Educate beyond words using active learning approaches
Clinicians should embrace education as a central aspect of patient care in order to impart evidence-based information and to facilitate behavioural change. This involves the use of simple and clear language to dispel myths about pain, imaging findings and activity engagement.7 8 11–13 Education is an active process that is enhanced by writing down key information, using patient stories, web resources and learning aids (see online supplementary appendix). The formats used will vary according to patient’s preferences and context. Behavioural learning, such as through exercise therapy, can be used to dispel unhelpful beliefs and build self-efficacy regarding the safety and benefits of movement and activity engagement. To evaluate learning, clinicians may ask patients to report ‘take away’ messages from each session.