Evidence map›Paper›PMID 39285417›Full record

Trial reportBMC health services research2024

A community health-coaching referral program following discharge from treatment for chronic low back pain - a qualitative study of the patient's perspective.

Katharine Roberts, Melissa Baysari, Emma Ho, Paula Beckenkamp, Ye Tian, Matthew Jennings, Anita Amorim, Katherine Maka, Rachael Morton, Dragana Ceprnja and 3 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

13 authors.

Katharine RobertsFaculty of Medicine and Health, The University of Sydney, Sydney, Australia. katharine.roberts@sydney.edu.au.ORCID http://orcid.org/0000-0003-0017-0803
Melissa BaysariFaculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0003-1645-9126
Emma HoFaculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-2479-0081
Paula BeckenkampFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0003-3986-6111
Ye TianFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney, Australia.
Matthew JenningsSouth Western Sydney Local Health District, Sydney, NSW, Australia.
Anita AmorimPhysiotherapy Department, Westmead Hospital, Sydney, NSW, Australia.
Katherine MakaNHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Rachael MortonConcord Repatriation General Hospital, Sydney, NSW, Australia.
Dragana CeprnjaNHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Mark HallidayThe George Institute for Global Health, The University of New South Wales, Sydney, Australia.
Manuela FerreiraFaculty of Medicine and Health, School of Health Sciences, Charles Perkins Centre, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-3479-0683
Paulo FerreiraNHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.ORCID http://orcid.org/0000-0002-5861-7770

Funding

National Health and Medical Research Council 1194703University of Sydney APP1180474
6 · The paper itself

Abstract

backgroundGlobal policy and guidelines for low back pain (LBP) management promote physical activity and self-management yet adherence is poor and a decline in outcomes is common following discharge from treatment. Health coaching is effective at improving exercise adherence, self-efficacy, and social support in individuals with chronic conditions, and may be an acceptable, cost-effective way to support people in the community following discharge from treatment for LBP.

aimThis qualitative study aimed to understand which aspects of a community over-the-phone health-coaching program, were liked and disliked by patients as well as their perceived outcomes of the service after being discharged from LBP treatment.

methodsA purposive sampling approach was used to recruit 12 participants with chronic LBP, from a large randomised controlled trial, who were randomly allocated to receive a health coaching program from the Get Healthy Service

resultsThe main themes uncovered regarding the intervention included the positive and negative aspects of the health coaching service and the relationship between the participant and health coach. Specifically, the participants spoke of the importance of the health coach, the value of goal setting, the quality of the advice received, the benefits of feeling supported, the format of the coaching service, and LBP-specific knowledge. They also reported the health coach and the coaching relationship to be the primary factors influencing the program outcomes and the qualities of the coaching relationship they valued most were connection, communication, care, and competence. The sub-themes uncovered regarding the outcomes of the intervention included positive impacts (a greater capacity to cope, increased confidence, increased motivation and increased satisfaction) and negative impacts (receiving no personal benefit). CLINICAL IMPLICATIONS: In an environment where self-management and self-care are becoming increasingly important, understanding the patient's experience as part of a coaching program is likely to lead to improved quality of health coaching care, more tailored service delivery and potentially more effective and cost-effective community-based care for individuals with chronic LBP in the community after being discharged from treatment.

trial registrationThe GBTH trial was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000889954) on 10/9/2020. Ethical approval was prospectively granted by the Western Sydney Local Health District Human Research and Ethics Committee (2020/ETH00115). Written informed consent was obtained from all participants. The relevant sponsor has reviewed the study protocol and consent form.

Indexed as

Low Back PainQualitative ResearchAdultAgedAustraliaChronic PainCommunity Health ServicesFemaleHumansInterviews as TopicMaleMentoringMiddle AgedPatient DischargePatient SatisfactionReferral and ConsultationCommunity-careHealth coachingLow back painPatient’s perspectiveQualitative

Identifiers

PMID39285417
PMCPMC11403819

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.