How effective is individual patient education in the treatment of non-specific low-back pain?
Patient education was no more effective than other interventions, such as cognitive behavioural group therapy, work-site visits, x-rays, acupuncture, chiropractic treatment, physiotherapy, massage, manual therapy, heat-wrap therapy, interferential therapy, spinal stabilisation, yoga or Swedish back school. Studies that compared different types of individual patient education did not find clear results on which type was the most effective. Most individual treatments were only tested by one or two studies. Fifty-eight percent of the studies in the review were judged to be of high quality (ie, met at least 50% of the quality criteria).
Patient education may include written or oral information, may be provided as a separate intervention or as part of a group programme. It may also be provided to an individual or to groups of patients. Patient education can mean a discussion with a health professional, a special class, written information (such as a booklet to take home), or other formats such as a video.