This observational study evaluated people's attitudes towards educational statements and tested whether this predicted intention to self-manage low back pain (LBP). People with or without LBP who were older than 18 years and fluent in written English were recruited. Participants completed an online survey asking demographic questions and questions on the presence or absence of LBP, its duration, and intensity. We assessed attitude toward educational statements and conducted linear regression analyses to investigate the relationship between attitude toward each statement and intention to self-manage. We recruited 656 participants, n = 345 (53.6%), with LBP of varying duration. On average, participants had a positive attitude toward all statements except one; participants with chronic LBP had a negative attitude toward a statement relating to the cause of LBP. The effect of attitude on intention to self-manage was dependent on whether someone had LBP and for how long. For example, increased intention to self-manage was predicted by a positive attitude toward educational statements related to staying active (β = 0.22 [CI 0.11-0.33]) in participants without pain, statements about reassurance (β = 0.33 [CI 0.16-0.49]) for participants with acute or subacute LBP, and statements about the severity of back pain (β = 0.25 [CI 0.18-0.33]) for participants with chronic LBP. We noted differences in attitude toward educational messages and individuals' intention to self-manage LBP depending on pain duration. Self-management could be encouraged with specific reassurance in people with acute or subacute LBP and education about severity in people with chronic LBP.

这项观察性研究评估了人们对教育陈述的态度，并测试了这是否预示着自我管理腰痛 (LBP) 的意图。招募年龄超过 18 岁且书面英语流利的患有或不患有 LBP 的人。参与者完成了一项在线调查，询问人口统计问题以及有关是否存在 LBP、其持续时间和强度的问题。我们评估了对教育陈述的态度，并进行了线性回归分析，以调查对每项陈述的态度与自我管理意图之间的关系。我们招募了 656 名参与者，n = 345 (53.6%)，他们的 LBP 持续时间不同。平均而言，参与者对除一项之外的所有陈述都持积极态度；患有慢性腰痛的参与者对有关腰痛病因的陈述持消极态度。态度对自我管理意愿的影响取决于某人是否患有 LBP 以及持续多久。例如，在没有疼痛的参与者中，对与保持活跃相关的教育陈述持积极态度（β = 0.22 [CI 0.11-0.33]），有关安慰的陈述（β = 0.33 [CI 0.16-0.49]）可以预测自我管理意愿的增强。 ]）对于患有急性或亚急性腰痛的参与者，以及关于患有慢性腰痛的参与者的背痛严重程度的陈述（β = 0.25 [CI 0.18-0.33]）。我们注意到，根据疼痛持续时间，个人对教育信息的态度和自我管理腰痛的意图存在差异。可以通过对急性或亚急性腰痛患者的具体安抚以及对慢性腰痛患者严重程度的教育来鼓励自我管理。