{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:08:42Z","timestamp":1788433722443,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The internet is increasingly used as a primary source of information for patients with musculoskeletal pain. Private physiotherapy practices provide informative content on low back pain (LBP) and neck pain (NP) on their websites, but the extent to which this information is biopsychosocial, guidelines\u2010consistent, and fear\u2010inducing is unknown. The aim of this study was to analyse the information on websites of private physiotherapy practices in the Netherlands about LBP and NP regarding consistency with the guidelines and the biopsychosocial model and to explore the use of fear\u2010inducing language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The content of all existing Dutch private physiotherapy practice websites was examined in a cross sectional study design. Content analysis was based on predetermined criteria of the biopsychosocial model and evidence\u2010based guidelines. Descriptive statistics were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After removing duplicates and sites without information, 834 (10%) of 8707 websites remained. Information about LBP was found on 449 (54%) websites and 295 (35%) websites informed about NP. A majority of websites (LBP:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009287, 64%; NP:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009174, 59%) were biomedically oriented. Treatment advice was given 1855 times on\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009560 (67%) websites. Most of the recommended interventions were inconsistent with or not mentioned in the guidelines. Fear\u2010inducing language was provided\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091624 (69%) times.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The majority of the information on the Dutch private physiotherapy websites was biomedical and not in line with the current guidelines and fear\u2010inducing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>This study revealed that the majority of private physiotherapy practice websites that provide information on LBP and NP are inconsistent with the biopsychosocial model and current guidelines. This information has a negative impact on patients' knowledge, attitudes, beliefs, and expectations, potentially affecting treatment outcomes. Consequently, most physiotherapy practice websites are unreliable sources of information on LBP and NP for patients. There is an urgent need to implement strategies to make websites reliable and helpful sources of information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.4782","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T04:20:52Z","timestamp":1736482852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Unhelpful Information About Low Back and Neck Pain on Physiotherapist's Websites"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-6575","authenticated-orcid":false,"given":"Robert","family":"van der Noord","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, University Medical Center Groningen University of Groningen  Groningen The Netherlands"},{"name":"Inter\u2010Fysio, Physical Therapy Practice  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9388-0283","authenticated-orcid":false,"given":"Roland R.","family":"Reezigt","sequence":"additional","affiliation":[{"name":"Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam Amsterdam Movement Sciences  The Netherlands"},{"name":"Academy of Health, Department of Physiotherapy Hanze University of Applied Sciences  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9076-3965","authenticated-orcid":false,"given":"Davy","family":"Paap","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, University Medical Center Groningen University of Groningen  Groningen The Netherlands"},{"name":"Department of Rheumatology and Clinical Immunology University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"School of Health, Department of Physiotherapy Saxion University of Applied Sciences  Enschede The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9460-3459","authenticated-orcid":false,"given":"Henrica R.","family":"Schiphorst Preuper","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, University Medical Center Groningen University of Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-3437","authenticated-orcid":false,"given":"Michiel F.","family":"Reneman","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, University Medical Center Groningen University of Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01152"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000001078"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1158"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1833358319857354"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1518"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2020.07.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5.3.e21"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911\u2010020\u201001243\u20106"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1027\/1614\u20102241\/a000086"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/13357"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0000000000001820"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/18333583221090579"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","unstructured":"Gualtieri L. N.2009.\u201cThe Doctor as the Second Opinion and the Internet as the First.\u201dCHI EA \u203209: CHI \u203209 Extended Abstracts on Human Factors in Computing Systems. 2489\u20132498.https:\/\/doi.org\/10.1145\/1520340.1520352.","DOI":"10.1145\/1520340.1520352"},{"key":"e_1_2_9_15_1","volume-title":"Handbook of Inter\u2010Rater Reliability: The Definitive Guide to Measuring the Extent of Agreement Among Raters","author":"Gwet K. L.","year":"2014"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.2282"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2010.522691"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.41353"},{"key":"e_1_2_9_19_1","unstructured":"Koninklijk Nederlands Genootschap voor Fysiotherapie.2016.\u201cGuideline on Neck Pain.\u201dhttps:\/\/www.kennisplatformfysiotherapie.nl\/binaries\/content\/assets\/kennisplatform\/onbeveiligd\/guidelines\/neck_pain_practice_guidelines_2016.pdf."},{"key":"e_1_2_9_20_1","unstructured":"Koninklijk Nederlands Genootschap voor Fysiotherapie.2021.\u201cGuideline on Low Back Pain and Lumbosacral Radicular Syndrome.\u201dhttps:\/\/www.kngf.nl\/binaries\/content\/assets\/kennisplatform\/onbeveiligd\/guidelines\/low\u2010back\u2010pain\u20102021\/kngf_guide_on_low_back_pain_practice_guideline.pdf."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010024\u201007302\u20107"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(16)30970\u20109"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY21066"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1388"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2013.829532"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406919899220"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1981"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010022\u201007365\u2010x"},{"key":"e_1_2_9_29_1","unstructured":"Pati\u00ebntenfederatie Nederland.2021.\u201cZorgkaart Nederland: Pati\u00ebntervaringen in de zorg.\u201dhttps:\/\/www.zorgkaartnederland.nl."},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2022.102563"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2022.100389"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsampl.2023.100041"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43161\u2010022\u201000081\u2010z"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40258\u2010022\u201000776\u20103"}],"container-title":["European Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ejp.4782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T13:50:40Z","timestamp":1758721840000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.4782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,10]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/ejp.4782"],"URL":"https:\/\/doi.org\/10.1002\/ejp.4782","archive":["Portico"],"relation":{},"ISSN":["1090-3801","1532-2149"],"issn-type":[{"value":"1090-3801","type":"print"},{"value":"1532-2149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,10]]},"assertion":[{"value":"2024-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e4782"}}