This comparative study of patient and general practitioner perceptions
of patient education for low back pain (LBP) revealed significant dif
ferences in perspective. It suggests that although some general practi
tioners recognise the importance of patient education, they blame pati
ents for its assumed failure as a management strategy. The patients in
this study identified a range of reasons which explain their difficul
ties in following prevention advice which relate to not only limitatio
ns in themselves, but also to broader contextual factors over which th
ey have little control. It is argued that both the inadequacy of curre
nt professional assumptions and the contextual factors that influence
patients' prevention behaviours need to be acknowledged as a first ste
p towards improving patient education for LBP in general practice.