Department of Epidemiology, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Caphri Research Institute for Care and Public Health, Maastricht University, Maastricht, The Netherlands.
Physiother Res Int. 2022 Oct;27(4):e1969. doi: 10.1002/pri.1969. Epub 2022 Aug 17.
It seems that nonspecific low back pain (NSLBP) cannot be successfully treated with a single intervention of any kind. However, a positive effect of an active lifestyle including physical activities in NSLBP is reported on pain and disability. Advising regular physical activity is one of the mainstays in physical therapy treatment, appealing to patients' adherence. Many patients with low back pain do not seem to adhere to their physiotherapist's advice. In this study, the influence of social support on adherence to an activity advice will be investigated.
Objective of the study is to investigate if patients with low back pain randomised to receive social support adhere better to an activity advice than patients randomised to the control group.
In a randomized controlled clinical trial, in private physiotherapy practices in the Netherlands, patients ≥18 years presenting with at least a second episode of nonspecific low back pain will be randomized over two groups: activity advice and social support as an add-on to usual care versus usual care alone. The primary outcome measure is adherence to an activity advice measured by an activity monitor at 1, 6 and 12 weeks. All other objectives will be measured by questionnaires.
This project is the first comprehensive research project to assess whether social support influences adherence to an activity advice outside the clinical setting without supervision of a healthcare provider. Where evidence of influence on social support is lacking, findings may have implications for the management of patients with low back pain. In addition, findings may enable physiotherapists to predict in which patients with low back pain an activity advice with social support makes sense.
GOV: NCT02996955.
似乎无法通过单一干预措施成功治疗非特异性下背痛（NSLBP）。然而，有报道称积极的生活方式（包括体力活动）对 NSLBP 的疼痛和残疾有积极影响。建议定期进行体育活动是物理治疗的主要方法之一，这吸引了患者的依从性。许多患有下背痛的患者似乎不遵守物理治疗师的建议。在这项研究中，将研究社会支持对坚持活动建议的影响。
本研究的目的是调查随机接受社会支持的下背痛患者是否比随机分配到对照组的患者更能坚持活动建议。
在一项随机对照临床试验中，在荷兰的私人物理治疗实践中，将至少有第二次非特异性下背痛发作的年龄≥18 岁的患者随机分为两组：活动建议和社会支持作为常规护理的附加治疗，与常规护理单独治疗。主要结局指标是通过活动监测器在 1、6 和 12 周时对活动建议的依从性。所有其他目标都将通过问卷调查进行测量。
该项目是第一个在没有医疗保健提供者监督的临床环境之外评估社会支持是否会影响活动建议依从性的综合研究项目。如果缺乏对社会支持影响的证据，研究结果可能会对下背痛患者的管理产生影响。此外，研究结果还可能使物理治疗师能够预测在哪些下背痛患者中，具有社会支持的活动建议是有意义的。
GOV：NCT02996955。
