The Effect of Interactive Multimedia And Illustrated Booklet On Knowledge, Attitude, And Behavior In Preventing Lower Back Pain Among Working Nurses: A Randomized Controlled Trial

Abstract Background: The present study compared interactive multimedia and illustrated booklet methods on knowledge, attitude, and behavior improvement in preventing lower back pain among nurses.Methods: In this single-blind randomized controlled trial, 153 eligible nurses working in three hospitals during 2019 were enrolled. The hospitals were randomly allocated into three parallel groups: interactive multimedia (n=55), illustrated booklet (n= 55), and t control (n= 43) groups. The primary and secondary outcomes were the assessment of behavior, knowledge, and attitude at baseline, one, and four weeks after the intervention. Results: Regarding one week and four weeks after the intervention, knowledge and behavior score was significantly higher in the illustrated booklet group than that of the multimedia group (P<0.001). In addition, the mean score of attitude was considerably higher in the interactive multimedia compared to the booklet group one week and four weeks after the intervention (P=0.002).Conclusion: A combination of the illustrated booklet and interactive multimedia methods can improve nurses' knowledge, attitude, and behavior in preventing lower back pain.Trial registration: This trial was respectively registered. ClinicalTrials.gov Identifier: NCT04610073Date of registration: Oct 30 2020(https://clinicaltrials.gov/ct2/show/NCT04610073?term=zarifsanaiey&draw=1&rank=2)