Booth Gregory, Bearne Lindsay, D'Lima Danielle, Hudda Mohammed, Ussher Michael
Therapies Department, Royal National Orthopaedic Hospital NHS Trust, London, UK
Population Health Research Institute, School of Health and Medical Sciences, City St George's University of London, London, UK.
BMJ Open. 2025 Jun 10;15(6):e103763. doi: 10.1136/bmjopen-2025-103763.
INTRODUCTION: Persistent musculoskeletal pain is a leading cause of disability and need for rehabilitation globally. Many people with the condition attend pain management programmes (PMPs) for rehabilitation and support with self-management. Physical activity (PA) is an essential self-management strategy facilitated on PMPs as it benefits symptoms, general health and well-being. PA needs to be maintained in the long term to continue to be beneficial. However, while many patients increase their PA during or immediately after a PMP, they commonly find it difficult to maintain it in the long term. This study aims to address this problem by developing an intervention to support PA maintenance after a PMP. METHODS AND ANALYSIS: This mixed-methods study will be guided by the Medical Research Council guidelines for developing complex interventions and the Behaviour Change Wheel intervention development framework. Participants will be recruited from multiple UK National Health Service PMPs. Participants will include patients with persistent musculoskeletal pain who have completed PMPs, their PA partners (people who support them with PA) and healthcare professionals who facilitate PA on PMPs. The study will be conducted in three phases. In phase 1, qualitative interviews will explore the experiences, barriers and facilitators of PA maintenance after a PMP and potential characteristics for a PA maintenance intervention from patient, PA partner and healthcare professional perspectives. Phase 2 will consist of a prospective longitudinal pilot study to identify factors associated with PA maintenance after a PMP. Phase 3 will involve developing a logic model and co-designing the intervention with patient, PA partner and healthcare professional stakeholder groups. ETHICS AND DISSEMINATION: The project received research ethics committee (REC) and Health Research Authority approval on 4 June 2024 (REC: North West-Liverpool Central, REC reference: 24/NW/0174, IRAS Project ID: 340674). Findings will be disseminated by peer-reviewed publications, conference presentations, social media and lay summaries for patients and the public.
引言：持续性肌肉骨骼疼痛是全球致残和需要康复治疗的主要原因。许多患有这种疾病的人参加疼痛管理项目（PMPs）以进行康复治疗并获得自我管理方面的支持。身体活动（PA）是PMPs所促进的一项基本自我管理策略，因为它对症状、总体健康和幸福感有益。PA需要长期维持才能持续发挥益处。然而，虽然许多患者在PMP期间或之后立即增加了他们的PA，但他们通常发现很难长期维持。本研究旨在通过开发一种干预措施来解决这一问题，以支持PMP后PA的维持。 方法与分析：这项混合方法研究将以医学研究理事会制定复杂干预措施的指南和行为改变轮干预发展框架为指导。参与者将从英国多个国民健康服务PMPs中招募。参与者将包括已完成PMPs的持续性肌肉骨骼疼痛患者、他们的PA伙伴（在PA方面支持他们的人）以及在PMPs上促进PA的医疗保健专业人员。该研究将分三个阶段进行。在第1阶段，定性访谈将从患者、PA伙伴和医疗保健专业人员的角度探讨PMP后PA维持的经历、障碍和促进因素以及PA维持干预措施的潜在特征。第2阶段将包括一项前瞻性纵向试点研究，以确定与PMP后PA维持相关的因素。第3阶段将涉及开发一个逻辑模型，并与患者、PA伙伴和医疗保健专业人员利益相关者群体共同设计干预措施。 伦理与传播：该项目于2024年6月4日获得了研究伦理委员会（REC）和健康研究管理局的批准（REC：西北 - 利物浦中心，REC编号：24/NW/0174，IRAS项目编号：340674）。研究结果将通过同行评审出版物、会议报告、社交媒体以及面向患者和公众的通俗总结进行传播。
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