After recuperating from low back surgery patients often perpetuate a sedentary lifestyle because they are concerned about injury and recurrent pain. The objective of this study is to test the feasibility of a program to increase lifestyle walking starting several months after low back surgery.
The primary objective of this RCT is to compare energy expenditure from walking between an experimental group that receives a multi-component intervention based on the Health Belief Model of Behavior Change versus a control group. Patients who had surgery for a degenerative condition will be randomized postop when their surgeons deem them orthopedically stable to increase walking (at about 3 months).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
260
The education/self-efficacy group will 1) receive information about benefits of physical activity and national activity guidelines, 2) receive instruction on how to increase lifestyle walking, 3) use movement monitoring devices, 4) make a walking contract and 5) receive interval contract-directed encouragement from study personnel.
The education group will receive information about safe physical activity.
Hospital for Special Surgery
New York, New York, United States
Weekly energy expenditure in kilocalories per week as measured by the Paffenbarger Physical Activity and Exercise Index
Change in enrollment to 16-week Paffenbarger Physical Activity and Exercise Index
Time frame: 16 weeks
Disability due to pain as measured by the Oswestry Disability Index
Change in enrollment to 16-week Oswestry Disability Index
Time frame: 16 weeks
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