E-HEALTH SELF-MANAGEMENT PROGRAM FOR WORKERS WITH (RISK) OF LOW BACK PAIN

Low back pain is an important health problem in the world, with a high prevalence among workers. It is a complex condition that can be influenced by several biological, psychological, social, cultural, and occupational risk factors. Symptoms of pain and physical-functional disability resulting from low back pain directly affect participation at work. Therefore, interventions to manage low back pain must be carried out at all levels of care, including approaches compatible with the occupational context and with the characteristics of the workers. Pain self-management through educational interventions is an approach capable of meeting this need. In this case, workers must have access to knowledge of their own pain experience (self-assessment) and to content and information related to the neurophysiology of pain and the factors that modulate it (pain education). The use of an application to deliver the pain education program seems to be an innovative, easily accessible solution capable of generating significant learning in the worker so that he can assess and intervene in his health status. Develop a self-management program (pain assessment and education) to be delivered in digital format (E-Health) through an application for mobile devices focused on the prevention and/or control of low back pain in workers. The project will be carried out in 3 stages. Step 1 focuses on the conceptual and structural development of the self-management program; step 2 is aimed at developing the prototype of the mobile application to be used to deliver the program; and, finally, step 3 is intended to assess the acceptability and viability of the prototype. Each step has its own method that follows guidelines and criteria established by international and national recommendations. The conceptual framework of the self-management program adopted a model that articulates three intervention approaches for the prevention and control of low back pain. Each approach has self-assessment tools and specific content. The first approach is aimed at preventing low back pain in the occupational environment. The second and third approaches are aimed at controlling acute and chronic low back pain, respectively. Choosing these approaches allows the self-management program to be centered on each worker's individual pain or occupational exposure experiences. Fliplet (https://fliplet.com/) was chosen as the platform that would host the developed application, called Back Education and Management For