NCT06517342 - Motivations, Obstacles and Opportunities for Using a Health Application to Encourage Physical Activity in People With Chronic Low Back Pain | Crick | Crick

Motivations, Obstacles and Opportunities for Using a Health Application to Encourage Physical Activity in People With Chronic Low Back Pain

N/ARecruitingNCT06517342

University Hospital, Clermont-Ferrand25 enrolled

Overview

In industrialized countries, low back pain can be considered a priority health issue. Some studies define it as one of the leading causes of disability in people under 45, or the leading cause of musculoskeletal disorders, with a prevalence of 26.9%. Chronic forms account for less than 10% of acute episodes, but represent around 85% of costs. It has been recognized that rest and physical inactivity are not beneficial in the treatment of low back pain, and worse, increase the risk of chronicity. Functional Restoration of the Spine (FRS) programs have been introduced in rehabilitation centers, and have proved to be effective both physically and psycho-socially. Patients generally adhere well to this type of program during in-center treatment. The effects obtained tend to fade rapidly on discharge, due to a lack of adherence to what can be offered conventionally (exercise sheets, oral advice). The development of connected tools (smartphones, tablets, etc.) could be a lever in this respect, as it would enable better patient support. In 2022, 84% of the population will own a smartphone. The content offered would be of higher quality, and would enable regular remote monitoring of the patient. The effects of the initial intensive treatment would be maintained by this new interactive, fun tool.

Study Type

OBSERVATIONAL

Enrollment

25

Conditions

Chronic Low-back Pain

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Major patients * Chronic non-specific low-back pain. * Diagnosis confirmed according to HAS definition (i.e. pain located between the thoraco-lumbar hinge and the lower gluteal fold. It may be associated with radiculalgia corresponding to pain in one or both lower limbs at the level of one or more dermatomes). Patients included in the study must have given written informed consent. Exclusion Criteria: * Patients not meeting HAS diagnostic criteria * Patients with comprehension difficulties (making it impossible to fill in questionnaires) * Patients with medical contraindications to physical exercise * Patients under guardianship, curatorship or safeguard of justice. * Patients without a smartphone

Outcomes

Primary Outcomes

Phenomenological analysis of semi-structured interviews with patients.

45-minute semi-structured interview

Time frame: Up to 1 day

Secondary Outcomes

Identification of patient expectations via a semi-structured interview

45-minute semi-structured interview

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : sex in ration Male and femalle

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : age in year

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : height in cm

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : family situation as a couple or single

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : weight in Kg

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : level of education (no diploma, less than baccalaureate, baccalaureate or more than baccalaureate)

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : lifestyle (active, retired, disabled)

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : living environment (urban, rural)

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : regular physical activity (frequency, type of activity)

Time frame: Up to 1 day

Characterization of patients' profiles using a socio-demographic

Responses to the socio-demographic questionnaire : leisure activities (frequency, type)

Time frame: Up to 1 day

Physical Activity Perception Scale

Self-questionnaire score: Physical Activity Perception Scale (EPAP). Identification of barriers and levers to regular physical activity using the EPAP questionnaire. This questionnaire contains 26 items on the facilities and obstacles encountered when engaging in physical activity. The maximum score for this questionnaire is 100 points thanks to an equation. Responses range from "Strongly disagree" (0 points) to "Strongly agree" (4 points). The total score ranges from 0 - "Poor perception of physical activity" to 100 - "Excellent perception of physical activity".

Time frame: Up to 1 day

Visual Analogue Pain Scale

Visual Analogue Pain Scale (VAS Pain). A value of 10 indicates very intense pain. On the contrary, a pain value of 0 means that no pain is felt.

Time frame: Up to 1 day

Functional disability

Self-questionnaire score: OSWESTRY Disabitity Index (ODI). Questionnaire on disability rated by a Likert scale ranging from 0 "no restriction" to 5 "severe restriction". scores can range from 0 to 50 points. a score of 0 to 4 indicates no disability. A score of 5 to 14 indicates a mild disability, 15 to 24 a moderate disability, and 25 to 34 a severe disability. A higher score indicates complete disability.

Time frame: Up to 1 day

Fears and beliefs

Self-questionnaire score : Fear Avoidance Belief Questionnaire (FABQ). The FABQ consists of 2 subscales, corresponding to two distinct subsections. The first subscale (items 1-5) is the physical activity subscale (FABQPA; PA - Physical activity), and the second subscale (items 6-16) is the work subscale (FABQW; W-Work). Each subscale is ranked separately by summing the item responses of the respective scale (0-6 for each item). For scoring purposes, only 4 of the physical items on the activity scale are rated (24 possible points) and only 7 of the work items (42 possible points). A higher score indicates higher levels of fear-avoidance beliefs.

Time frame: Up to 1 day