IDEAL Interculturalisation: Diagnostic Evaluation with Ethnic minority patients with Low back disabilities

Background

Chronic non-specific low back pain is a major health problem and a cause of disability, medical expenses and absenteeism. Rehabilitation treatment of chronic low back pain aims to improve the health related quality of life of patients by learning them to cope with their pain and it’s consequences in order to restore their daily functioning. The rehabilitation programme is based on physical training and behavioural cognitive training A number of patients drop out prematurely from this type of rehabilitation programme. Previous studies in patients with chronic (low back) pain who participated in a rehabilitation programme found drop-out rates ranging from 10%-42%. The clinical experience, in the four participating institutes in this study, is that patients of non-Dutch origin drop out more often than native patients, but no exact data are known. There is limited knowledge of the causes of this potential higher drop-out.