Physiotherapists should apply health coaching techniques and incorporate accountability to foster adherence to a walking program for low back pain: a qualitative study.

Pocovi, NC; Ayre, J; French, SD; Lin, C-WC; Tiedemann, A; Maher, CG; Merom, D; McCaffrey, K; Hancock, MJ

Physiotherapists should apply health coaching techniques and incorporate accountability to foster adherence to a walking program for low back pain: a qualitative study.

Pocovi, NC Ayre, J

French, SD Lin, C-WC Tiedemann, A Maher, CG Merom, D McCaffrey, K Hancock, MJ

Permalink

Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: J Physiother, 2023, 69, (3), pp. 182-188
Issue Date:: 2023-07

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download full textAdobe PDF (349.53 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Pocovi, NC
dc.contributor.author	Ayre, J https://orcid.org/0000-0002-5279-5189
dc.contributor.author	French, SD
dc.contributor.author	Lin, C-WC
dc.contributor.author	Tiedemann, A
dc.contributor.author	Maher, CG
dc.contributor.author	Merom, D
dc.contributor.author	McCaffrey, K
dc.contributor.author	Hancock, MJ
dc.date.accessioned	2023-09-18T00:27:52Z
dc.date.available	2023-05-15
dc.date.available	2023-09-18T00:27:52Z
dc.date.issued	2023-07
dc.identifier.citation	J Physiother, 2023, 69, (3), pp. 182-188
dc.identifier.issn	1836-9553
dc.identifier.issn	1836-9561
dc.identifier.uri	http://hdl.handle.net/10453/172146
dc.description.abstract	QUESTIONS: What motivates individuals to start a walking program for the prevention of low back pain? What strategies optimise short-term and long-term adherence to a walking program? What strategies can physiotherapists incorporate into clinical practice to facilitate commencement of and adherence to a walking program? DESIGN: Qualitative study. PARTICIPANTS: Twenty-two adults recently recovered from an episode of non-specific low back pain who participated in a 6-month, progressive and individualised walking program that was prescribed by a physiotherapist trained in health coaching. METHODS: Semi-structured focus groups conducted online following completion of the walking program. Interview questions explored: primary motivations for starting a walking program, identification of which elements were useful in optimising adherence to the program, and identification of the barriers to and facilitators of engagement with the program. Audio recordings were transcribed and thematic analysis was conducted. RESULTS: Three major themes were identified. Theme one identified that strong motivators to start a walking program were anticipated improvements in low back pain management and the added general health benefits of a more active lifestyle. Theme two identified that fear of high-impact exercises led to avoidance; however, walking was considered a safe exercise option. Theme three identified accountability, enjoyment of exercise and health benefits were critical to adherence. CONCLUSION: Participants recently recovered from low back pain reflected positively on a physiotherapist-prescribed walking program. Participants described what elements of the program were crucial to starting exercise and optimising adherence. These findings have informed a list of practical recommendations for physiotherapists to improve patient commencement and adherence to exercise.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	J Physiother
dc.relation.isbasedon	10.1016/j.jphys.2023.05.010
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1106 Human Movement and Sports Sciences
dc.subject.classification	Rehabilitation
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	4207 Sports science and exercise
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Low Back Pain
dc.subject.mesh	Physical Therapists
dc.subject.mesh	Mentoring
dc.subject.mesh	Exercise Therapy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Walking
dc.subject.mesh	Humans
dc.subject.mesh	Low Back Pain
dc.subject.mesh	Exercise Therapy
dc.subject.mesh	Walking
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Adult
dc.subject.mesh	Physical Therapists
dc.subject.mesh	Mentoring
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Low Back Pain
dc.subject.mesh	Physical Therapists
dc.subject.mesh	Mentoring
dc.subject.mesh	Exercise Therapy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Walking
dc.title	Physiotherapists should apply health coaching techniques and incorporate accountability to foster adherence to a walking program for low back pain: a qualitative study.
dc.type	Journal Article
utslib.citation.volume	69
utslib.location.activity	Netherlands
utslib.for	1103 Clinical Sciences
utslib.for	1106 Human Movement and Sports Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2023-09-18T00:27:52Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	69
utslib.citation.issue	3

Abstract:

QUESTIONS: What motivates individuals to start a walking program for the prevention of low back pain? What strategies optimise short-term and long-term adherence to a walking program? What strategies can physiotherapists incorporate into clinical practice to facilitate commencement of and adherence to a walking program? DESIGN: Qualitative study. PARTICIPANTS: Twenty-two adults recently recovered from an episode of non-specific low back pain who participated in a 6-month, progressive and individualised walking program that was prescribed by a physiotherapist trained in health coaching. METHODS: Semi-structured focus groups conducted online following completion of the walking program. Interview questions explored: primary motivations for starting a walking program, identification of which elements were useful in optimising adherence to the program, and identification of the barriers to and facilitators of engagement with the program. Audio recordings were transcribed and thematic analysis was conducted. RESULTS: Three major themes were identified. Theme one identified that strong motivators to start a walking program were anticipated improvements in low back pain management and the added general health benefits of a more active lifestyle. Theme two identified that fear of high-impact exercises led to avoidance; however, walking was considered a safe exercise option. Theme three identified accountability, enjoyment of exercise and health benefits were critical to adherence. CONCLUSION: Participants recently recovered from low back pain reflected positively on a physiotherapist-prescribed walking program. Participants described what elements of the program were crucial to starting exercise and optimising adherence. These findings have informed a list of practical recommendations for physiotherapists to improve patient commencement and adherence to exercise.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/172146