Individuals with chronic low back pain have greater difficulty in engaging in positive lifestyle behaviours than those without back pain : an assessment of health literacy

Background: Despite the large volume of research dedicated to understanding chronic low back pain (CLBP), patient outcomes remain modest while healthcare costs continue to rise, creating a major public health burden. Health literacy - the ability to seek, understand and utilise health information - has been identified as an important factor in the course of other chronic conditions and may be important in the aetiology of CLBP. Many of the currently available health literacy measurement tools are limited since they measure narrow aspects of health literacy. The Health Literacy Measurement Scale (HeLMS) was developed recently to measure broader elements of health literacy. The aim of this study was to measure broad elements of health literacy among individuals with CLBP and without LBP using the HeLMS.
Methods: Thirty-six community-dwelling adults with CLBP and 44 with no history of LBP responded to the HeLMS. Individuals were recruited as part of a larger community-based spinal health study in Western Australia. Scores for the eight domains of the HeLMS as well as individual item responses were compared between the groups.
Results: HeLMS scores were similar between individuals with and without CLBP for seven of the eight health literacy domains (p > 0.05). However, compared to individuals with no history of LBP, those with CLBP had a significantly lower score in the domain ‘Patient attitudes towards their health’ (mean difference [95% CI]: 0.46 [0.11- 0.82]) and significantly lower scores for each of the individual items within this domain (p < 0.05). Moderate effect sizes ranged from d = 0.47-0.65.
Conclusions: Although no differences were identified in HeLMS scores between the groups for seven of the health literacy domains, adults with CLBP reported greater difficulty in engaging in general positive health behaviours. This aspect of health literacy suggests that self-management support initiatives may benefit individuals with CLBP.

Reading room: experiments in posture, movement and comprehension

Participants were required to balance on a seesaw while reading texts in the mirror. They read forward, backward, upside-down and mirror texts while seated. They also crouched, twisted and stretched to read texts from floor to ceiling.

Girls back off mathematics again : the views and experiences of girls in computer based mathematics

The views and experiences of girls in two co-educational mathematics classrooms in which computers were regularly used were researched. Data were collected by observation and videotaping of lessons, questionnaire, and interviews of students and the teachers. In this paper case studies of six girls are presented. Their ‘stories’ reveal a diversity of experiences and views and multiple gender identities. High achieving girls persisted as “outsiders within,” other girls “backed off”, and exceptional girls challenged gender stereotypes. Implications for social justice in mathematics in the age of the super highway are discussed.

Back then loop POP

Back Then Loop is a straightforward drum, rhythm guitar, bass and synth pop-rock loop.

Electron backscatter diffraction (EBSD) map of AZ31 compressed to 1% strain at room temperature in a direction parallel to the extrusion direction

The collection contains an EBSD map of AZ31 compressed to 1% strain at room temperature in a direction parallel to the extrusion direction. The map was collected as part of an investigation into the role of twinning in the occurrence of a yield point elongation during deformation.