Effectiveness of a theory-based multicomponent intervention (Movement Coaching) on the promotion of total and domain-specific physical activity: a randomised controlled trial in low back pain patients

BMC Musculoskeletal Disorders

Research Article

Ingo Froboese¹  Katja Petrowski²  Andrea Schaller³  Timo-Kolja Pfoertner⁴ 

[1] Center for Health through Sport and Movement, German Sport University Cologne, 50933, Cologne, Germany;Department of Psychology and Psychotherapy, University Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany;IST-Hochschule University of Applied Sciences, Erkrather Str. 220 a-c, 40233, Düsseldorf, Germany;Institute of Health Promotion and Clinical Movement Science, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany;Institute for Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), University of Cologne, 50933, Cologne, Germany;

关键词: Low back pain;    Physical activity promotion;    Inpatient rehabilitation;    Randomized controlled trial;   

DOI  :  10.1186/s12891-017-1788-6

 received in 2017-06-27, accepted in 2017-10-25,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe promotion of physical activity is a major field in rehabilitation and health promotion but evidence is lacking on what method or strategy works best. Ensuing from this research gap, the present study compared the effectiveness of a comprehensive theory based multicomponent intervention (Movement Coaching) to a low intensity intervention in low back pain patients.MethodsA monocenter randomized controlled trial with three measuring points (T0 = baseline, T1 = six month follow-up, T2 = twelve month follow-up) was conducted. N = 412 chronic low back pain patients participated. The Movement Coaching group (n = 201) received a comprehensive multicomponent intervention with small-group intervention, phone- and web 2.0-intervention. The low intensity control (n = 211) received two oral presentations that were available for download afterwards. Main outcome was total physical activity measured by Global Physical Activity Questionnaire at 12 month follow-up. Additionally, workplace, leisure time and transportation activities were compared. A split-plot anova was conducted for evaluating repeated measure effects and between group effects.ResultsAt six and twelve month follow-up there were no statistically significant between group differences in total (T1: p = 0.79; T2: p = 0.30) as well as domain-specific physical activity (workplace (T1: p = 0.16; T2: p = 0.65), leisure time (T1: p = 0.54; T2: p = 0.89), transportation (T1: p = 0.29; T2: p = 0.77) between Movement Coaching and the control group. In both groups, workplace physical activity showed the highest proportion of total physical activity. From baseline to twelve month follow-up the results showed a decline in total physical activity (Movement Coaching: p = 0.04; control group: p = 0.50).ConclusionsThe comprehensive Movement Coaching intervention was not found to be more effective than a low intensity intervention in promoting total and domain-specific physical activity in chronic low back pain patients.Trial registrationThis study is registered at German Clinical Trials Register (DRKS)-ID: DRKS00004878.

【 授权许可】

CC BY   
© The Author(s). 2017