title: Promoting physical activity in low back pain patients: six months follow-up of a randomised controlled trial comparing a multicomponent intervention with a low intensity intervention.
abstract: OBJECTIVE
  To assess a comprehensive multicomponent intervention against a low intensity intervention for promoting physical activity in chronic low back pain patients.
  
  
  METHODS
  Randomised controlled trial.
  
  
  METHODS
  Inpatient rehabilitation and aftercare.
  
  
  METHODS
  A total of 412 patients with chronic low back pain.
  
  
  METHODS
  A multicomponent intervention (Movement Coaching) comprising of small group intervention (twice during inpatient rehabilitation), tailored telephone aftercare (twice after rehabilitation) and internet-based aftercare (web 2.0 platform) versus a low level intensity intervention (two general presentations on physical activity, download of the presentations).
  
  
  METHODS
  Physical activity was measured using a questionnaire. Primary outcome was total physical activity; secondary outcomes were setting specific physical activity (transport, workplace, leisure time) and pain. Comparative group differences were evaluated six months after inpatient rehabilitation.
  
  
  RESULTS
  At six months follow-up, 92 participants in Movement Coaching (46 %) and 100 participants in the control group (47 %) completed the postal follow-up questionnaire. No significant differences between the two groups could be shown in total physical activity (P = 0.30). In addition to this, workplace (P = 0.53), transport (P = 0.68) and leisure time physical activity (P = 0.21) and pain (P = 0.43) did not differ significantly between the two groups. In both groups, physical activity decreased during the six months follow-up.
  
  
  CONCLUSIONS
  The multicomponent intervention was no more effective than the low intensity intervention in promoting physical activity at six months follow-up. The decrease in physical activity in both groups is an unexpected outcome of the study and indicates the need for further research.
authors: Institute of Health Promotion and Clinical Movement Science, German Sport University Cologne, Cologne, Germany IST-University of Applied Sciences, Duesseldorf, Germany a.schaller@dshs-koeln.de.
authors: Andrea
authors: A
authors: Schaller
authors: IST-University of Applied Sciences, Duesseldorf, Germany.
authors: Charalabos-Markos
authors: CM
authors: Dintsios
authors: IST-University of Applied Sciences, Duesseldorf, Germany.
authors: Andrea
authors: A
authors: Icks
authors: Public Health Unit, Centre for Health and Society, Faculty of Medicine, Heinrich Heine University, Düsseldorf, Germany.
authors: Nadine
authors: N
authors: Reibling
authors: Institute of Health Promotion and Clinical Movement Science, German Sport University Cologne, Cologne, Germany.
authors: Ingo
authors: I
authors: Froboese
mesh_terms: D000328:Adult; D000359:Aftercare / Q000379:methods*; D059350:Chronic Pain / Q000534:rehabilitation*; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008297:Male; D000071252:Mentoring; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome
keywords: Physical activity promotion; low back pain; rehabilitation