Evidence map›Paper›PMID 30744606›Full record

Trial reportBMC musculoskeletal disorders2019

Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial.

Anita B Amorim, Evangelos Pappas, Milena Simic, Manuela L Ferreira, Matthew Jennings, Anne Tiedemann, Ana Paula Carvalho-E-Silva, Eduardo Caputo, Alice Kongsted, Paulo H Ferreira

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05167877 (Studying Aging, Mobility and Chronic Low Back Pain in Older Adults Using Remote Monitoring), which is not on this map. Cited by 80 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 21 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05167877 completednot on this mapstarted 2023, after this paper: background citation

Studying Aging, Mobility and Chronic Low Back Pain in Older Adults Using Remote Monitoring

TypeobservationalSponsorMcMaster UniversityRan2023 to 2024Enrolled30ConditionsLow Back Pain, Chronic PainArmsNo intervention will be given to the participants
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 21 syntheses or guidelines pooled it, 183 citations in OpenAlex.

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  4. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
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  7. Mobile technologies for rehabilitation in non-specific spinal disorders: a systematic review of the efficacy and potential for implementation in low- and middle-income countries.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
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  18. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Anita B AmorimDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia. abar3926@uni.sydney.edu.au.
Evangelos PappasDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
Milena SimicDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
Manuela L FerreiraInstitute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, Sydney, Australia.
Matthew JenningsPhysiotherapy Department, Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia.
Anne TiedemannSchool of Public Health, The University of Sydney, Sydney, Australia.
Ana Paula Carvalho-E-SilvaDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
Eduardo CaputoPostgraduate Program in Physical Education, Federal University of Pelotas, Pelotas, Brazil.
Alice KongstedDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark. Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
Paulo H FerreiraDiscipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
University of Sydney · AULiverpool Hospital · AUUniversidade Federal de Pelotas · BRUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain is one of the most prevalent musculoskeletal conditions and the highest contributor to disability in the world. It is characterized by frequent relapses leading to additional care-seeking. Engagement in leisure physical activity is associated with lower recurrences and better prognosis and potentially reduced care-seeking. Our aim was to investigate the feasibility and preliminary efficacy of a patient-centred physical activity intervention, supported by health coaching and mobile health, to reduce care-seeking, pain and disability in patients with chronic low back pain after treatment discharge.

methodsWe conducted a pilot randomised controlled trial with blinded outcome assessment. Sixty-eight participants were recruited from four public outpatient physiotherapy departments and the general community in Sydney. The intervention group received a physical activity information booklet, plus one face-to-face and 12 telephone-based health coaching sessions. The intervention was supported by an internet-based application and an activity tracker (Fitbit). Control group (standard care) received the physical activity information booklet and advice to stay active. Feasibility measures included recruitment rate, intervention compliance, data completeness, and participant satisfaction. Primary outcomes were care-seeking, pain levels and activity limitation. Outcomes were assessed at baseline, 6-month follow-up and weekly for 6 months.

resultsNinety potential participants were invited over 15 months, with 68 agreeing to take part (75%). Overall, 903 weekly questionnaires were answered by participants from a total of 1107 sent (89%). Participants were largely satisfied with the intervention (mean = 8.7 out of 10 on satisfaction scale). Intervention group participants had a 38% reduced rate of care-seeking (Incidence Rate Ratio (IRR): 0.62, 95% CI: 0.32 to 1.18, p = 0.14, using multilevel mixed-effects Poisson regression analysis) compared to standard care, although none of the estimates was statistically significant. No between groups differences were found for pain levels or activity limitation.

conclusionThe health coaching physical activity approach trialed here is feasible and well accepted by participants and may reduce care-seeking in patients with low back pain after treatment discharge, although further evaluation with an adequately powered trial is needed.

trial registrationAustralian and New Zealand Trial Registry ACTRN12615000189527 . Registered prospectively on 26-02-2015.

Indexed as

ExerciseHealth Knowledge, Attitudes, PracticeActigraphyAdultAgedCell PhoneChronic PainDisability EvaluationFeasibility StudiesFemaleFitness TrackersHealth BehaviorHealthy LifestyleHumansLow Back PainMaleHealth coachingLow back painMobile healthPhysical activityRandomized controlled trial

Identifiers

PMID30744606
PMCPMC6371593
OpenAlexW2917324591

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.