What Are the Brakes and Levers of Physical Activity Practice for Patients With Chronic Lower Back Pain?

Study Overview
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Brief Summary
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Non-specific chronic lower back pain is a common pathology which is a real public health problem. Around 84% of the population could have non-specific chronic lower back pain at least once in their lives and 8% of that non-specific lower back pain could become chronical (pain that would last at least 3 months). This proportion of patients represents 85% of the costs related to this pathology. Physical activity practice is involved in medical care for plenty of chronical diseases and particularly for chronic lower back pain. In 2003, World Health Organization pointed out the poor adhesion of patients with chronical diseases to medical prescriptions and the after-effects it could have on illness evolution. Therefore, adhesion to physical activity practice for patients with chronic lower back pain is one of the most challenging matters for medical teams. The aim of this study was to identify the brakes and levers of physical activity practice for these patients. Sixteen individual interviews and four focus groups have been carried out on patients with chronic lower back pain who were taken care of either by a rachis functional restoration program or by primary care.

Detailed Description
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Non-specific chronic lower back pain is a common pathology which is a real public health problem. Around 84% of the population could have non-specific chronic lower back pain at least once in their lives and 8% of that non-specific lower back pain could become chronical (pain that would last at least 3 months). This proportion of patients represents 85% of the costs related to this pathology. Physical activity practice is involved in medical care for plenty of chronical diseases and particularly for chronic lower back pain. In 2003, World Health Organization pointed out the poor adhesion of patients with chronical diseases to medical prescriptions and the after-effects it could have on illness evolution. Therefore, adhesion to physical activity practice for patients with chronic lower back pain is one of the most challenging matters for medical teams. The aim of this study was to identify the brakes and levers of physical activity practice for these patients. Sixteen individual interviews and four focus groups have been carried out on patients with chronic lower back pain who were taken care of either by a rachis functional restoration program or by primary care.

Official Title
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What Are the Brakes and Levers of Physical Activity Practice for Patients With Chronic Lower Back Pain : a Qualitative Study

Conditions
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Non-specific Chronic Lower Back Pain

Intervention / Treatment
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* Behavioral: Back Belief questionnaire
* Behavioral: QUEBEC scale
* Behavioral: Fear Avoidance beliefs questionnaire
* Behavioral: Visual analog scale
* Behavioral: individual interviews
* Behavioral: Focus groups


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female who are at least 18 years old Patients with non-specific chronic lower back pain Exclusion Criteria: Mental or physical disabilities incompatible with focus groups/individual interviews and filling out questionnaires. Inability to understand or speak French properly Symptomatic lower back pain

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| chronic lower back pain<br> | Behavioral: Back Belief questionnaire<br> <br> Behavioral: QUEBEC scale<br> <br> Behavioral: Fear Avoidance beliefs questionnaire<br> <br> Behavioral: Visual analog scale<br> <br> Behavioral: individual interviews<br> <br> Behavioral: Focus groups<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Individual interviews | patients with non-specific chronic lower back pain explain directly to their doctors what is preventing them from having physical activity | at day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| questions about their lower back pain and physical activity |  | at day 1 | 
| Back Belief questionnaire | - Back Belief questionnaire that evaluates patients' knowledge about lower back pain | at day 1 | 
| QUEBEC scale | - QUEBEC scale that evaluates the impact of lower back pain on the daily lives of patients | at day 1 | 
| Fear Avoidance Beliefs questionnaire | - Fear Avoidance Beliefs questionnaire that evaluates fears and beliefs about the disease | at day 1 | 
| Visual Analog Scale | Visual Analog Scale that evaluates pain | at day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Self-exercises, Brakes, Levers, Adhesion, Self-care, Non-specific chronic lower back pain, Physical activity