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TTM-based motivational counselling does not increase physical activity of low back pain patients in a primary care setting--A cluster-randomized controlled trial.

Abstract：

OBJECTIVE:To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting. METHODS:Data were collected in a cluster-randomized controlled trial with three study arms via questionnaires and patient interviews at baseline and after 6 and 12 months. We analysed total physical activity and self-efficacy by using random effect models to allow for clustering. RESULTS:A total of 1378 low back pain patients, many with acute symptoms, were included in the study. Nearly 40% of all patients reported sufficient physical activity at baseline. While there were significant improvements in patients' physical activity behaviour in all study arms, there was no evidence for an intervention effect. CONCLUSION:The outcome may be explained by insufficient performance of the practice nurses, implementation barriers caused by the German health care system and the heterogenous sample. PRACTICE IMPLICATIONS:Given the objective to incorporate practice nurses into patient education, there is a need for a better basic training of the nurses and for a change towards an organizational structure that facilitates patient-nurse communication. Counselling for low back pain patients has to consider more specificated aims for different subgroups.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Leonhardt C,Keller S,Chenot JF,Luckmann J,Basler HD,Wegscheider K,Baum E,Donner-Banzhoff N,Pfingsten M,Hildebrandt J,Kochen MM,Becker A

doi

10.1016/j.pec.2007.09.018

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

50-60

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(07)00380-1

journal_volume

70

pub_type

杂志文章,多中心研究,随机对照试验

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