Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial
Background: Motivational Interviewing is an evidence-based, client-centred counselling technique that has been used effectively to increase physical activity, including for people with low back pain. One barrier to implementing Motivational Interviewing in health care settings more broadly is the ex...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-03-01
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| Series: | Contemporary Clinical Trials Communications |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865419302741 |
| _version_ | 1818778136704188416 |
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| author | Paul D O’ Halloran Jason Holden Jeff Breckon Megan Davidson Wenny Rahayu Melissa Monfries Nicholas F. Taylor |
| author_facet | Paul D O’ Halloran Jason Holden Jeff Breckon Megan Davidson Wenny Rahayu Melissa Monfries Nicholas F. Taylor |
| author_sort | Paul D O’ Halloran |
| collection | DOAJ |
| description | Background: Motivational Interviewing is an evidence-based, client-centred counselling technique that has been used effectively to increase physical activity, including for people with low back pain. One barrier to implementing Motivational Interviewing in health care settings more broadly is the extra treatment time with therapists. The aim of this paper is to describe the design of a cluster randomised controlled trial evaluating the effect of an intervention that pairs Motivational Interviewing embedded into usual physiotherapy care with a specifically designed app to increase physical activity in people with sub-acute low back pain. Methods: The study is a cluster randomised controlled in which patients aged over 18 years who have sub-acute low back pain (3–12 weeks duration) are recruited from four public hospital outpatient clinics. Based on the recruitment site, participants either receive usual physiotherapy care or the Motivational Interviewing intervention over 6 consecutive weekly outpatient sessions with a specifically designed app designed to facilitate participant-led physical activity behaviour change in between sessions. Outcome measures assessed at baseline and 7 weeks are: physical activity as measured by accelerometer (primary outcome), and pain-related activity restriction and pain self-efficacy (secondary outcomes). Postintervention interviews with physiotherapists and participants will be conducted as part of a process evaluation. Discussion: This intervention, which comprises trained physiotherapists conducting conversations about increasing physical activity with their patients in a manner consistent with Motivational Interviewing as part of usual care combined with a specifically designed app, has potential to facilitate behaviour change with minimal extra therapist time. Keywords: Motivational interviewing, Low back pain, Health care app, Musculoskeletal diseases |
| first_indexed | 2024-12-18T11:39:56Z |
| format | Article |
| id | doaj.art-dc68ccb436904f58bdde467dc1ce72b4 |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-12-18T11:39:56Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-dc68ccb436904f58bdde467dc1ce72b42022-12-21T21:09:26ZengElsevierContemporary Clinical Trials Communications2451-86542020-03-0117Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trialPaul D O’ Halloran0Jason Holden1Jeff Breckon2Megan Davidson3Wenny Rahayu4Melissa Monfries5Nicholas F. Taylor6La Trobe University, School of Psychology and Public Health, Bundoora, Victoria, 3086, Australia; Corresponding author. School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, 3086, Australia.La Trobe University, School of Allied Health, Bundoora, Victoria, Australia, 3086Sheffield Hallam University, Academy of Sport and Physical Activity, Sheffield Hallam University, Sheffield, S10 2BP, UKLa Trobe University, School of Allied Health, Bundoora, Victoria, Australia, 3086La Trobe University, School of Engineering and Mathematical Sciences, Bundoora, Victoria, 3086, AustraliaRMIT University, School of Health and Biomedical Sciences, Bundoora, Victoria, 3083, AustraliaLa Trobe University, School of Allied Health, Human Services and Sport, Bundoora, Victoria, 3086, Australia; Eastern Health, Arnold St, Box Hill, Victoria, 3128, AustraliaBackground: Motivational Interviewing is an evidence-based, client-centred counselling technique that has been used effectively to increase physical activity, including for people with low back pain. One barrier to implementing Motivational Interviewing in health care settings more broadly is the extra treatment time with therapists. The aim of this paper is to describe the design of a cluster randomised controlled trial evaluating the effect of an intervention that pairs Motivational Interviewing embedded into usual physiotherapy care with a specifically designed app to increase physical activity in people with sub-acute low back pain. Methods: The study is a cluster randomised controlled in which patients aged over 18 years who have sub-acute low back pain (3–12 weeks duration) are recruited from four public hospital outpatient clinics. Based on the recruitment site, participants either receive usual physiotherapy care or the Motivational Interviewing intervention over 6 consecutive weekly outpatient sessions with a specifically designed app designed to facilitate participant-led physical activity behaviour change in between sessions. Outcome measures assessed at baseline and 7 weeks are: physical activity as measured by accelerometer (primary outcome), and pain-related activity restriction and pain self-efficacy (secondary outcomes). Postintervention interviews with physiotherapists and participants will be conducted as part of a process evaluation. Discussion: This intervention, which comprises trained physiotherapists conducting conversations about increasing physical activity with their patients in a manner consistent with Motivational Interviewing as part of usual care combined with a specifically designed app, has potential to facilitate behaviour change with minimal extra therapist time. Keywords: Motivational interviewing, Low back pain, Health care app, Musculoskeletal diseaseshttp://www.sciencedirect.com/science/article/pii/S2451865419302741 |
| spellingShingle | Paul D O’ Halloran Jason Holden Jeff Breckon Megan Davidson Wenny Rahayu Melissa Monfries Nicholas F. Taylor Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial Contemporary Clinical Trials Communications |
| title | Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial |
| title_full | Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial |
| title_fullStr | Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial |
| title_full_unstemmed | Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial |
| title_short | Embedded Motivational Interviewing combined with a smartphone app to increase physical activity in people with sub-acute low back pain: Study protocol of a cluster randomised control trial |
| title_sort | embedded motivational interviewing combined with a smartphone app to increase physical activity in people with sub acute low back pain study protocol of a cluster randomised control trial |
| url | http://www.sciencedirect.com/science/article/pii/S2451865419302741 |
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