http://hdl.handle.net/10453/148724 2026-04-12T07:30:55Z http://hdl.handle.net/10453/187881 Title: Credibility, readability and content analysis of treatment recommendations for adolescents with nonspecific back pain published on consumer websites. Authors: Hauber, SD; Robinson, K; Fechner, R; Pate, JW; O'Sullivan, K Abstract: BACKGROUND: Parents may seek out health information online when their adolescent has nonspecific back pain to better understand treatment options. Such information directed towards consumers has not been previously analysed. METHODS: A descriptive cross-sectional content analysis was performed to describe the treatments recommended on consumer websites for nonspecific back pain in adolescents. The credibility and readability of the websites were also assessed. Systematic Google searches were completed in five countries, and relevant content from eligible web pages was analysed. An a priori codebook with 34 treatment-related codes was developed. Nine additional codes were inductively created during analysis. Credibility was assessed using the JAMA benchmark. Readability was assessed via the Flesch Kincaid Grade Level. RESULTS: Of 245 web pages, 48 were deemed eligible and analysed. Of 43 treatment codes, 37 were present in at least one web page. The five most frequently identified codes were See the doctor/get a diagnosis (found on 85% of web pages), Ergonomics/posture/biomechanics (52%), Reassurance (48%), Physiotherapy (48%) and Non-prescription pharmaceuticals/supplements (46%). Only 21% of the web pages met all four JAMA benchmark criteria, and 15% cited at least one recent or high-quality source. The median Flesch Kincaid Grade Level score was 9.0 (range 3.5-12.9). CONCLUSIONS: Parents of adolescents with nonspecific back pain may find that treatment recommendations published online are numerous and varied, with visits to the doctor encouraged. The credibility scores of these web pages are generally low, while the median reading level may be too high for the general population. SIGNIFICANCE STATEMENT: This analysis reveals that public-facing websites with recommendations for treating adolescent nonspecific back pain do not cite the most recent, high-quality research. Although web pages correctly encourage physical activity and exercise over surgery and prescription medications, they do not reflect the psychologically informed or interdisciplinary care emphasized in recently published treatment recommendations. Clinicians must be aware that caregivers of their adolescent patients with nonspecific back pain may be exposed to online messages that encourage them to keep seeking a diagnosis. 2024-10-01T00:00:00Z http://hdl.handle.net/10453/187109 Title: Effect of a 4-week pulmonary telerehabilitation program for people with respiratory post-acute sequelae of COVID-19–A randomised controlled trial Authors: Reeves, JM; Spencer, LM; Tsai, LL; Baillie, AJ; Han, Y; Leung, RWM; Bishop, J; Troy, LK; Corte, TJ; Teoh, AKY; Peters, M; Barton, C; Jones, L; Alison, JA Abstract: Purpose: To evaluate a 4-week pulmonary telerehabilitation (PTR) program compared to usual care for people with persistent respiratory post-acute sequelae of COVID-19 (PASC). Methods: A multi-centre randomised controlled trial with remote assessment and assessor blinding. Participants were randomised 1:1 to 4-weeks, twice-weekly PTR or usual care (Control Group (CG)). PTR exercise intensity was titrated based on fatigue and dyspnoea. After the control period, participants in CG could cross-over into PTR to form a combined group (PTR-X). Primary outcome: 1-minute sit-to-stand test (1-minSTST). Secondary outcomes: 5-repetition sit-to-stand test; Montreal Cognitive Assessment blind-version; COVID-19 Yorkshire Rehabilitation Scale; COPD Assessment Test; 36-Item Short-Form Health Survey; Hospital Anxiety and Depression Scale; Fatigue Severity Scale; Kessler Psychological Distress Scale, all assessed at baseline and following intervention or control periods. Data were analysed using a linear mixed effects model. Results: Of 50 participants recruited, 39 completed the study (PTR group n = 14, CG n = 25). There were no statistically significant between-group differences in any outcomes. For the PTR-X group (n = 27) there was a statistically significant within-group improvement in 1-minSTST (2.4 repetitions, 95%CI 0.6–4.2). Conclusions: A 4-week (8 session) PTR intervention for respiratory PASC showed no significant between-groups differences suggesting that longer PTR programs or alternative interventions should be evaluated. 2025-01-01T00:00:00Z http://hdl.handle.net/10453/186586 Title: How Low Back Pain is Managed A Mixed Methods Study in 32 Countries Part 2 of Low Back Pain in Low and Middle Income Countries Series Authors: Sharma, S; Pathak, A; Parker, R; Costa, LOP; Ghai, B; Igwesi-Chidobe, C; Janwantanakul, P; de, FR; Chala, MB; Pourahmadi, M; Briggs, AM; Gorgon, E; Ardern, CL; Khan, KM; McAuley, JH; Alghwiri, AA; Aoko, OA; Badamasi, HS; Calvache, JA; Cardosa, MS; Ganesh, S; Gashaw, M; Ghiringhelli, J; Gigena, S; Hasan, ATMT; Haq, SA; Jacob, EN; van, DCJ; Kossi, O; Liu, C; Malani, R; Mason, BJN; Najem, C; Nava-Bringas, TI; Nduwimana, I; Perera, R; Perveen, W; Pierobon, A; Pinto, E; Pinto, RZ; Purwanto, F; Rahimi, MD; Reis, FJJ; Siddiq, AB; Shrestha, D; Tamang, M; Vasanthan, LT; Viljoen, C Abstract: BACKGROUND The Lancet Low Back Pain (LBP) Series highlighted the lack of LBP data from low- and middle-income countries (LMICs). The study aimed to describe (1) what LBP care is currently delivered in LMICs and (2) how that care is delivered. DESIGN An online mixed-methods study. METHODS A Consortium for LBP in LMICs (n 65) was developed with an expert panel of leading LBP researchers ( 2 publications on LBP) and multidisciplinary clinicians and patient partners with 5 years of clinical/lived LBP experience in LMICs. Quantitative data were analyzed using descriptive statistics. Two researchers independently analyzed qualitative data using inductive and deductive coding and developed a thematic framework. RESULTS Forty-seven (85 ) of 55 invited panel members representing 32 LMICs completed the survey (38 women, 62 men). The panel included clinicians (34 ), researchers (28 ), educators (6 ), and people with lived experience (4 ). Pharmacotherapies and electrophysiological agents were the most used LBP treatments. The thematic framework comprised 8 themes (1) self-management is ubiquitous, (2) medicines are the cornerstone, (3) traditional therapies have a place, (4) society plays an important role, (5) imaging use is very common, (6) reliance on passive approaches, (7) social determinants influence LBP care pathway, and (8) health systems are ill-prepared to address LBP burden. CONCLUSION LBP care in LMICs did not consistently align with the best available evidence. Findings will help research prioritization in LMICs and guide global LBP clinical guidelines. 2024-08-01T00:00:00Z http://hdl.handle.net/10453/185606 Title: Which Psychological and Psychosocial Constructs Are Important to Measure in Future Tendinopathy Clinical Trials? A Modified International Delphi Study With Expert Clinician/Researchers and People With Tendinopathy. Authors: Stubbs, C; McAuliffe, S; Chimenti, RL; Coombes, BK; Haines, T; Heales, L; de Vos, RJ; Lehman, G; Mallows, A; Michner, LA; Millar, NL; O'Neill, S; O'Sullivan, K; Plinsinga, M; Rathleff, M; Rio, E; Ross, M; Roy, J-S; Silbernagel, KG; Thomson, A; Trevail, T; van den Akker-Scheek, I; Vicenzino, B; Vlaeyen, JWS; Pinto, RZ; Malliaras, P Abstract: OBJECTIVE: To identify which psychological and psychosocial constructs to include in a core outcome set to guide future clinical trials in the tendinopathy field. DESIGN: Modified International Delphi study. METHODS: In 3 online Delphi rounds, we presented 35 psychological and psychosocial constructs to an international panel of 38 clinician/researchers and people with tendinopathy. Using a 9-point Likert scale (1 = not important to include, 9 = critical to include), consensus for construct inclusion required ≥70% of respondents rating "extremely critical to include" (score ≥7) and ≤15% rating "not important to include" (score ≤3). Consensus for exclusion required ≥70% of respondents rating "not important to include" (score ≤3) and ≤15% of rating "critical to include" (score ≥7). RESULTS: Thirty-six participants (95% of 38) completed round 1, 90% (n = 34) completed round 2, and 87% (n = 33) completed round 3. Four constructs were deemed important to include as part of a core outcome set: kinesiophobia (82%, median: 8, interquartile range [IQR]: 1.0), pain beliefs (76%, median: -7, IQR: 1.0), pain-related self-efficacy (71%, median: 7, IQR: 2.0), and fear-avoidance beliefs (73%, median: -7, IQR: 1.0). Six constructs were deemed not important to include: perceived injustice (82%), individual attitudes of family members (74%), social isolation and loneliness (73%), job satisfaction (73%), coping (70%), and educational attainment (70%). Clinician/researchers and people with tendinopathy reached consensus that kinesiophobia, pain beliefs, pain self-efficacy, and fear-avoidance beliefs were important psychological constructs to measure in tendinopathy clinical trials. J Orthop Sports Phys Ther 2024;54(1):1-12. Epub 20 September 2023. doi:10.2519/jospt.2023.11903. 2024-01-01T00:00:00Z