reduction in pain and function at 1 week in the booklet group, but no significant difference in pain or function between groups after 3 weeks (1−)(Little, P., Roberts, L., Blowers, H. et al, 2001)

One RCT compared a leaflet to usual care and found no effect on function up to 1 year after intervention (1−) (Roberts, Lisa, Little, Paul, Chapman, Judith et al, 2002)

No cost effectiveness studies were found.

Two small and one reasonable sized study, using two different booklets, did not show an effect on pain, disability or psychological distress. No cost effectiveness studies were found.
No evidence of statistically significant benefit was found.
However, the GDG agreed that educational materials may have a role. Any education materials used should be based on, and with, the recommendations made within this guideline. Following stakeholder comments the GDG agreed emphasis should be placed on giving information that promotes self management and maintaining, or returning, to normal activities.

From: 5, Information, education and patient treatment preferences

Cover of Low Back Pain
Low Back Pain: Early Management of Persistent Non-specific Low Back Pain [Internet].
NICE Clinical Guidelines, No. 88.
National Collaborating Centre for Primary Care (UK).
Copyright © 2009, Royal College of General Practitioners.

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