BACKGROUND Low back pain (LBP) is the number one cause of disability globally. LBP is a symptom associated with biological, psychological and social factors, and serious causes for pain are very rare. Unhelpful beliefs about LBP and inappropriate imaging are common. Practitioners report pressure from patients to provide inappropriate imaging. A recently developed patient education and management booklet, 'Understanding low back pain', was designed to target previously identified barriers for reducing inappropriate imaging. The booklet includes evidence-based information on LBP and supports communication between patients and practitioners. Our aim was to 1) describe the translation process into Finnish and 2) study patients' and practitioners' attitudes to the booklet and to evaluate if it improved patients' understanding of LBP and practitioners' ability to follow imaging guidelines. METHODS We translated the booklet from English to Finnish. Preliminary evaluation of the booklet was obtained from LBP patients (n = 136) and practitioners (n = 32) using web-based questionnaires. Open-ended questions were analysed using thematic analysis. RESULTS Approximately half of the patients reported that reading the booklet helped them to understand LBP, while a third thought it encouraged them to perform physical activity and decreased LBP-related fear. Eighty percent of practitioners reported that the booklet helped them to follow imaging guidelines. In addition, practitioners reported that they found the booklet helpful and that it decreased the need for imaging. CONCLUSIONS The booklet seemed to be helpful in LBP management and in decreasing the need for LBP imaging according to patients and practitioners. Further research on the clinical effectiveness of the booklet in controlled study settings is needed. TRIAL REGISTRATION ISRCTN, ISRCTN14389368, Registered 4 April 2019 - Retrospectively registered; ISRCTN11875357, Registered 22 April 2019 - Retrospectively registered.

中文翻译：

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跨文化适应和“了解下腰痛”患者教育手册的初步评估。

背景技术腰痛（LBP）是全球致残的首要原因。LBP是与生物学，心理和社会因素相关的症状，非常罕见的引起疼痛的原因很罕见。关于LBP的无助信念和不适当的影像学很常见。从业者报告患者施加压力，要求提供不适当的影像。最近开发的患者教育和管理手册“了解下腰痛”旨在针对先前发现的障碍，以减少不适当的影像学检查。该手册包括有关LBP的循证信息，并支持患者和从业者之间的沟通。我们的目的是：1）描述翻译成芬兰语的过程，以及2）研究患者和从业者对手册的态度，并评估它是否可以改善患者的语言水平。对LBP的了解以及从业者遵循成像指南的能力。方法我们将手册从英语翻译成芬兰语。使用基于Web的问卷调查从LBP患者（n = 136）和从业者（n = 32）获得了对手册的初步评估。使用主题分析对不限成员名额的问题进行了分析。结果大约一半的患者报告说，阅读手册有助于他们了解LBP，而三分之一的患者认为这鼓励了他们进行体育锻炼并减少了与LBP相关的恐惧。80％的从业者报告说，这本小册子帮助他们遵循了成像指南。此外，从业人员报告说，他们发现这本小册子很有帮助，并且减少了成像的需要。结论根据患者和从业者的观点，这本手册似乎对LBP的管理和减少LBP成像的需求很有帮助。需要在受控研究环境中进一步研究手册的临床有效性。试用注册号ISRCTN，ISRCTN14389368，于2019年4月4日注册-追溯注册; ISRCTN11875357，于2019年4月22日注册-追溯注册。