Integrating Mobile health and Physical Activity to reduce the burden of Chronic low back pain Trial (IMPACT): a pilot trial protocol

BMC Musculoskeletal Disorders

Study Protocol

Milena Simic¹  Paulo H. Ferreira¹  Anita B. Amorim¹  Evangelos Pappas¹  Matthew Jennings²  Anne Tiedemann³  Manuela L. Ferreira⁴ 

[1] Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East Street, Lidcombe, 1825, Sydney, NSW, Australia;Physiotherapy Department, Liverpool Hospital, South Western Sydney Local Health District, Sydney, NSW, Australia;The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia;The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia;Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia;

关键词: Physical activity;    Low back pain;    Mobile health;    Health coaching;   

DOI  :  10.1186/s12891-015-0852-3

 received in 2015-05-25, accepted in 2015-12-10,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundIt is well recognised that low back pain is a significant public health problem and engagement in moderate levels of physical activity is associated with positive outcomes.Conservative active care, such as exercise, is effective in reducing pain and disability associated with chronic low back pain. However, a rapid decline in clinical outcomes is commonly seen after discharge from treatment.Methods/DesignWe will conduct a randomised controlled trial to investigate the effectiveness of a mobile health supported physical activity intervention (compared to standard care) in care-seeking, pain and disability in people with chronic low back pain after discharge from treatment. We will recruit 68 patients with chronic low back pain following discharge from an outpatient hospital program, who will be randomly allocated to the physical activity intervention (n = 34) or the standard care group (n = 34) and monitored for 6 months. The physical activity intervention will involve a physical activity advice booklet, a face-to-face health coaching session and 12 fortnightly follow-up telephone-based health coaching sessions. This intervention will be supported by provision of a specifically designed web app and a physical activity monitoring device (FitBit). The standard care group will receive the physical activity advice booklet only.DiscussionThis pilot trial will investigate a new model to prevent clinical decline in people following conservative treatment for chronic low back pain. If proven to be effective, this approach will constitute a major advance in the management of low back pain. Chronic patients who experience recurrent pain and disability after treatment are prone to seek additional care in the form of physiotherapy, medication, emergency department attendance, specialist consultation or spinal surgery. This model aims to maintain functional levels and reduce care-seeking empowering patients to self-manage their low back pain by offering them a contemporary patient-centred physical activity program with the support of mobile health technology. The outcomes of this trial will have immediate implications for clinical practice.Trial registrationACTRN12615000189527 (26-02-2015).

【 授权许可】

CC BY   
© Amorim et al. 2015