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Unhelpful Information About Low Back and Neck Pain on Physiotherapist's Websites

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Názov: Unhelpful Information About Low Back and Neck Pain on Physiotherapist's Websites
Autori: Robert van der Noord, Roland R. Reezigt, Davy Paap, Henrica R. Schiphorst Preuper, Michiel F. Reneman
Zdroj: Eur J Pain
Informácie o vydavateľovi: Wiley, 2025.
Rok vydania: 2025
Predmety: Internet, online information, neck pain, Neck Pain/therapy, Consumer Health Information/standards, biopsychosocial, Physical Therapists, Cross-Sectional Studies, Patient Education as Topic, Fear/psychology, Low Back Pain/therapy, physiotherapist, Humans, Original Article, implementation, Physical Therapy Modalities, low back pain, Netherlands
Popis: BackgroundThe internet is increasingly used as a primary source of information for patients with musculoskeletal pain. Private physiotherapy practices provide informative content on low back pain (LBP) and neck pain (NP) on their websites, but the extent to which this information is biopsychosocial, guidelines‐consistent, and fear‐inducing is unknown. The aim of this study was to analyse the information on websites of private physiotherapy practices in the Netherlands about LBP and NP regarding consistency with the guidelines and the biopsychosocial model and to explore the use of fear‐inducing language.MethodsThe content of all existing Dutch private physiotherapy practice websites was examined in a cross sectional study design. Content analysis was based on predetermined criteria of the biopsychosocial model and evidence‐based guidelines. Descriptive statistics were applied.ResultsAfter removing duplicates and sites without information, 834 (10%) of 8707 websites remained. Information about LBP was found on 449 (54%) websites and 295 (35%) websites informed about NP. A majority of websites (LBP: n = 287, 64%; NP: n = 174, 59%) were biomedically oriented. Treatment advice was given 1855 times on n = 560 (67%) websites. Most of the recommended interventions were inconsistent with or not mentioned in the guidelines. Fear‐inducing language was provided n = 1624 (69%) times.ConclusionsThe majority of the information on the Dutch private physiotherapy websites was biomedical and not in line with the current guidelines and fear‐inducing.SignificanceThis study revealed that the majority of private physiotherapy practice websites that provide information on LBP and NP are inconsistent with the biopsychosocial model and current guidelines. This information has a negative impact on patients' knowledge, attitudes, beliefs, and expectations, potentially affecting treatment outcomes. Consequently, most physiotherapy practice websites are unreliable sources of information on LBP and NP for patients. There is an urgent need to implement strategies to make websites reliable and helpful sources of information.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1532-2149
1090-3801
DOI: 10.1002/ejp.4782
Prístupová URL adresa: https://research.vu.nl/en/publications/677fd690-d6f1-4a0c-bcdf-a80eb42a14a9
https://doi.org/10.1002/ejp.4782
https://hdl.handle.net/1871.1/677fd690-d6f1-4a0c-bcdf-a80eb42a14a9
https://research.rug.nl/en/publications/76696fd9-070f-46ce-859f-3223882b0f39
https://hdl.handle.net/11370/76696fd9-070f-46ce-859f-3223882b0f39
https://doi.org/10.1002/ejp.4782
Rights: CC BY NC ND
URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
Prístupové číslo: edsair.doi.dedup.....e9080483ecd8fd8d3f19e02835eded67
Databáza: OpenAIRE
Popis
Abstrakt:BackgroundThe internet is increasingly used as a primary source of information for patients with musculoskeletal pain. Private physiotherapy practices provide informative content on low back pain (LBP) and neck pain (NP) on their websites, but the extent to which this information is biopsychosocial, guidelines‐consistent, and fear‐inducing is unknown. The aim of this study was to analyse the information on websites of private physiotherapy practices in the Netherlands about LBP and NP regarding consistency with the guidelines and the biopsychosocial model and to explore the use of fear‐inducing language.MethodsThe content of all existing Dutch private physiotherapy practice websites was examined in a cross sectional study design. Content analysis was based on predetermined criteria of the biopsychosocial model and evidence‐based guidelines. Descriptive statistics were applied.ResultsAfter removing duplicates and sites without information, 834 (10%) of 8707 websites remained. Information about LBP was found on 449 (54%) websites and 295 (35%) websites informed about NP. A majority of websites (LBP: n = 287, 64%; NP: n = 174, 59%) were biomedically oriented. Treatment advice was given 1855 times on n = 560 (67%) websites. Most of the recommended interventions were inconsistent with or not mentioned in the guidelines. Fear‐inducing language was provided n = 1624 (69%) times.ConclusionsThe majority of the information on the Dutch private physiotherapy websites was biomedical and not in line with the current guidelines and fear‐inducing.SignificanceThis study revealed that the majority of private physiotherapy practice websites that provide information on LBP and NP are inconsistent with the biopsychosocial model and current guidelines. This information has a negative impact on patients' knowledge, attitudes, beliefs, and expectations, potentially affecting treatment outcomes. Consequently, most physiotherapy practice websites are unreliable sources of information on LBP and NP for patients. There is an urgent need to implement strategies to make websites reliable and helpful sources of information.
ISSN:15322149
10903801
DOI:10.1002/ejp.4782