Effectiveness of Educational Program based on Social Cognitive Theory on Spine Care Behavior in Undergraduate Students: A study Protocol

Document Type : Original Research

Authors
K. Yavarmanesh 1
F. Pourhaji 2
S. mohammadian 3
M. H. Delshad 2
1 School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Public Health Department, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran and Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran and Social Determinants of Health Research Center,Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
3 Public Health Department, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
10.22034/IJMPP.9.3.1051
Abstract
Aims: The spine is one of the most important organs in the human body, playing a vital role in the stability and movement of the body. Inappropriate behaviors such as poor posture, a sedentary lifestyle, and improper backpack use can damage the spine. Social Cognitive Theory (SCT) is a theoretical framework that examines the influence of cognitive, behavioral, and environmental factors on behavior. This study aimed to investigate the effect of SCT-based educational programs on spine care behavior in undergraduate students of Torbat Heydarieh University of Medical Sciences in 2023-202.

Method and Materials: This study will be a randomized controlled trial in which 100 undergraduate students of Torbat Heydarieh University of Medical Sciences (THMUS) will be randomly assigned to two groups of intervention and control. The intervention group will participate in an SCT-based educational program. The control group will receive no educational intervention. The content of the educational program will include topics such as the importance of spine care, proper posture, physical activity, and proper backpack use. The educational program will be delivered in 10 sessions of 90 90-minute periods. Spine care behavior will be assessed using the spine care behavior questionnaire at two time points before intervention and 6-month follow-up.

Findings: The findings of this study are anticipated to suggest that the educational programs will be effective in improving spine care behavior in students. These findings will then be used to design more effective educational programs in this area.

Conclusion: This instrument could be applied to evaluate unhealthy behavior due to neck pain and so improve these risky behaviors.

Keywords

Subjects

1. Niu Y, Wang Y, Meng H, Yin C, Dang K, Qian A. Biomechanics in clinical application for bone diseases. Bone Cell Biomechanics, Mechanobiology and Bone Diseases: Elsevier; 2024. p. 315-52.
2. Salahshor SM. The Back from Top to Bottom: Differentials for Back Pain. Physician Assistant Clinics. 2024;9(1):33-45.
3. Bryce TN, Huang V, Escalon MX. Spinal cord injury. Braddom's Physical Medicine and Rehabilitation: Elsevier; 2021. p. 1049-100. e6.
4. Victora Ruas C, Vieira A. Do muscle strength imbalances and low flexibility levels lead to low back pain? A brief review. Journal of Functional Morphology and Kinesiology. 2017;2(3):29.
5. Knapova L, Cho YW, Chow S-M, Kuhnova J, Elavsky S. From intention to behavior: Within-and between-person moderators of the relationship between intention and physical activity. Psychology of Sport and Exercise. 2024;71:102566.
6. Haldeman S, Kopansky-Giles D, Hurwitz EL, Hoy D, Erwin WM, Dagenais S, et al. Advancements in the management of spine disorders. Best practice & research Clinical rheumatology. 2012;26(2):263-80.
7. Schunk DH. Social cognitive theory and self-regulated learning. Self-regulated learning and academic achievement: Routledge; 2013. p. 119-44.
8. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018;391(10137):2356-67.
9. Van Wesemael S, Bogaerts K, De Baets L, Goossens N, Vlemincx E, Amerijckx C, et al. The association between pain-related psychological variables and postural control in low back pain: A systematic review and meta-analysis. Gait & Posture. 2024;107:253-68.
10. Mendoza-Pinto C, Etchegaray-Morales I, Munguía-Realpozo P, Rojas-Villarraga A, Osorio-Peña ÁD, Méndez-Martínez S, et al. Burden of Other Musculoskeletal Disorders in Latin America and the Caribbean: Findings of Global Burden of Disease Study 2019. JCR: Journal of Clinical Rheumatology. 2024;30(1):1-7.
11. Gandolfi MG, Zamparini F, Spinelli A, Prati C. Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol. Journal of Functional Morphology and Kinesiology. 2024;9(1):6.
12. Fish FE, Gough WT, Adams DS. Muscles and movement. The Physiology of Dolphins: Elsevier; 2024. p. 49-75.
13. Manesh VR, Inanlu M, Yekaninejad MS, Khanmohammadi R. The effect of different types of cognitive tasks on postural sway fluctuations in older and younger adults: A nonlinear study. Journal of Bodywork and Movement Therapies. 2024;37:63-9.
14. Chiu CK, Chin TF, Chung WH, Chan CYW, Kwan MK. Variations in the Number of Vertebrae, Prevalence of Lumbosacral Transitional Vertebra and Prevalence of Cervical Rib among Surgical Patients with Adolescent Idiopathic Scoliosis: An Analysis of 998 Radiographs. Spine. 2024;49(1):64-70.
15. Sotoudeh S, Maroufizadeh S, Balasi LR, Esfandiari A, Nouri A, Bakhtiari F. Quality of Life and Its Predictors in Patients with Multiple Sclerosis. Jundishapur Journal of Chronic Disease Care. 2024;13(1).
16. Godfrey N, Donovan-Hall M, Roberts L. A qualitative study exploring the ritual-like activity and therapeutic relationship between Pilates teachers and clients with persistent low back pain. Journal of Bodywork and Movement Therapies. 2024;37:25-37.
17. Lee C-C, Yuan Z. Impact of energy poverty on public health: A non-linear study from an international perspective. World Development. 2024;174:106444.
18. Scarneo-Miller SE, Swartz EE, Register-Mihalik JK, Coleman KA, Emrich CM, DiStefano LJ. Spinal Cord Injury Management Policies in High School Sports as Reported by Athletic Administrators. Translational Journal of the American College of Sports Medicine. 2024;9(1):e000239.
19. Janik F, Fabre C, Seichepine AL, Masquelier B, Barbier F, Toulotte C. Middle-term effects of education programme in chronic low back pain patients to an adherence to physical activity: A randomized controlled trial. Patient Education and Counseling. 2024;119:108081.
20. Franz C, Wedderkopp N, Jespersen E, Rexen CT, Leboeuf-Yde C. Back pain in children surveyed with weekly text messages-a 2.5 year prospective school cohort study. Chiropractic & manual therapies. 2014;22(1):1-12.
21. Akbari-Chehrehbargh Z, Tavafian SS, Montazeri A. Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: a school-based randomised controlled trial (T-Bak Study). BMC Public Health. 2020;20(1):1-15.
22. Araújo CL, Moreira A, Carvalho GS. Postural Education Programmes with School Children: A Scoping Review. Sustainability. 2023;15(13):10422.
23. Akbari S, Pirzadeh A, Farivarnia F, Rajab A, Shaw I. Magnetic resonance imaging for detection of musculoskeletal disorders: A literature review. Journal of Pain Management. 2020;13(1).
24. Mihai-Alexandru C, Mariana C. POSTURE CORRECTION FOR HIGH SCHOOL STUDENTS USING MANUAL TECHNIQUES. Sport & Society/Sport si Societate. 2022;22(2).
25. Homola A, Stashenko N, Karpenko M. Rehabilitation activities for children with posture disorders. 2022.
26. Takahira N, Kudo S, Ofusa M, Sakai K, Tsuda K, Tozaki K, et al., editors. Effect of Devised Simultaneous Physical Function Improvement Training and Posture Learning Exercises on Posture2023: MDPI.
27. Shekhar S, Rao R, Nirala SK, Naik BN, Singh C, Pandey S. Prevalence of acute low back pain with risk of long-term disability and its correlates among medical students: A cross-sectional study. Journal of Education and Health Promotion. 2023;12(1):179.
28. Atia DT, Elsayed NI, Abdelmonem AF, Mahmoud SMSd, Mahmoud MMM, Mohamed KES, et al. Prevalence of Musculoskeletal Disorders among General and Technical Secondary School Students in Egypt. International Journal of Environmental Research and Public Health. 2023;20(2):1465.
29. Koyama, K., Furushima, K., Kanno, Y., Niitsu, A., Kodachi, Y., Niino, M., et al. Characteristics of standing and sitting postures in elementary school children. Physical Fitness and Sports Science. 2022;71(5):443-53.
30. Nation M, Crusto C, Wandersman A, Kumpfer KL, Seybolt D, Morrissey-Kane E, et al. What works in prevention: Principles of effective prevention programs. American psychologist. 2003;58(6-7):449.
31. Hidayati F, Aswin B, Rahmat AA. THE RELATIONSHIP OF WORK POSTURE AND INDIVIDUAL FACTORS WITH COMPLAINTS OF LOWER BACK PAIN IN BRICK WORKING WORKERS IN JAMBI SELATAN. Journal of Industrial Hygiene and Occupational Health. 2023;7(2):138-50.
32. Aburub A, Darabseh MZ, Alsharman A, Hegazy MM, Hunter SM. Nursing Mothers' Experiences of Musculoskeletal Pain Attributed to Poor Posture During Breastfeeding: A Mixed Methods Study. Breastfeeding Medicine. 2022;17(11):926-31.
33. Üzelpasaci E, Akbayrak T. AB1404 THE ASSOCIATION OF PAIN INTENSITY AND MUSCULOSKELETAL FACTORS, PHYSICAL ACTIVITY, AND QUALITY OF LIFE IN PREGNANT WOMEN WITH LOW BACK PAIN: A CROSS-SECTIONAL STUDY. BMJ Publishing Group Ltd; 2023.
34. Ito T, Sakai Y, Ito Y, Yamazaki K, Morita Y, editors. Association between back muscle strength and proprioception or mechanoreceptor control strategy in postural balance in elderly adults with lumbar spondylosis. Healthcare; 2020: MDPI.
35. Wu JR, Kundu M, Iwanaga K, Chan F, Chen X, Rumrill P, et al. Social Cognitive Career Theory Predictors of Goal Persistence in African American College Students With Disabilities. Rehabilitation Counseling Bulletin. 2024;67(2):83-93.
36. Lai AHY, Wong EL-y, Lau WSY, Elaine TYL, Leung CTC. “I Can Curate My Career”: A Career Counseling Program for Future Orientations of School Students. Available at SSRN 4664610.
37. Dullien S, Grifka J, Jansen P. Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children. BMC pediatrics. 2018;18(1):1-10.
38. Natasha AA, Syukri AA, Diana MKSN, Ima-Nirwana S, Chin K-Y. The association between backpack use and low back pain among pre-university students: A pilot study. Journal of Taibah University Medical Sciences. 2018;13(2):205-9.
39. Kargarfard, M. K., Mahdavi-Nejad, R., Ghasemi, G. A., Rouzbehani, R., Ghias, M., Mahdavi-Jafari, Z., & Dahghani, M. Assessment of spinal curvature in Isfahan university students. Journal of Isfahan Medical School, 2010; 27(102), 762-776.
40. Kamper SJ, Henschke N, Hestbaek L, Dunn KM, Williams CM. Musculoskeletal pain in children and adolescents. Brazilian journal of physical therapy. 2016;20:275-84.
41. Dianat I, Alipour A, Asghari Jafarabadi M. Multigroup latent class model of musculoskeletal pain combinations in children/adolescents: identifying high-risk groups by gender and age. The Journal of Headache and Pain. 2018;19(1):1-8.
42. Wheeless CR. Wheeless' textbook of orthopaedics. 2001.
43. Feng D, Zhang Y. College Students' Knowledge, attitudes, and practices regarding body posture: A cross-sectional survey--Taking a university in Wuhu City as an example. Prev Med Rep. 2023;36:102422.
44. Portugal LM. Applying social cognitive theory in a naturopathy healthcare educational program for parents and families. Arch Gen Intern Med 2018; 2 (1): 32-36 Arch Gen Intern Med 2018 Volume 2 Issue. 2018;1:4-7.
International Journal of Musculoskeletal Pain Prevention
Volume 9, Issue 3
July 2024
Pages 1051-1056