Impact of Patient Education on Adherence to Therapeutic Exercise in Chronic Musculoskeletal Disorders: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- The Exercise Adherence Rate EARS-Ar
Study Overview
Brief Summary
The study aims to evaluate the effectiveness of a structured patient education program in enhancing adherence to prescribed home exercise regimens in individuals with chronic low back pain, knee osteoarthritis, and shoulder pain.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Investigator)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Chronic low back pain patients (more than three months)
- •Knee osteoarthritis
- •Patients with partial Rotator cuff tear
Exclusion Criteria
- •Acute injuries
- •Systemic inflammatory conditions
- •Neurological deficits affecting exercise
- •Cognitive impairment preventing understanding of education materials
- •Participation in other rehabilitation programs
Arms & Interventions
Standard care + Home Program
Active Control
Intervention: Standard physical therapy program (Other)
Patients recieving standard care + home program + education
Experimental Group (Patients receiving standard care + home program + education)
Intervention: Educational with musculoskeletal condition (Behavioral)
Patients recieving standard care + home program + education
Experimental Group (Patients receiving standard care + home program + education)
Intervention: Standard physical therapy program (Other)
Outcomes
Primary Outcomes
The Exercise Adherence Rate EARS-Ar
Time Frame: * Baseline: week2 or session2 of the patient's exercise prescription. *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program.
The EARS-Ar survey will capture self-reported adherence levels to the prescribed home exercise program. The Exercise Adherence Rating Scale (EARS) is a six-item self-report measure that was developed to assess exercise adherence behavior. Each item is rated on a five-point Likert scale (0=completely agree to 4=completely disagree). Item scores are summed, and a higher total score denotes greater adherence (0-24). Three items (items 1, 4, and 6) with positive phrases are reversely scored. Its constructive validity and reliability have been established. The EArs was successfully cross-culturally adapted into Arabic following international guidelines. It has also demonstrated adequate accuracy and sensitivity to assess change in exercise adherence behavior. An EArs-Ar score of 12.5/24 could be used as a cutoff to indicate a patient's appropriate exercise adherence associated with improvement of symptoms.
Secondary Outcomes
- Pain Level will be measured by the numeric pain rating scale (NPRS)(*At baseline, at week 1 * *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program.)
- The Roland-Morris Disability Questionnaire (RMDQ)(* Baseline: Initial patient assessment *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program.)
- The Fear Avoidance Belief Questionnaire (FABQ)(* Baseline: Initial Patient Evaluation *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program.)
- The Knee Injury and OA Outcome Score (KOOS)(Baseline: at initial Patient evaluation *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program.)
- Quick DASH-Arabic(* Baseline: at initial assessment of the patient. *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program.)
Investigators
Walaa ِHamdy Elsayed
Dr.Walaa Hamdy Elsayed
Imam Abdulrahman Bin Faisal University