Adherence
Integrating mobile health (m-Health) technology and health coaching with physical activity interventions reduces care-seeking rates in patients with chronic low back pain compared to standard care advice alone.
For chronic low back pain patients, simply being told to 'stay active' is often insufficient to prevent future flare-ups and doctor visits. A structured approach combining a wearable activity tracker (like a Fitbit), a dedicated mobile app for goal tracking, and regular check-ins with a health coach (via phone) can significantly reduce the need for further medical care. This method helps maintain physical activity habits after formal treatment ends, even if it doesn't drastically change pain levels immediately.
Intervention group participants had a 38% reduced rate of care-seeking (Incidence Rate Ratio (IRR): 0.62, 95% CI: 0.32 to 1.18, p = 0.14, using multilevel mixed-effects Poisson regression analysis) compared to standard care... The health coaching physical activity approach trialed here is feasible and well accepted by participants and may reduce care-seeking in patients with low back pain after treatment discharge
Why this rating
Pilot randomized controlled trial with small sample size (n=68) and non-significant primary outcomes; feasibility established but efficacy unproven.
Source
Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial
Anita B. Amorim et al. · BMC Musculoskeletal Disorders · 2019
DOI 10.1186/s12891-019-2454-y
Related findings · Adherence
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