Efficacy of a patient-educational booklet for neck-pain patients with workers' compensation: a randomized controlled trial.
METHODS
A randomized controlled trial of an educational booklet for patients with first-time neck pain.


OBJECTIVE
To assess the clinical impact of a novel educational book on patients' functional outcomes and beliefs about neck pain.


BACKGROUND
Previous research has shown that a novel education booklet (The Back Book) had a positive impact on patients with low back pain' beliefs and clinical outcomes. The current study sought to evaluate the efficacy of a similar education booklet (The Neck Book) for neck-pain patients.


METHODS
Workers' compensation patients were given either the experimental booklet, a traditional booklet or no booklet. The primary outcome measures, collected at 2-weeks, 3-months, and 6-months after baseline, were The Fear Avoidance Beliefs Questionnaire and The Neck Pain and Disability Scale. Health-related functional measures were also collected at these intervals.


RESULTS
Only 34% (N = 187) of an original cohort of patients (N = 522) had data for all of the follow-up periods. For these 187 patients, repeated-measures analyses of covariance, using the baseline measure as the covariate, revealed no significant differences among the 3 groups on any of the outcome measures at any of the follow-up periods. For example, at 6-months, the experimental booklet, traditional booklet, and no-booklet groups reported The Neck Pain and Disability Scale mean scores (SDs) of 31.3 (15.5), 35.3 (17.0), and 31.8 (15.6), respectively. Similarly, there were no significant effects for The Fear Avoidance Beliefs Questionnaire scores-35.9 (21.5), 40.3 (22.1), and 38.0 (23.4), respectively.


CONCLUSIONS
This study demonstrates that the educational booklets studied were not associated with improved outcomes in patients with neck pain receiving workers' compensation. Whether these results would apply to a nonworkers' compensation population requires further study. The loss of many patients to follow-up also makes any other firm conclusions more difficult to determine.
Derebery
Jane
J
Concentra Health Services, San Antonio, TX, USA.
Giang
Geneva M
GM
Gatchel
Robert J
RJ
Erickson
Kent
K
Fogarty
Tom W
TW
D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D003469:Culture; D004185:Disability Evaluation; D005239:Fear / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000517:prevention & control / Q000523:psychology* / Q000628:therapy*; D017063:Outcome Assessment, Health Care; D010147:Pain Measurement; D010174:Pamphlets; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods* / Q000706:statistics & numerical data; D012803:Sick Role; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014942:Workers' Compensation / Q000706:statistics & numerical data