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      An internet-based approach to enhance self-managementof chronic low back pain in the italian-speaking population of Switzerland: results from a pilot study.

      International Journal of Public Health
      Exercise, Follow-Up Studies, Health Behavior, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Internet, Low Back Pain, rehabilitation, Pain Measurement, Patient Education as Topic, methods, Patient Satisfaction, Pilot Projects, Self Care, Sick Role, Social Support, Software, Switzerland

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          Abstract

          To illustrate the development and pilot evaluation of a website designed to enhance self-management of chronic low back pain for the Italian-speaking population of Switzerland. 20 patients affected by chronic low back pain used a website--specifically created for the project--for a period of five months, under the monitoring of a team of health professionals. Evaluation was carried out by means of a telephone questionnaire administered at baseline and at the end of the intervention, and intermediate online user-testing performed in the fourth month of the intervention. A control group of 15 patients was created to assist the evaluation. Compared to the control group, results from the pilot evaluation suggest a decrease in the intensity of back pain in people with access to the website; an increase in physical activity; a reduction in both medical consultation and the use of painkillers, and a gain in declarative and procedural knowledge. This coincides with a general positive assessment of the website. The study supports the need to test the proposed approach on a wider scale.

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