Evidence map›Paper›PMID 42836969›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Adherence to home-based exercise therapy in adults with non-specific chronic low back pain: a cross-sectional study of 491 participants of the ComPaRE cLBP e-cohort (ADHERE II).

Julien Giraudo-Guglielmi, Leslie Toko Kamga, Marie-Ombeline Chagnas-Martin, Emmanuel Coudeyre, Camille Daste, Mathieu de Sèze, Arnaud Dupeyron, Quentin Kirren, Marie-Martine Lefèvre-Colau, Vanina Nicol and 5 more

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Article in 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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Julien Giraudo-GuglielmiAssistance Publique - Hôpitaux de Paris, Paris, France.ORCID https://orcid.org/0009-0008-3450-6727
Leslie Toko KamgaAssistance Publique - Hôpitaux de Paris, Paris, France.
Marie-Ombeline Chagnas-MartinAssistance Publique - Hôpitaux de Paris, Paris, France.
Emmanuel CoudeyreUniversity of Clermont Auvergne, Clermont-Ferrand, France.ORCID https://orcid.org/0000-0001-5753-2890
Camille DasteUniversité Paris Cité, Paris, France.
Mathieu de SèzeUniversity of Bordeaux, Bordeaux, France.ORCID https://orcid.org/0000-0003-0427-3594
Arnaud DupeyronUniversity of Nîmes, Nîmes, France.ORCID https://orcid.org/0000-0001-5085-3739
Quentin KirrenUniversité Paris Cité, Paris, France.
Marie-Martine Lefèvre-ColauUniversité Paris Cité, Paris, France.
Vanina NicolAssistance Publique - Hôpitaux de Paris, Paris, France.
Isabelle PaneAssistance Publique - Hôpitaux de Paris, Paris, France.
François RannouUniversité Paris Cité, Paris, France.ORCID https://orcid.org/0000-0001-8780-4797
Alexandra RörenUniversité Paris Cité, Paris, France.
Viet-Thi TranUniversité Paris Cité, Paris, France.ORCID https://orcid.org/0000-0003-1863-6739
Christelle NguyenUniversité Paris Cité, Paris, France. christelle.nguyen2@aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise therapy is part of the core treatment of non-specific chronic low back pain (cLBP) and is usually first delivered under the supervision of a health care provider, then home-based. Adherence to home-based exercise therapy is a key contributor to clinical response. However, reproducible standardized measure of adherence is lacking and determinants of adherence, especially the role of supervision, have not been fully explored. We aimed: 1/ to report adherence to exercise therapy in adults with non-specific cLBP, 2/ to assess whether supervision could influence adherence, and 3/ to identify contributors to adherence.

methodsWe assessed adherence to exercise therapy in a sample of participants from the ComPaRe cLBP French e-cohort using the Exercise Adherence Rating Scale (EARS). Adherence to home-based exercise therapy was defined as a score ≥ 3/4 on the first item of the EARS. We compared modalities of supervision between adherent and non-adherent participants. Finally, we performed logistic regression to identify independent contributors to adherence.

findingsOverall, 491 adults with non-specific cLBP were included in the analysis. Adherence to home-based exercise therapy was 45%. Bivariate analysis showed that adherent participants more often received supervised sessions within the last 6 months. Multivariate analysis showed that higher levels of physical activity before the onset of cLBP, lower intensity of cLBP and lower burden of treatment were associated with a higher adherence to home-based exercise therapy (odds ratio [95% confidence interval]: 2.66 [1.77; 4.00], 1.01 [1.00; 1.02] and 0.95 [0.94; 0.96], respectively).

conclusionsWe found that 45% of adults with non-specific cLBP were adherent to home-based exercise therapy. We were unable to demonstrate a significant influence of supervision on adherence.

Indexed as

AdherenceExercise TherapyLow back painPhysical Activity

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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.