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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
Schaller A, Petrowski K, Pfoertner T-K, Froboese I
BMC Musculoskeletal Disorders 2017 Nov 6;18(431):Epub
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: The 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. METHODS: A 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. RESULTS: At 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). CONCLUSIONS: The 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 REGISTRATION: This study is registered at German Clinical Trials Register (DRKS) -- ID DRKS00004878.

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