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

Abstract

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.

Health coaching for promoting physical activity in low back pain patients: a secondary analysis on the usage and acceptance

“…At six months follow-up (T1), 92 participants replied to the questionnaire [19,20]. There were no statistically significant differences in the characteristics of participants who replied and did not reply within the Movement Coaching intervention group (p > 0.05).…”

“…The consort flow chart of the main study has already been published [19,20]. At baseline (T0) 201 participants were randomised in the Movement Coaching intervention group.…”

“…Participant characteristics are presented in Table 1. At six months follow-up (T1), 92 (46%) participants replied to the follow-up questionnaire [19,20].…”

“…The health coaches were male and female with a master's degree in the field of "prevention, rehabilitation and health management" and additional training [18][19][20]. Table 2 shows a summary of the three approaches; a more detailed description of the approaches has been published previously [18].…”

Promoting behavior-related low back health in nursing staff by in-person and interactive social media interventions in the workplace: a randomized trial

“…They found that at 6-month follow-up there were no statistically significant between-group differences in physical activity [45]. It seems face-to-face education or a booklet is not sufficient for enhancement of knowledge.…”