Evidence map›Paper›PMID 40483639›Full record

ArticleSports medicine - open2025

Fears and beliefs about running in adults with chronic low back pain: a mixed methods study from the ASTEROID randomised controlled trial.

Christopher Neason, Claire L Samanna, Scott D Tagliaferri, Daniel L Belavý, Paul Buntine, Matthew J Clarkson, Clint T Miller, Ulrike H Mitchell, Niamh L Mundell, David Scott and 1 more

Abstract read
In one paragraph

Article in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Christopher NeasonEastern Health Clinical School, Monash University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0002-7937-7737
Claire L SamannaEastern Health Clinical School, Monash University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-5035-7006
Scott D TagliaferriOrygen, Parkville, VIC, Australia.ORCID http://orcid.org/0000-0003-3669-4131
Daniel L BelavýDepartment of Applied Health Sciences, Division of Physiotherapy, Hochschule für Gesundheit (University of Applied Sciences), Gesundheitscampus 6-8, 44801, Bochum, Germany.ORCID http://orcid.org/0000-0002-9307-832X
Paul BuntineEastern Health Clinical School, Monash University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-4329-3117
Matthew J ClarksonInstitute for Health and Sport, Victoria University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-0447-9269
Clint T MillerInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID http://orcid.org/0000-0001-7743-6986
Ulrike H MitchellDepartment of Exercise Sciences, Brigham Young University, Provo, UT, USA.ORCID http://orcid.org/0000-0002-2298-8756
Niamh L MundellInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID https://orcid.org/0000-0001-5406-3216
David ScottInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID http://orcid.org/0000-0001-5226-1972
Patrick J OwenEastern Health Clinical School, Monash University, Melbourne, VIC, Australia. patrick.owen@easternhealth.org.au.ORCID http://orcid.org/0000-0003-3924-9375

Funding

Deakin University Dean's Post-Doctoral Research FellowshipNational Health and Medical Research Council GNT1174886University of Melbourne Sir Randal Heymanson Fellowship
6 · The paper itself

Abstract

backgroundThe stigma that running is unsafe for people with chronic low back pain (LBP) persists, despite recent studies showing that running training is feasible and beneficial in chronic LBP. We examined the beliefs about running in adults with chronic LBP.

methodsForty adults (20 female, mean [SD] age 33 [6] years) with non-specific chronic LBP were randomised to a 12 week digitally-delivered run-walk interval training intervention or waitlist control (ACTRN12622001276741). Participants completed the activity specific beliefs questionnaire (4-point Likert scale) and recorded pain intensity at baseline and 12 weeks. Running intervention participants (n = 19) completed semi-structured qualitative interviews at 12 weeks.

resultsPrior to randomisation, 10 participants (25%; intervention: n = 6) reported that running was unsafe. At follow-up, greater mean improvements were seen in the intervention group in the belief that running is safe. Specifically, belief in the safety of running on gravel (β [95%CI] 0.52[0.20, 0.84] points, P = 0.001), pavement (β [95%CI] 0.54[0.18, 0.89] points, P = 0.003), treadmill (β [95%CI] 0.49[0.14, 0.84] points, P = 0.006), and sprinting (β [95%CI]: 0.56[0.06, 1.06] points, P = 0.029) improved more than in the control group. Reflexive thematic analysis identified four themes: (a) fear and concerns that running may increase pain or lead to an injury, (b) negative beliefs are influenced by healthcare professionals and past experience, (c) fears can be overcome and be replaced with new beliefs, and (d) positive experience drives change in beliefs.

conclusionsCompleting a 12 week run-walk interval training intervention led to more positive beliefs about running in adults with chronic LBP. The identified themes can assist clinicians in addressing barriers and facilitators to implementing running interventions for chronic LBP.

trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12622001276741. Registered on 29 September 2022.

Indexed as

Exercise trainingInterval trainingJoggingPhysical activitySafety

Identifiers

PMID40483639
PMCPMC12146238

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.