This study will investigate if a 12-week, individually-tailored walking program, using pedometers will be a more clinically and cost-effective option for the management of chronic low back pain than standardized advice and education.
Specific objectives of the study are: 1. To determine perceived levels of disability and baseline levels of walking activity in a sample of those with chronic low back pain (CLBP) 2. To determine the uptake and adherence to a pedometer-driven walking program for people with CLBP 3. To test the clinical and cost-effectiveness of a walking programme to improve outcomes for CLBP compared to a standardized back care education package 4. To test the feasibility of a walking programme in a sub-sample of rural Saskatchewan farmers/agricultural workers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
174
University of Saskatchewan
Saskatoon, Saskatchewan, Canada
Change in Oswestry Low Back Pain Disability Questionnaire score
Time frame: Baseline, 12 weeks, 6 months and 12 months
Change in mean number of steps per day for each week of the study
Time frame: Baseline & 12 weeks
Change in six minute walk test
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in International Physical Activity Questionnaire score
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in Fear Avoidance Beliefs Questionnaire score
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in Back Beliefs Questionnaire score
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in Exercise Self-efficacy Scale score
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in Global rating of change for physical activity score
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in Euroqual-5D score
Quality of life
Time frame: Baseline, 12 weeks, 6 months & 12 months
Change in health care usage and intervention costs over time
Participant records health care usage and intervention costs over the 12 month study
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Time frame: Baseline, 12 weeks, 6 months & 12 months
Focus group data
Walking group only, voluntary participation
Time frame: Following 12 week intervention