title: Determinants of the intention for using a lumbar support among home care workers with recurrent low back pain.
abstract: In most effectiveness studies on lumbar supports for patients with low back pain, insufficient data are reported about adherence. In a secondary preventive RCT, we found beneficial effects and a good adherence among home care workers with low back pain. To target the use of lumbar supports on those patients who can benefit optimally from usage, we need to know why people are adherent. We used the attitude, social support and self-efficacy model to identify determinants for prolonged adherence to wearing a lumbar support. The strongest predictor for intending sustained use of a lumbar support was a positive attitude towards lumbar supports, explaining 41% of the variance (B = 1.31; p < 0.001). Social support and self-efficacy played a minor role. The intention for prolonged use of a lumbar support for workers with recurrent back pain was mainly explained by a positive attitude. The discomfort of a lumbar support was outweighed by perceived benefit.
authors.affiliation: Department of General Practice, Erasmus Medical Center, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands. p.roelofs@erasmusmc.nl
authors.forename: Pepijn D D M
authors.initials: PD
authors.lastname: Roelofs
authors.forename: Mireille N M
authors.initials: MN
authors.lastname: van Poppel
authors.forename: Sita M A
authors.initials: SM
authors.lastname: Bierma-Zeinstra
authors.forename: Willem
authors.initials: W
authors.lastname: van Mechelen
mesh_terms: D001915:Braces / Q000706:statistics & numerical data*; D002908:Chronic Disease; D005260:Female; D018576:Home Health Aides / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D033182:Intention; D017116:Low Back Pain / Q000517:prevention & control* / Q000523:psychology; D008161:Lumbosacral Region; D008297:Male; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires