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MyBack - effectiveness and implementation of a behavior change informed exercise programme to prevent low back pain recurrences

2024-12Artigo científico Acesso aberto
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dc.contributor.authorPires, Diogo
dc.contributor.authorDuarte, Susana
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorCaeiro, Carmen
dc.contributor.authorCanhão, Helena
dc.contributor.authorCanhão, Helena
dc.contributor.authorBranco, Jaime
dc.contributor.authorBranco, Jaime
dc.contributor.authorAlves, Joana
dc.contributor.authorMarques, Marta
dc.contributor.authorAguiar, Pedro
dc.contributor.authorFernandes, Rita
dc.contributor.authorSousa, Rute Dinis
dc.contributor.authorSousa, RD
dc.contributor.authorCruz, Eduardo B.
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2024-06-21T22:26:10Z
dc.date.available2024-06-21T22:26:10Z
dc.date.issued2024-12
dc.descriptionFunding Information: This project is supported by the Funda\u00E7\u00E3o para a Ci\u00EAncia e a Tecnologia \u2013 the Portuguese Foundation for Science and Technology (PTDC/SAU-SER/7406/2020). Publisher Copyright: © The Author(s) 2024.
dc.description.abstractBackground: Low back pain (LBP) is a common health condition and the leading cause of years lived with disability worldwide. Most LBP episodes have a favourable prognosis, but recurrences within a year are common. Despite the individual and societal impact related to LBP recurrences, there is limited evidence on effective strategies for secondary prevention of LBP and successful implementation of intervention programmes in a real-world context. The aim of this study is to analyse the effectiveness of a tailored exercise and behavioural change programme (MyBack programme) in the secondary prevention of LBP; and evaluate acceptability, feasibility and determinants of implementation by the different stakeholders, as well as the implementation strategy of the MyBack programme in real context. Methods: This protocol describes a hybrid type I, randomized controlled trial to evaluate the effectiveness and implementation of MyBack programme in the context of primary health care. The Behaviour Change Wheel framework and FITT-VP principles will inform the development of the behaviour change and exercise component of MyBack programme, respectively. Patients who have recently recovered from an episode of non-specific LBP will be randomly assigned to MyBack and usual care group or usual care group. The primary outcome will be the risk of LBP recurrence. The secondary outcomes will include disability, pain intensity, musculoskeletal health, and health-related quality of life. Participants will be followed monthly for 1 year. Costs data related to health care use and the MyBack programme will be also collected. Implementation outcomes will be assessed in parallel with the effectiveness study using qualitative methods (focus groups with participants and health providers) and quantitative data (study enrolment and participation data; participants adherence). Discussion: To our knowledge, this is the first study assessing the effectiveness and implementation of a tailored exercise and behaviour change programme for prevention of LBP recurrences. Despite challenges related to hybrid design, it is expected that data on the effectiveness, cost-effectiveness, and implementation of the MyBack programme may contribute to improve health care in patients at risk of LBP recurrences, contributing to direct and indirect costs reduction for patients and the health system. Trial registration number: NCT05841732.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1622272
dc.identifier.doi10.1186/s12891-024-07542-7
dc.identifier.issn1471-2474
dc.identifier.otherPURE: 93742593
dc.identifier.otherPURE UUID: 93b7c5c1-317e-4530-9ac7-abc1db6ef7e4
dc.identifier.otherScopus: 85195343463
dc.identifier.otherPubMed: 38840084
dc.identifier.otherPubMedCentral: PMC11151631
dc.identifier.otherORCID: /0000-0003-1894-4870/work/162112752
dc.identifier.urihttp://hdl.handle.net/10362/168912
dc.identifier.urlhttps://www.scopus.com/pages/publications/85195343463
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBehaviour change
dc.subjectExercise
dc.subjectHybrid type I implementation/ effectiveness
dc.subjectLow back pain
dc.subjectPrimary health care
dc.subjectRecurrences
dc.subjectRheumatology
dc.subjectOrthopedics and Sports Medicine
dc.titleMyBack - effectiveness and implementation of a behavior change informed exercise programme to prevent low back pain recurrencesen
dc.title.subtitlea hybrid effectiveness-implementation randomized controlled study protocolen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Musculoskeletal Disorders
degois.publication.volume25
dspace.entity.typePublication
person.familyNameCanhão
person.familyNameBranco
person.familyNameSousa
person.givenNameHelena
person.givenNameJaime
person.givenNameRute Dinis de
person.identifier379800
person.identifier.ciencia-id5A17-C6D9-DBC8
person.identifier.ciencia-idB612-E5C3-60DC
person.identifier.ciencia-idC210-AF8E-A41D
person.identifier.orcid0000-0003-1894-4870
person.identifier.orcid0000-0001-7024-4375
person.identifier.orcid0000-0001-9713-0204
person.identifier.ridC-9611-2018
person.identifier.scopus-author-id6602393492
person.identifier.scopus-author-id8417815400
person.identifier.scopus-author-id57192653685
rcaap.rightsopenAccess
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relation.isAuthorOfPublication4caea9f3-40dd-4c95-98ec-0120509287c0
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relation.isAuthorOfPublication.latestForDiscovery4caea9f3-40dd-4c95-98ec-0120509287c0

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