1. Brief name | Integrating Mobile-health, health coaching, and Physical Activity to reduce the burden of Chronic low back pain Trial (IMPACT) |
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2. Why | Low back pain is a significant public health problem and engagement in moderate levels of physical activity is associated with positive outcomes. Conservative active care, such as exercise, is effective in reducing pain and disability associated with chronic low back pain. However, a rapid decline in clinical outcomes is commonly seen after discharge from treatment. These problems need to be urgently addressed as the burden of low back pain continues to rise. |
3. What- materials | • The “Make your move – Sit less, be active for life” physical activity booklet developed by the NSW Ministry of Health • A specifically designed mobile web application (IMPACT app) to monitor participants’ goals and physical activities. • A pedometer enhanced with a web-interface (“fitbit”, www.fitbit.com/au) to give feedback on the amount of daily physical activity achieved. |
4. What- procedures | Telephone or email-based health coaching was used to identify barriers and facilitators to physical activity participation, and to provide education and support to assist participants to achieve their physical activity goals. |
5. Who provided | Three health coaches with professional backgrounds in physiotherapy and exercise physiology delivered the intervention. |
6. How | The health coaching was delivered during one face to face session plus 12 fortnight telephone-based sessions. |
7. Where | The intervention was delivered to people with chronic low back pain after discharge from treatment from hospitals and general community in Sydney and surrounds, Australia. |
8. When and how much | The face to face assessment and interview occurred at the beginning of the intervention period and lasted for approximately 2 h. The telephone-based health coaching occurred after the face to face assessment and interview, once every 2 weeks for approximately 20 min for a total duration of 6 months. |
9. Tailoring | The physical activity plan was tailored to participant goals, current physical ability and preferences. |