Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence .
BACKGROUND Chronic musculoskeletal pain ( CMP ) is a major health problem , accounting for approximately one-quarter of general practice ( GP ) consultations in the United Kingdom ( UK ) .
Exercise and physical activity is beneficial for the most common types of CMP , such as back and knee pain .
However , poor adherence to exercise and physical activity may limit long-term effectiveness .
OBJECTIVES To assess the effects of interventions to improve adherence to exercise and physical activity for people with chronic musculoskeletal pain .
Effects of a self-efficacy intervention on initiation of recommended exercises in patients with spondylosis.
An intervention design ed to enhance preaction self-efficacy beliefs ( i.e. , beliefs about ability to initiate behavior despite anticipated barriers during the initiation period ) was tested in patients with spondylosis in relation to initiation of exercises recommended by a consultant in orthopedic rehabilitation . Sixty patients ( age 28 - 83 years ; 44 % men ) with spondylosis who had not previously performed exercises recommended for degenerative spine diseases were r and omly assigned to a control ( education session ) or intervention group . Three weeks later , intervention patients performed recommended exercises  more frequently than controls . Regression analysis for all patients showed that preintervention , preaction self-efficacy predicted  exercise .  Age and preintervention self-efficacy moderated the intervention effects . Among older patients , only those with weak preintervention , preaction self-efficacy beliefs benefited from the intervention , whereas among younger patients , only those with strong preintervention , preaction self-efficacy beliefs benefited from the intervention
Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence .
BACKGROUND Chronic musculoskeletal pain ( CMP ) is a major health problem , accounting for approximately one-quarter of general practice ( GP ) consultations in the United Kingdom ( UK ) .
Exercise and physical activity is beneficial for the most common types of CMP , such as back and knee pain .
However , poor adherence to exercise and physical activity may limit long-term effectiveness .
OBJECTIVES To assess the effects of interventions to improve adherence to exercise and physical activity for people with chronic musculoskeletal pain .