Can the Enhanced Transtheoretical Model Intervention (ETMI) Impact the Attitudes and Beliefs Regarding Low Back Pain of Family Medicine Residents

Yair Bezalel Shahar, Ruth Goldstein, Yaniv Nudelman, Omri Besor, Noa Ben Ami

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


BACKGROUND: Low back pain has been the leading cause for disability worldwide for several decades, and clinical guidelines for its management clearly emphasize a multifactorial approach. Yet, current guidelines are still not well implemented by clinicians. OBJECTIVES: To explore the attitudes of family medicine residents regarding low back pain and to determine whether they positively correlate with their treatment approaches. To test if these attitudes can be affected by the Enhanced Transtheoretical Model Intervention (ETMI), a guideline-based workshop. METHODS: Participants completed an online questionnaire regarding their attitudes toward low back pain and clinical habits, after which they attended an online ETMI educational workshop. One month later all participants were asked to complete the questionnaire a second time. Statistical analysis was conducted to explore the attitudes of the residents and clinical approaches, as well as any associations between them, as well as possible differences pre- and post-intervention. RESULTS: The participants exhibited highly psychologically oriented attitudes. Correlations between the attitudes and treatment did not show consistent coherency. Results regarding the participants clinical approaches were revealed to have two distinct and opposed inclinations: biomedically and biopsychosocially. Last, results for the re-activation subscale were significantly higher post-intervention. CONCLUSIONS: Family medicine residents seem to be highly psychologically oriented regarding low back pain; however, they do not necessarily treat their patients accordingly. Their clinical choices seem to follow two different approaches: guideline-consistent and non-guideline-consistent. An ETMI guideline-based workshop may sway their attitudes toward re-activation of patients. Further research is needed to determine whether similar results would arise in larger physician populations.

Original languageEnglish
Pages (from-to)369-374
Number of pages6
JournalActa medica Orientalia
Issue number6
StatePublished - 1 Jun 2022


  • Attitude of Health Personnel
  • Family Practice
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Low Back Pain/therapy
  • Surveys and Questionnaires
  • Transtheoretical Model


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