Improving COmmuNication skills aNd Exercise Compliance in physioTherapy (CONNECT)

Not Applicable

Completed

Conditions: Chronic low back pain
Musculoskeletal Diseases
Low back pain

Registration Number: ISRCTN63723433

Lead Sponsor: Health Research Board (HRB) (Ireland)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 292

Inclusion Criteria

1. Between 18-70 years
2. Low back pain (LBP) of mechanical origin with/without radiation to the lower limb
3. Chronic (=3 months)
4. English speaking and English literate
5. Access to a telephone

Exclusion Criteria

1. Spinal surgery or history of systemic/inflammatory disease
2. Scheduled for major surgery during treatment
3. Received treatment for CLBP within previous 3 months
4. Suspected or confirmed pregnancy
5. Unstable angina/uncontrolled cardiac dysrhythmias/severe aortic stenosis/acute systemic infection accompanied by fever
6. Patients with acute (< 6 weeks) or subacute LBP (6-12 weeks)

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Adherence; measured at weeks 1, 4, 12 and 24 <br>1.1. The Injury-Rehabilitation Adherence Scale completed by the therapists<br>1.2. The Injury-Rehabilitation Adherence Scale completed by the patient <br>1.3. A Home-Exercise Compliance Assessment<br>2. Self-reported physical activity; measured at baseline (week 0) and at weeks 1, 4, 12 and 24 with the International Physical Activity Questionnaire <br>3. Low back pain symptoms; measured at baseline (week 0) and at weeks 4, 12 and 24 with pain intensity and pain bothersomeness<br>4. Pain-related activity limitation; measured at baseline (week 0) and at weeks 4, 12 and 24 measures with:<br>4.1. The Roland Morris Disability Questionnaire <br>4.2. The Patient Specific Functional Scale<br>5. Quality of life; measured at baseline (week 0) and at weeks 4, 12 and 24 with the European Quality of Life Questionnaire.<br><br>Baseline (week 0) refers to the 24 hours before the initial physiotherapy session.

Secondary Outcome Measures

Name	Time	Method
1. Objective Physical Activity: measured at weeks 4, 12 and 24 with pedometers<br>2. Fear avoidance; measured at baseline (week 0) and at weeks 4, 12 and 24 with Fear Avoidance Back Beliefs Questionnaire<br>3. Global Perception of improvement; measured at baseline (week 0) and at weeks 4, 12 and 24 with the Global Perceived Effect scale<br>4. Motivation; measured at baseline (week 0), immediately after the initial physiotherapy session and at weeks 4, 12 and 24 with the Treatment Self-Regulation Questionnaire<br>5. Perceived competence; measured at baseline (week 0), immediately after the initial physiotherapy session and at weeks 4, 12 and 24 with the Perceived Competence Scale<br>6. Autonomy support; measured immediately after the initial physiotherapy session and at week 4, with the Health Care Climate Questionnaire completed by the patients