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Embedded motivational interviewing combined with a smartphone application to increase physical activity in people with sub-acute low back pain: a cluster randomised controlled trial.
Holden, Jason; O'Halloran, Paul; Davidson, Megan; Breckon, Jeff; Rahayu, Wenny; Monfries, Melissa; Taylor, Nicholas F.
Afiliação
  • Holden J; La Trobe University, School of Allied Health, Bundoora, Victoria, Australia. Electronic address: j.holden@latrobe.edu.au.
  • O'Halloran P; La Trobe University, School of Psychology and Public Health, Bundoora, Victoria, Australia.
  • Davidson M; La Trobe University, School of Allied Health, Bundoora, Victoria, Australia.
  • Breckon J; Academy of Sport and Physical Activity, Sheffield Hallam University, Sheffield, United Kingdom.
  • Rahayu W; La Trobe University, Office of Engineering and Mathematical Sciences, Bundoora, Victoria, Australia.
  • Monfries M; La Trobe University, School of Psychology and Public Health, Bundoora, Victoria, Australia.
  • Taylor NF; La Trobe University, School of Allied Health, Human Services and Sport, Bundoora, Victoria, Australia; Eastern Health, Arnold St, Box Hill, Victoria, Australia.
Braz J Phys Ther ; 28(4): 101091, 2024.
Article em En | MEDLINE | ID: mdl-38943741
ABSTRACT

BACKGROUND:

Moderately vigorous physical activity (PA) may be beneficial for people with sub-acute low back pain (LBP), but may initially be painful for patients and challenging for physical therapists to facilitate.

OBJECTIVES:

This study investigated motivational interviewing (MI) delivered by physical therapists and a smartphone app for increasing PA in people with LBP.

METHODS:

A mixed methods cluster randomised controlled trial involving 46 adults with LBP in Melbourne, Australia. Participants attended weekly 30-min physical therapy consultations for 6 weeks. Experimental group physical therapists were taught to embed MI into consultations and patients were provided with a self-directed app. The primary outcome was accelerometer-derived moderately vigorous PA. Secondary outcomes were LBP disability (Oswestry Disability Index), functional capacity (Patient Specific Functional Scale), and self-efficacy (Pain Self-Efficacy Questionnaire). Between-group differences were analysed by ANCOVA post-intervention.

RESULTS:

There was no statistically significant difference between the experimental group and control group for PA. Between-group differences in LBP disability (MD= 19.4 units, 95% CI 8.5, 30.3), functional capacity (primary MD= -4.1 units, 95% CI -6.9, -1.3; average MD= -3.1, 95% CI -4.9, -1.2) and self-efficacy (MD -11.3 units, 95%CI -20.2, -2.5) favoured the control group with small to moderate effect sizes. There were low levels of overall engagement with the app.

CONCLUSION:

The embedded MI intervention was no more beneficial than physical therapy alone for PA and was associated with poorer LBP disability, function, and self-efficacy. The effectiveness of embedding MI and a smartphone app into usual care for LBP was not supported.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exercício Físico / Dor Lombar / Entrevista Motivacional / Smartphone Limite: Adult / Humans / Male País/Região como assunto: Oceania Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exercício Físico / Dor Lombar / Entrevista Motivacional / Smartphone Limite: Adult / Humans / Male País/Região como assunto: Oceania Idioma: En Revista: Braz J Phys Ther Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil