TTM-based motivational counselling does not increase physical activity of low back pain patients in a primary care setting—A cluster-randomized controlled trial

Leonhardt, Corinna; Keller, Stefan; Chenot, Jean‐François; Luckmann, Judith; Basler, Heinz-Dieter; Wegscheider, Karl; Baum, Erika; Donner-Banzhoff, Norbert; Pfingsten, M.; Hildebrandt, J.; Kochen, Michael M.; Becker, Annette

doi:10.1016/j.pec.2007.09.018

Cited by 45 publications

(51 citation statements)

References 46 publications

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“…A variety of PA measures had been used, most commonly recall forms, with the majority either untested or non-validated within LBP populations. Activity measures utilized by Leonhardt et al 35 allowed for specific comparisons to non-LBP populations 51 while the BPAQ 40 lets comparison to both LBP and non-LBP populations. 41 The generic MET-based questionnaires have provided even more general comparison to activity levels in other populations even though different methods of calculation expose potential for bias or confounding.…”

Section: Discussionmentioning

confidence: 99%

“…33 In general, the disability and discomfort in terms of levels at entry into the research were moderate. 33,34,[37][38][39][40] Conversely, more recent research concluded mixed levels of disability 35 where most individuals from three organizations had a low disability ranking.…”

Section: Types Of Participantsmentioning

confidence: 99%

“…A number of studies employed randomised controlled trials in assessing the effectiveness of many future interventions. 4,[33][34][35] Still, these works also looked into the relationship between activity and LBP within a longitudinal cohort design in the assessment of the relationship of activity towards the outcome measure. …”

Section: Study Characteristicsmentioning

confidence: 99%

“…[35][36][37][38] PA within exclusively sub-acute was explored in two studies. 32 PA was also examined in CLBP populations.…”

Section: Types Of Participantsmentioning

confidence: 99%

“…Meanwhile, four studies utilised self-report questionnaires that classed numerous activities into metabolic equivalent of task (MET) energy levels, [33][34][35]37 whereas one study employed a questionnaire that necessitates the participants' response of 'yes/no' on their participation of exercise or activity outside work. 38 Only Jacob et al 40 used a validated LBP recall instrument 41 at 1-year follow-up in an observational research 36 while other PA recall questionnaires had not been tested in terms of reliability and validity in the context of LBP population.…”

Section: Activity Measurementmentioning

confidence: 99%

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Evidence of Significant Results Showing Staying Active is Advisable for Non-Speciﬁc Low Back Pain Patients: A systematic Review

Gasibat

Dermish

alhmali

et al. 2017

IPMRJ

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Clinical procedures encourage exercises and activities for Non-specific Low Back Pain (NSLBP). However, the relationship between the levels of physical exercise and their results is still unclear. Therefore, this review explains the relationships between the level of free living activity following Low Back Pain (LBP) and the levels of pain. It also describes impairment in patients with NSLBP. The paper used AMED, OVID, Biomed, CINAHL, Medline, Embase, Google scholar PubMed-National Library of Medicine, Proquest Directories, and manual reference lists searches to locate relevant literature. Only studies that examined statistical relationship between activities of free living Physical Activity (PA) in subjects with LBP and LBP outcome procedures were included in this review. Altogether, twelve studies, consisting of seven cohorts and five cross-sectional studies were included in this review. Out of the twelve studies, only one showed statistically significant relationship between increased leisure time activity and improved LBP outcomes. Another study reported reduced levels of sporting activity to be linked with higher levels of discomfort and disability. The rest (n=10) demonstrated no connection between activity levels and pain. The studies also demonstrated that NSLBP patient's activity levels are neither connected with nor predictive of the pain levels. This paper recommends prospective research to thoroughly determine the relationships between PA, LBP and activity levels.

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Section: Discussionmentioning

confidence: 99%

Section: Types Of Participantsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

“…[35][36][37][38] PA within exclusively sub-acute was explored in two studies. 32 PA was also examined in CLBP populations.…”

Section: Types Of Participantsmentioning

confidence: 99%

Section: Activity Measurementmentioning

confidence: 99%

See 3 more Smart Citations

Evidence of Significant Results Showing Staying Active is Advisable for Non-Speciﬁc Low Back Pain Patients: A systematic Review

Gasibat

Dermish

alhmali

et al. 2017

IPMRJ

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Effect of Primary Care–Based Education on Reassurance in Patients With Acute Low Back Pain

et al. 2015

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IMPORTANCE Reassurance is a core aspect of daily medical practice, yet little is known on how it can be achieved. OBJECTIVE To determine whether patient education in primary care increases reassurance in patients with acute or subacute low back pain (LBP). DATA SOURCES Medline, EMBASE, Cochrane Central Register for Controlled Trials, and PsychINFO databases were searched to June 2014. DESIGN Systematic review and meta-analysis of randomized and nonrandomized clinical trials. STUDY SELECTION To be eligible, studies needed to be controlled trials of patient education for LBP that were delivered in primary care and measured reassurance after the intervention. Eligibility criteria were applied, and studies were selected by 2 independent authors. MAIN OUTCOMES AND MEASURES The primary outcomes were reassurance in the short and long term and health care utilization at 12 months. DATA EXTRACTION AND SYNTHESIS Data were extracted by 2 independent authors and entered into a standardized form. A random-effects meta-analysis tested the effects of patient education compared with usual care on measures of reassurance. To investigate the effect of study characteristics, we performed a preplanned subgroup analysis. Studies were stratified according to duration, content, and provider of patient education. RESULTS We included 14 trials (n = 4872) of patient education interventions. Trials assessed reassurance with questionnaires of fear, worry, anxiety, catastrophization, and health care utilization. There is moderate-to high-quality evidence that patient education increases reassurance more than usual care/control education in the short term (standardized mean difference [SMD], −0.21; 95% CI, −0.35 to −0.06) and long term (SMD, −0.15; 95% CI, −0.27 to −0.03). Interventions delivered by physicians were significantly more reassuring than those delivered by other primary care practitioners (eg, physiotherapist or nurse). There is moderate-quality evidence that patient education reduces LBP-related primary care visits more than usual care/control education (SMD, −0.14; 95% CI, −0.28 to −0.00 at a 12-month follow-up). The number needed to treat to prevent 1 LBP-related visit to primary care was 17. CONCLUSIONS AND RELEVANCE There is moderate-to high-quality evidence that patient education in primary care can provide long-term reassurance for patients with acute or subacute LBP.

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Enhanced care by generalists for functional somatic symptoms and disorders in primary care

Rosendal

Blankenstein

Morriss

et al. 2013

Cochrane Database of Systematic Reviews

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TTM-based motivational counselling does not increase physical activity of low back pain patients in a primary care setting—A cluster-randomized controlled trial

Cited by 45 publications

References 46 publications

Evidence of Significant Results Showing Staying Active is Advisable for Non-Speciﬁc Low Back Pain Patients: A systematic Review

Evidence of Significant Results Showing Staying Active is Advisable for Non-Speciﬁc Low Back Pain Patients: A systematic Review

Effect of Primary Care–Based Education on Reassurance in Patients With Acute Low Back Pain

Enhanced care by generalists for functional somatic symptoms and disorders in primary care

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