This study assessed the immediate effects of the U.S. Navy's Healthy B
ack Program in changing knowledge about back injury prevention. The pr
evalence of back problems among incoming recruits and correlates of ba
ck pain also were examined. Intervention recruits (n = 1,772) received
the Healthy Back Program presentation, then completed a questionnaire
. Control subjects (n = 1,658) completed an identical questionnaire bu
t received no presentation. Intervention recruits scored significantly
higher on back knowledge (67%) than controls (50%). About 41% of all
recruits had experienced a back problem, 27% reported at least one bac
k problem within the past year, and 11% reported back pain during recr
uit training. Lifting, sports participation, and bending were the lead
ing causes of previous back problems. Better self-reported health and
fitness were associated with fewer low back problems.