Low back pain (LBP) is the third most common reason people seek care in America and is the primary reason for missed work days. Working in a pain clinic for eight years and managing research studies directed toward improving low back pain in patients was the motivation for choosing the evidence based intervention in this population. The health care professionals (HCP) in the pain clinic usually have a conversation with the patients who have acute or subacute onset of LBP about their disease and give them a written handout with exercises and ask them to perform these exercises at home. As well, they may be prescribed physical therapy or chiropractic care. From personal clinical experience and descriptions in the literature, patients are fearful of performing exercise on their own and do not feel engaged in the process. Observing the disconnect in the patient’s behavior led to the question: In adult patients with low back pain (P) how does the use of a multi-disciplinary biopsychosocial educational approach (I) compared to written educational materials (C) affect pain intensity (O) with twelve weeks of intervention (T) in a pain clinic?

Current guidelines recommend a multi-disciplinary approach with education including self-management instruction, physical therapy/activity, anti-inflammatory medications, and reassurance about the patient’s prognosis along with feedback. The gap in research is how to translate our knowledge in implementing a multidisciplinary approach to an individualized level. For these reasons, the author sought out evidence to support a change in the current practice at a pain clinic.

Date of publication

Winter 11-25-2022

Document Type

MSN Capstone Project



Persistent identifier



Masters in Nursing Education