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

Dejonghe, Lea Anna Lisa; Rudolf, Kevin; Becker, Jennifer; Stassen, Gerrit; Froboese, Ingo; Schaller, Andrea

doi:10.1186/s13102-019-0154-4

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…193,194 However, in 201 people with back pain, acceptance of face-to-face contact has been shown to be higher than with online or web-based coaching, indicating that integrating some element of actual contact is important to consider. 195 In conclusion, our work suggests that if primary care can consistently identify and advise patients about insufficient physical activity during their primary care consultations and link them to a robust referral system of physical activity opportunities, then this could improve opportunities for physical activity promotion.…”

Section: Allocation Of Resources (Mechanism)mentioning

confidence: 81%

Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design

Law

Langley

Hall

et al. 2021

Health Serv Deliv Res

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Background As people age and accumulate long-term conditions, their physical activity and physical function declines, resulting in disability and loss of independence. Primary care is well placed to empower individuals and communities to reduce this decline; however, the best approach is uncertain. Objectives To develop a programme theory to explain the mechanisms through which interventions improve physical activity and physical function in people with long-term conditions in different primary care contexts, and to co-design a prototype intervention. Data sources Systematic literature searches of relevant databases with forwards and backwards citation tracking, grey literature searches and further purposive searches were conducted. Qualitative data were collected through workshops and interviews. Design Realist evidence synthesis and co-design for primary care service innovation. Setting Primary care in Wales and England. Participants Stakeholders included people with long-term conditions, primary care professionals, people working in relevant community roles and researchers. Methods The realist evidence synthesis combined evidence from varied sources of literature with the views, experiences and ideas of stakeholders. The resulting context, mechanism and outcome statements informed three co-design workshops and a knowledge mobilisation workshop for primary care service innovation. Results Five context, mechanism and outcome statements were developed. (1) Improving physical activity and function is not prioritised in primary care (context). If the practice team culture is aligned to the elements of physical literacy (mechanism), then physical activity promotion will become routine and embedded in usual care (outcome). (2) Physical activity promotion is inconsistent and unco-ordinated (context). If specific resources are allocated to physical activity promotion (in combination with a supportive practice culture) (mechanism), then this will improve opportunities to change behaviour (outcome). (3) People with long-term conditions have varying levels of physical function and physical activity, varying attitudes to physical activity and differing access to local resources that enable physical activity (context). If physical activity promotion is adapted to individual needs, preferences and local resources (mechanism), then this will facilitate a sustained improvement in physical activity (outcome). (4) Many primary care practice staff lack the knowledge and confidence to promote physical activity (context). If staff develop an improved sense of capability through education and training (mechanism), then they will increase their engagement with physical activity promotion (outcome). (5) If a programme is credible with patients and professionals (context), then trust and confidence in the programme will develop (mechanism) and more patients and professionals will engage with the programme (outcome). A prototype multicomponent intervention was developed. This consisted of resources to nurture a culture of physical literacy, materials to develop the role of a credible professional who can promote physical activity using a directory of local opportunities and resources to assist with individual behaviour change. Limitations Realist synthesis and co-design is about what works in which contexts, so these resources and practice implications will need to be modified for different primary care contexts. Conclusions We developed a programme theory to explain how physical activity could be promoted in primary care in people with long-term conditions, which informed a prototype intervention. Future work A future research programme could further develop the prototype multicomponent intervention and assess its acceptability in practice alongside existing schemes before it is tested in a feasibility study to inform a future randomised controlled trial. Study registration This study is registered as PROSPERO CRD42018103027. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 16. See the NIHR Journals Library website for further project information.

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Section: Allocation Of Resources (Mechanism)mentioning

confidence: 81%

Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design

Law

Langley

Hall

et al. 2021

Health Serv Deliv Res

View full text Add to dashboard Cite

show abstract

“…Strengthening exercises are applied in various ways according to the functional exercise ability of the individual, up to the point at which pain is bearable [ 5 ]. Several strengthening exercises have been widely used, including core stability, resistance bands, plyometric, and pilates [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Enhanced Pain Relief and Muscle Growth in Individuals with Low Back Instability: The Impact of Blood Flow Restriction Exercise during Sit to Stand Movements

Lee,

Chon

2023

Med Sci Monit

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Background Blood flow restriction exercise (BFRE) improves muscle strength at a relatively low intensity by temporarily restricting blood flow. This study compared pain and quadriceps muscle mass (QMM) in 40 patients with lower back pain (LBP) undertaking sit-to-stand (STS) exercise with and without blood flow restriction. Material/Methods Forty adults were divided into 2 groups, and the experimental group (n=20) performed an STS exercise with BFRE, and the control group (n=20) performed an STS exercise without BFRE. Blood pressure, including systolic blood pressure (SBP) and diastolic blood pressure (DBP), was measured using a portable blood pressure monitor. Saturation of percutaneous oxygen (SpO2) was measured using oxygen saturation. Pain was measured using the visual analog scale (VAS) and the Oswestry disability index (ODI). QMM was assessed using ultrasonography. Results Data were analyzed using paired and independent t tests. SBP ( P =.000), DBP ( P =.004), and SpO2 ( P =.001) were significantly different in the experimental group, both before and during the intervention. The VAS scores showed a statistically significant difference in the post-test ( P =.003) and rate of change ( P =.009) between the groups. The ODI scores showed statistically significant differences in the post-test ( P =.000) and rate of change ( P =.001) comparison between the groups. The rate of change in QMM, including the rectus femoris ( P =.000), vastus intermedius ( P =.004), vastus medialis ( P =.001), and vastus lateralis ( P =.014), increased significantly in the experimental group compared to that in the control group. Conclusions This study demonstrates that the additive effect of BFRE on pain relief and QMM increase, thus contributing to existing knowledge about therapeutic exercise for the effective management of LBP.

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

Cited by 2 publications

References 41 publications

Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design

Promoting physical activity and physical function in people with long-term conditions in primary care: the Function First realist synthesis with co-design

Enhanced Pain Relief and Muscle Growth in Individuals with Low Back Instability: The Impact of Blood Flow Restriction Exercise during Sit to Stand Movements

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