Investigating the effect of a physical activity intervention enhanced with health coaching and FitBit on physical activity levels of patients with chronic low back pain: a randomized controlled trial

• Grant number: 16/03826-5
• Support Opportunities: Scholarships in Brazil - Doctorate
• Start date: November 01, 2016
• End date: June 22, 2020
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Diego Giulliano Destro Christofaro
• Grantee: Crystian Bitencourt Soares de Oliveira
• Host Institution: Faculdade de Ciências e Tecnologia (FCT). Universidade Estadual Paulista (UNESP). Campus de Presidente Prudente. Presidente Prudente , SP, Brazil
• Associated scholarship(s): 18/10837-9 - Process evaluation of the implementation of an evidence-based model of care for low back pain in Australian emergency departments, BE.EP.DR

Abstract

Interventions which include physical activity promotion as the core component for the treatment of patients with chronic low back pain have shown to be effective in reducing pain and disability in these patients. Nevertheless, recent evidences shows that a large proportion of patients with low back pain, as well as in the general population, do not meet recommended levels of physical activity. In the context which comorbidities, such as cardiovascular disease, obesity and diabetes, are highly prevalent in those patients with chronic low back pain, interventions able to reduce pain and disability and at the same time are able to increase physical activity levels are considered to be top priorities in primary care. Therefore, the present study is a randomized clinical trial aiming to investigate the short and long-term effect of a physical activity intervention based on active exercise enhanced with health coaching and physical activity monitors on physical activity levels (measured objectively with accelerometers), pain and disability of patients with chronic low back pain compared with a placebo intervention. The secondary outcomes are depression and quality of life. A total of 148 adults with chronic low back pain will be randomly allocated into two groups. Patients allocated to the intervention group will receive a physical activity intervention based on active exercise enhanced with health or physical activity coaching and monitoring/feedback of activity with the activity monitor FitBit for 3 months, while the placebo group will receive sham advice plus sham Fitbit. Blind assessors will evaluate outcomes measures at 3, 6 and 12 months post-randomization. The results of this study will be used to clarify whether a physical activity intervention can reduce pain and disability and, at the same time, is capable of increasing physical activity levels of patients with chronic low back pain. (AU)

Scientific publications

(12)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

OLIVEIRA, CRYSTIAN B.; FRANCO, MARCIA R.; MAHER, CHRIS G.; TIEDEMANN, ANNE; SILVA, FERNANDA G.; DAMATO, TATIANA M.; NICHOLAS, MICHAEL K.; CHRISTOFARO, DIEGO G. D.; PINTO, RAFAEL Z.. The efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trial. Trials, v. 19, JAN 15 2018. (14/14077-8, 15/07704-9, 16/03826-5)

OLIVEIRA, CRYSTIAN B.; FRANCO, MARCIA R.; MAHER, CHRIS G.; FERREIRA, PAULO H.; MORELHAO, PRISCILA K.; DAMATO, TATIANA M.; GOBBI, CYNTHIA; PINTO, RAFAEL Z.. Physical Activity-Based Interventions Using Electronic Feedback May Be Ineffective in Reducing Pain and Disability in Patients With Chronic Musculoskeletal Pain: A Systematic Review With Meta-Analysis. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 99, n. 9, p. 1900-1912, SEP 2018. (14/14077-8, 15/07704-9, 16/03826-5)

BRIANI, RONALDO VALDIR; WAITEMAN, MARINA CABRAL; DE ALBUQUERQUE, CARLOS EDUARDO; GASOTO, EDUARDO; SEGATTI, GABRIEL; OLIVEIRA, CRYSTIAN BITENCOURT; DE AZEVEDO, FABIO MICOLIS; SILVA, DANILO DE OLIVEIRA. Lower Trunk Muscle Thickness Is Associated With Pain in Women With Patellofemoral Pain. JOURNAL OF ULTRASOUND IN MEDICINE, v. 38, n. 10, p. 2685-2693, OCT 2019. (16/03826-5, 17/20483-7, 15/11534-1)

AZEVEDO, BRUNA RABELO; OLIVEIRA, CRYSTIAN B.; ARAUJO, GIULIA MARCONDES D.; SILVA, FERNANDA G.; DAMATO, TATIANA M.; PINTO, RAFAEL Z.; CHRISTOFARO, DIEGO G. D.. Is There Equivalence Between the Electronic and Paper Version of the Questionnaires for Assessment of Patients With Chronic Low Back Pain?. SPINE, v. 45, n. 6, p. E329-E335, MAR 15 2020. (17/21336-8, 16/03826-5, 17/12246-5)

DE SOUZA, JEFFERSON M.; TEBAR, WILLIAM R.; DELFINO, LEANDRO D.; TEBAR, FERNANDA S. G.; GOBBO, LUIS A.; PINTO, RAFAEL Z.; DA SILVA, CLAUDIELE C. M.; OLIVEIRA, CRYSTIAN B. S.; CHRISTOFARO, DIEGO G. D.. Relationship between physical activity domains and musculoskeletal disorders in public school teachers. INTERNATIONAL JOURNAL OF INDUSTRIAL ERGONOMICS, v. 92, p. 6-pg., 2022-10-27. (16/03826-5)

OLIVEIRA, CRYSTIAN B.; ELKINS, MARK R.; LEMES, ITALO RIBEIRO; SILVA, DANILO DE OLIVEIRA; BRIANI, RONALDO V.; MONTEIRO, HENRIQUE LUIZ; DE AZEVEDO, FABIO MICOLIS; PINTO, RAFAEL ZAMBELLI. A low proportion of systematic reviews in physical therapy are registered: a survey of 150 published systematic reviews. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 22, n. 3, p. 177-183, MAY-JUN 2018. (15/00406-2, 16/03826-5, 15/11534-1, 15/17777-3)

OLIVEIRA, CRYSTIAN B.; PINTO, RAFAEL Z.; SARAIVA, BRUNA T. C.; TEBAR, WILLIAM R.; DELFINO, LEANDRO D.; FRANCO, MARCIA R.; SILVA, CLAUDIELE C. M.; CHRISTOFARO, DIEGO G. D.. Effects of active video games on children and adolescents: A systematic review with meta-analysis. SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, v. 30, n. 1, SEP 2019. (16/03826-5)

OLIVEIRA, CRYSTIAN BITENCOURT; FRANCO, MARCIA RODRIGUES; DEMARCHI, SAMANTHA JANAINA; SMEETS, ROB JOHANNES E. M.; HUIJNEN, IVAN P. J.; MORELHAO, PRISCILA KALIL; HISAMATSU, THALYSI MAYUMI; PINTO, RAFAEL ZAMBELLI. Psychometric Properties of the Photograph Series of Daily Activities-Short Electronic Version (PHODA-SeV) in Patients With Chronic Low Back Pain. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 48, n. 9, p. 719-727, SEP 2018. (16/04113-2, 15/07704-9, 16/03826-5)

OLIVEIRA, CRYSTIAN B.; NEGRAO FILHO, RUBEN F.; FRANCO, MARCIA R.; MORELHAO, PRISCILA K.; ARAUJO, AMANDA C.; PINTO, RAFAEL Z.. Psychometric Properties of the Deep Muscle Contraction Scale for Assessment of the Drawing-in Maneuver in Patients With Chronic Nonspecific Low Back Pain. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 47, n. 6, p. 432-441, JUN 2017. (15/07704-9, 16/03826-5)

DEMARCHI, SAMANTHA J.; OLIVEIRA, CRYSTIAN B.; FRANCO, MARCIA R.; MORELHAO, PRISCILA K.; HISAMATSU, THALYSI M.; SILVA, FERNANDA G.; DAMATO, TATIANA M.; PINTO, RAFAEL Z.. Association of perceived physical overload at work with pain and disability in patients with chronic non-specific low back pain: a 6-month longitudinal study. EUROPEAN SPINE JOURNAL, v. 28, n. 7, p. 1586-1593, JUL 2019. (16/03826-5, 16/04113-2, 15/07704-9)

ARAUJO, GIULIA M. D.; PINTO, RAFAEL Z.; AZEVEDO, BRUNA R.; SILVA, FERNANDA G.; DAMATO, TATIANA M.; GRANDE, GUILHERME D.; CHRISTOFARO, DIEGO G. D.; OLIVEIRA, CRYSTIAN B.. Measurement Properties of the Sedentary Behavior Questionnaire in Patients with Chronic Nonspecific Low Back Pain. PM&R, v. 13, n. 3, DEC 2020. (17/12246-5, 16/03826-5, 17/21336-8)

FREIRE, ANA PAULA COELHO FIGUEIRA; OLIVEIRA, CRYSTIAN BITENCOURT SOARES DE; CHRISTOFARO, DIEGO GIULLIANO DESTRO; SHUMATE, SEAN; MARQUES, LARISSA BRAGANCA FALCAO; PINTO, RAFAEL ZAMBELLI. Isotemporal Substitution of Sedentary Behavior by Different Physical Activity Intensities on Pain and Disability of Patients With Chronic Low Back Pain: A Cross-Sectional Study. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 103, n. 10, p. 7-pg., 2022-10-01. (14/14077-8, 16/03826-5)

Academic Publications

(References retrieved automatically from State of São Paulo Research Institutions)

OLIVEIRA, Crystian Bitencourt Soares de. The role of physical activity as a prognostic factor and treatment in the context of musculoskeletal pain. 2020. Doctoral Thesis - Universidade Estadual Paulista (Unesp). Faculdade de Ciências e Tecnologia. Presidente Prudente Presidente Prudente.