Patient Adherence to a Physical Activity Advice

Objective of the study:

The primary objective of this study is to investigate whether social support by a partner or friend and treatment of patients' illness perceptions influences the rate of adherence to an activity advice compared to treatment of patients' illness perceptions alone in patients suffering non-specific low back pain. Secondary objectives are; 1) Whether 'treatment of illness perceptions' changes patients' maladaptive illness perceptions into realistic ones, 2) Whether maladaptive illness perceptions, comorbidity and/or obesity and/or rate of recurrences of non-specific low back pain and/or attitude and intention to physical activity influences patient's adherence to an activity advice.

Study design:

This study is a multicentre randomized two arm, controlled clinical trial. During a twelve-week intervention period, one group of patients will receive an activity advice added to usual treatment including 'treatment of illness perceptions' (C-group). The other group will receive an activity advice and the intervention addressing social support by a partner or friend added to usual treatment including 'treatment of illness perceptions' (SoSup-group). Patients will be assessed at baseline, and after one, 6 and 12 weeks. Recruitment is scheduled from October 2016 to July 2017. The study will be performed in 12 centres for physiotherapy in the province Zuid-Holland, the Netherlands.

Study population:

It is mentioned that individuals with recurrent non-specific low back pain score more unfavourable on lifestyle risk factors including physical inactivity than individuals without or first time non-specific low back pain (van Oostrom et al., 2012). To include potential physically inactive non-specific low back pain sufferers, patients ≥18 years presenting with at least a second episode of non-specific low back pain who are not physical active in accordance with the NNGB are recruited for the study.

Intervention (if applicable):

In both the C- and SoSup-group an activity advice will be added to usual treatment. The advised activities will be walking and/or cycling outdoors, meeting the Dutch Standard Healthy Physical Activity (NNGB) (Hildebrandt et al., 2007). In both groups cognitive treatment on illness perceptions according to the common sense model to the patient in the presence of the partner or friend will be given. During a maximum of two half-hour contacts in a standardised dialogue on maladaptive beliefs and feelings about identity, time-line, causes, controllability, and curability of low back pain are mapped, maladaptive perceptions are challenged, alternative perceptions are formulated (Siemonsma et al., 2013). The intervention in the SoSup-group (intervention group), organizing social support by a partner or friend depending on patient's preferences, will be added. During a maximum of two half-hour contacts (one for explanation and one for evaluation), in a standardised discussion the partner or friend will be stimulated to support the patient in executing the activity advice. During 12 weeks the social support by a partner or friend will be executed for at least 5 times a week.

Primary study parameters/outcome of the study:

The primary outcome measure will be walking and/or cycling according to the NNGB and social support.

Secundary study parameters/outcome of the study (if applicable):

Other outcomes will be 1. measures of illness perceptions. 2. measures of comorbidity, BMI, number of recurrences of non-specific low back pain, measures of attitude and intention to physical activity 3. measures of refusal of the study.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness (if applicable):

The social support described in this study is designed for better outcomes of physical activity levels patients suffering low back pain, and has no proven advantage on better outcomes on pain and disability in non-specific low back pain sufferers. Therefore we consider there is no disadvantage in the SoSup-group versus the C-group because patients in both groups receive concomitant best evidence healthcare according to the Dutch guideline for low back pain (Staal et al., 2013). No adverse effects of the interventions are expected. There are no ethical implications to be expected as a result of this study, treatment of all patients during the intervention period will be according to the Dutch guideline for low back pain.

Inclusion criteria

• Non-specific low back pain

Exclusion criteria

• Patients physical active in accordance with the Dutch Standard Healthy Physical Activity (NNGB) (Hildebrandt et al., 2007)
• Patients with specific low back pain
• Onset of the low back pain after age 50 years,
• Continuous pain regardless of posture or movement,
• Nocturnal pain,
• General malaise,
• History of malignancy,
• Unexplained weight loss,
• Elevated erythrocyte sedimentation rate (ESR)
• Previous vertebral fracture,
• Older person with hip fracture,
• Prolonged use of corticosteroids,
• Onset of low back pain before age 20 years,
• Iridocyclitis,
• History of unexplained peripheral arthritis or inflammatory bowel disease,