Self-reported awareness and coping behaviors of low back pain among institutional caregivers for people with intellectual,autistic and associated multiple disabilities |
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| Affiliation: | 1. Department of Healthcare Administration, Asia University, Taichung, Taiwan;2. Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan;3. School of Public Health, National Defense Medical Center, Taipei, Taiwan;4. Department of Senior Citizen Service Management, Ching Kuo Institute of Management and Health, Keelung, Taiwan;5. Chung-Hua Foundation for Persons with Intellectual Disabilities, New Taipei City, Taiwan;6. Center for Environment and Population Health, Griffith University, Brisbane, Australia;7. Department Healthcare Administration, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan;1. Neurocognitive Developmental Unit, School of Psychology, University of Western Australia, Perth, WA, Australia;2. Telethon Kids Institute, University of Western Australia, Perth, WA, Australia;3. State Child Development Centre, Child and Adolescent Health Service, Princess Margaret Hospital for Children, Perth, WA, Australia;4. School of Pathology and Laboratory Medicine, Perth, WA, Australia;1. Division of Epidemiology, Human Genetics, and Environmental Sciences (EHGES), University of Texas School of Public Health at Houston, Houston, TX 77030, USA;2. Division of Clinical and Translational Sciences, Department of Internal Medicine, Medical School, University of Texas Health Science Center at Houston, Houston, TX 77030, USA;3. Biostatistics/Epidemiology/Research Design (BERD) Component, Center for Clinical and Translational Sciences (CCTS), University of Texas Health Science Center at Houston, Houston, TX 77030, USA;4. Department of Child & Adolescent Health, The University of the West Indies (UWI), Mona Campus, Kingston, Jamaica;5. Human Genetics Center, University of Texas School of Public Health at Houston, Houston, TX 77030, USA;6. Department of Psychiatry and Behavioral Sciences, University of Texas Medical School at Houston, Houston, TX 77054, USA;7. Department of Basic Medical Sciences, The University of the West Indies, Mona Campus, Kingston, Jamaica;8. Caribbean Genetics (CARIGEN), The University of the West Indies, Mona Campus, Kingston, Jamaica;1. USTC-Birmingham Joint Research Institute in Intelligent Computation and Its Applications, School of Computer Science and Technology, University of Science and Technology of China (USTC), Hefei, Anhui 230027, China;2. Honda Research Institute Europe GmbH, Offenbach 63073, Germany;3. Center of Excellence for Research in Computational Intelligence and Applications (CERCIA), School of Computer Science, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK;1. Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany;2. Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany;3. Orthopaedic University Hospital Friedrichsheim, Marienburgstraße, 260528 Frankfurt, Germany |
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| Abstract: | This study aimed to investigate the self-reported knowledge and coping behaviors for low back pain (LBP) among institutional caregivers for people with intellectual, autistic and associated multiple disabilities and to gather information about factors that affect these coping behaviors in the workplace. A cross-sectional survey was conducted to recruit 1073 caregivers (response rate of 89.5%) from 15 medium to large disability welfare institutions in this study. This study specifically developed a scale to examine objective (10 question items) and subjective knowledge (one question item) of LBP and its coping behaviors (10 question items). The mean score of objective knowledge of LBP was 7.15 (range of 0–10; over 70% correct). A total of 54.2% of respondents expressed that they had a low level of subjective knowledge of LBP, and 45.8% or respondents had a high level. The study also found that many objective knowledge items need to be improved in future health promotion initiatives regarding LBP. Without adjusting for other factors, the study indicated that those caregivers with more subjective LBP knowledge were more likely to adopt higher levels of LBP coping behaviors than their counterparts (OR = 1.536, 95% CI = 1.152–2.046). After adjusting for demographics, working conditions and health status factors, LBP knowledge was not statistically correlated with LBP coping behaviors. Caregivers who worked more days per week (OR = 1.984, 95% CI = 1.408–2.795), had break time on duty (OR = 2.457, 95% CI = 1.5–4.025), exercised regularly (OR = 1.594, 95% CI = 1.115–2.28), had poor health status (OR = 0.497, 95% CI = 0.249–0.995), or had a history of LBP (OR = 1.433, 95% CI = 1.008–2.039) were more likely to adopt higher levels of coping behaviors than their counterparts. This study highlights that institutional managers should pay attention to factors that influence LBP coping behaviors in caregivers, and future studies should examine the effects of the characteristics of care recipients and caregivers’ families on caregivers’ perception of LBP. |
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| Keywords: | Intellectual disability Autism Low back pain Awareness Coping behavior Perception |
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