TY - JOUR
T1 - Co-creating a Choosing Wisely Leaflet Supporting the Reduction of Imaging Usage in Low Back Pain Management - A Multi-Method Study.
AU - Djurtoft, Chris
AU - O'Hagan, Edel
AU - Laursen, Monika Deleuran
AU - Lejbølle, Lars
AU - Jensen, Mia Bisgaard
AU - Johansen, Simon Kristoffer
AU - Lyng, Kristian Damgaard
AU - Hoegh, Morten
AU - Pourbordbari, Negar
AU - Bruun, Malene Kjær
AU - Eiger, Bettina
AU - Larsen, Jesper Bie
AU - Rathleff, Michael Skovdal
N1 - Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved.
PY - 2025/3/6
Y1 - 2025/3/6
N2 - OBJECTIVE: The objective was to co-create an information resource in the form of a leaflet, to be distributed in clinical settings, websites or social media targeting people with low back pain.METHODS: This multi-method study was conducted in four stages: literature search, input from practice consultants, program theory development, and think-aloud interviews with people experiencing low back pain. Each stage was followed by a consensus meeting in which the steering group refined the leaflet based on the emerging knowledge.RESULTS: The literature search highlighted patients' need for easy-to-understand information about their back pain diagnosis, management strategies, social activities, work and solutions for supported self-management strategies. Practice consultants emphasized concise, relatable content. The program theory identified potential mechanisms for content creation, development, and implementation of the leaflet, such as addressing patient concerns, reducing diagnostic uncertainty, insights into management options, and validation. Think-aloud interviews with 18 people living with low back pain informed the iteration of the leaflet, enhancing language clarification and content comprehension.CONCLUSIONS: We co-created a new Choosing Wisely leaflet, created with end-users in mind, specifically focused on reducing unnecessary imaging for low back pain.PRACTICE IMPLICATIONS: This leaflet may support clinical settings in delivering evidence-based approaches and supporting self-management.
AB - OBJECTIVE: The objective was to co-create an information resource in the form of a leaflet, to be distributed in clinical settings, websites or social media targeting people with low back pain.METHODS: This multi-method study was conducted in four stages: literature search, input from practice consultants, program theory development, and think-aloud interviews with people experiencing low back pain. Each stage was followed by a consensus meeting in which the steering group refined the leaflet based on the emerging knowledge.RESULTS: The literature search highlighted patients' need for easy-to-understand information about their back pain diagnosis, management strategies, social activities, work and solutions for supported self-management strategies. Practice consultants emphasized concise, relatable content. The program theory identified potential mechanisms for content creation, development, and implementation of the leaflet, such as addressing patient concerns, reducing diagnostic uncertainty, insights into management options, and validation. Think-aloud interviews with 18 people living with low back pain informed the iteration of the leaflet, enhancing language clarification and content comprehension.CONCLUSIONS: We co-created a new Choosing Wisely leaflet, created with end-users in mind, specifically focused on reducing unnecessary imaging for low back pain.PRACTICE IMPLICATIONS: This leaflet may support clinical settings in delivering evidence-based approaches and supporting self-management.
KW - Choosing Wisely
KW - Co-creation
KW - Imaging diagnostics
KW - Low back pain
KW - Patient education
KW - Patient involvement
UR - http://www.scopus.com/inward/record.url?scp=86000718835&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2025.108730
DO - 10.1016/j.pec.2025.108730
M3 - Journal article
C2 - 40081158
SN - 0738-3991
VL - 135
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 108730
ER -