A service evaluation specifying the active components of a functional restorative programme to promote management of persistent non-specific low back pain. (October 2021)

• Record Type: Journal Article
• Authors: Kennedy, Danica; Thomas, Amy; Hoefkens, Toni; Limbert, Caroline; Seage, Catherine Heidi
• Is Part Of: Musculoskeletal science and practice. Volume 55(2021)
• Publication Date: 2021-10
• Subjects: Behaviour change -- Taxonomy -- Low back pain -- Functional restoration intervention -- Combined physical and psychological programme; Manipulation (Therapeutics) -- Periodicals; Physical therapy -- Periodicals; Neuromuscular diseases -- Treatment -- Periodicals; Musculoskeletal system -- Diseases -- Periodicals; Manipulation (Therapeutics); Neuromuscular diseases -- Treatment; Physical therapy; Manipulation, Orthopedic; Musculoskeletal Diseases -- therapy; Neuromuscular Diseases -- therapy; Physical Therapy Modalities; Electronic journals; Periodicals; 615.82
• DOI: 10.1016/j.msksp.2021.102404
• Languages: English
• ISSNs: 2468-8630

Abstract

Abstract: Background: Functional Restorative Programmes (FRP) for persistent non-specific lower back pain have been shown to be effective, but they often lack sufficient detailed reporting of the intervention components to allow for accurate replication. Objectives: This study used the Behaviour Change Technique Taxonomy (v1) (BCTi) [1] to identify the main components of one such programme and interviewed patients to identify the most effective programme components and areas for improvement. Design: A mixed methods design was used. Methods: Intervention data were coded using the BCT Taxonomy (v1) to identify the BCTs utilised. Following this, semi-structured interviews with nine patients evaluated the BCTs included using thematic analysis and identified possible techniques for inclusion in future developments of the programme. Results: Forty-one different BCTs were identified in the coding phase with frequency of occurrence in the programme ranging from forty-nine to one. Four main themes emerged from the interviews: Social Support, Shaping Knowledge, Repetition and Substitution and Changes in Mindset. Conclusion: The results of this study identify the key ingredients in a programme for persistent, non-specific lower back pain, which facilitates the replication of this intervention and identified areas patients appreciated most as well as areas for improvement. Highlights: The BCT Taxonomy can highlight BCTs included within a PNSLB programme post hoc. Reliability of coding should be further investigated. Participant Interviews can identify effective BCTs and BCTs to be added. Future research should interview clinicians. Future research should use video recordings to identify (un)planned BCTs delivered.