The efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trial

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dc.creatorCrystian Bitencourt Soares de Oliveira
dc.creatorMárcia Rodrigues Franco
dc.creatorChristopher Gerard Maher
dc.creatorAnne Tiedemann
dc.creatorFernanda Gonçalves Silva
dc.creatorTatiana Machado de Mattos Damato
dc.creatorMichael Nicholas
dc.creatorDiego Giulliano Destro Christofaro
dc.creatorRafael Zambelli de Almeida Pinto
dc.date.accessioned2022-10-21T14:15:07Z
dc.date.accessioned2025-09-09T00:34:43Z
dc.date.available2022-10-21T14:15:07Z
dc.date.issued2018
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPESP - Fundação de Amparo à Pesquisa do Estado de São Paulo
dc.description.sponsorshipOutra Agência
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s13063-017-2436-z
dc.identifier.issn1745-6215
dc.identifier.urihttps://hdl.handle.net/1843/46485
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofTrials
dc.rightsAcesso Aberto
dc.subjectDor lombar
dc.subjectExercícios físicos
dc.subjectExercícios terapêuticos
dc.subjectMonitoramento de paciente
dc.subject.otherLow back pain
dc.subject.otherPhysical activity
dc.subject.otherExercise therapy
dc.subject.otherHealth coaching
dc.subject.otherActivity monitor
dc.titleThe efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trial
dc.typeArtigo de periódico
local.citation.epage10
local.citation.issue40
local.citation.spage1
local.citation.volume19
local.description.resumoBackground: Physical activity plays an important role in the management of chronic low back pain (LBP). Engaging in an active lifestyle is associated with a better prognosis. Nevertheless, there is evidence to suggest that patients with chronic LBP are less likely to meet recommended physical activity levels. Furthermore, while exercise therapy has been endorsed by recent clinical practice guidelines, evidence from systematic reviews suggests that its effect on pain and disability are at best moderate and not sustained over time. A limitation of current exercises programmes for chronic LBP is that these programmes are not designed to change patients’ behaviour toward an active lifestyle. Therefore, we will investigate the short- and long-term efficacy of a multimodal intervention, consisting of supervised exercises, health coaching and use of an activity monitor (i.e. Fitbit Flex) compared to supervised exercises plus sham coaching and a sham activity monitor on physical activity levels, pain intensity and disability, in patients with chronic, nonspecific LBP. Methods: This study will be a two-group, single-blind, randomised controlled trial. One hundred and sixty adults with chronic, nonspecific LBP will be recruited. Participants allocated to both groups will receive a group exercise programme. In addition, the intervention group will receive health coaching sessions (i.e. assisting the participants to achieve their physical activity goals) and an activity monitor (i.e. Fitbit Flex). The participants allocated to the control group will receive sham health coaching (i.e. encouraged to talk about their LBP or other problems, but without any therapeutic advice from the physiotherapist) and a sham activity monitor. Outcome measures will be assessed at baseline and at 3, 6 and 12 months post randomisation. The primary outcomes will be physical activity, measured objectively with an accelerometer, as well as pain intensity and disability at 3 months post randomisation. Secondary outcomes will be physical activity, pain intensity and disability at 6 and 12 months post randomisation as well as other self-report measures of physical activity and sedentary behaviour, depression, quality of life, pain self-efficacy and weight-related outcomes at 3, 6, and 12 months post randomisation. Discussion: This study is significant as it will be the first study to investigate whether a multimodal intervention designed to increase physical activity levels reduces pain and disability, and increases physical activity levels compared to a control intervention in patients with chronic LBP.
local.identifier.orcidhttps://orcid.org/0000-0002-6911-7018
local.identifier.orcidhttps://orcid.org/0000-0002-1628-7857
local.identifier.orcidhttps://orcid.org/0000-0002-5116-6751
local.identifier.orcidhttps://orcid.org/0000-0001-5532-8984
local.identifier.orcidhttps://orcid.org/0000-0001-9917-9992
local.identifier.orcidhttps://orcid.org/0000-0002-2775-860X
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2436-z

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