Low back pain (LBP) is a long-term health condition with an unpredictable pattern of symptomatic episodes, remission, and recurrence. Recently published systematic reviews suggest that exercise is the most effective intervention for preventing recurrences of LBP in persons that have recovered. Similar programs may also be effective in preventing flare-ups in persistent LBP. The aim of this study was to test the feasibility of the Back to Living Well program (Physical activity + Education + Self-management) developed to prevent recurrence or flare-ups of LBP. The study evaluated feasibility in terms of recruitment rate, adherence, satisfaction with the exercise and education sessions, and the data collection procedures. We also aimed to evaluate barriers and facilitators to the engagement in the program. Seventeen participants with non-specific LBP recently discharged from care from physiotherapy, chiropractors or physician care (< 3 months) were referred to the study by health care providers or community advertisements between December 2018 and February 2019. Participants underwent a 12-week (1 session/week) individualized, group-based exercise in the community and 4 sessions (30 min each) of education. All participants completed an action plan weekly for 12 weeks and wore an activity monitor for 6 months. All participants responded to weekly pain measures and completed study questionnaires at baseline, 3- and 6-months. Feasibility outcomes included recruitment, attrition rates and satisfaction. At the end of the intervention, participants completed an end-of-program survey. Twenty-nine participants were screened for eligibility; 20 were deemed eligible, while 17 were included over a 2-month period meeting our feasibility targets. In total, 16 completed follow-up study questionnaires at 3 months, and 15 completed the 6-month follow-up. Fourteen participants responded to weekly messages, while 3 participants reported not having a mobile device or Internet access. In total, 15 participants responded to our end-of-program survey. Average age was 54.9 (11.7); 9 were female (53%), and the mean duration of LBP was 62.9 (69.7) months. All satisfaction responses in relation to the exercise program, education program and data collection procedures reached our threshold of 70% out of 100%. Reported barriers to engagement in the program included fear of injury, lack of motivation and travel. Facilitators included proximity to home, low cost, flexible schedule and friendly location. The results show the program is feasible in terms of recruitment, low attrition, and patient satisfaction. Participants highlighted the excellent, relevant education program and the positive, personalized exercise. Future studies should evaluate the effectiveness of this intervention within a fully powered randomized controlled trial. NCT03328689

中文翻译：

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回到美好生活：以社区为基础的腰痛管理：可行性研究

腰痛 (LBP) 是一种长期健康状况，其症状发作、缓解和复发的模式不可预测。最近发表的系统评价表明，运动是预防康复者腰痛复发的最有效干预措施。类似的计划也可能有效预防持续性腰痛的发作。本研究的目的是测试旨在预防腰痛复发或突发的“回归健康生活”计划（体育活动+教育+自我管理）的可行性。该研究从招募率、依从性、对锻炼和教育课程的满意度以及数据收集程序等方面评估了可行性。我们还旨在评估参与该计划的障碍和促进因素。2018 年 12 月至 2019 年 2 月期间，医疗保健提供者或社区广告将 17 名最近从物理治疗、脊椎按摩师或医生护理中出院（< 3 个月）的非特异性 LBP 参与者转介至该研究。参与者接受了为期 12 周（1课程/周）在社区进行个性化、基于小组的锻炼和 4 节课程（每节 30 分钟）教育。所有参与者在 12 周内每周完成一项行动计划，并佩戴活动监视器 6 个月。所有参与者均对每周疼痛测量做出回应，并在基线、3 个月和 6 个月时完成研究问卷。可行性结果包括招聘、流失率和满意度。干预结束时，参与者完成了项目结束调查。对 29 名参与者进行了资格筛选；20 家被认为符合资格，而 17 家在 2 个月的时间内被纳入其中，达到了我们的可行性目标。总共有 16 人在 3 个月时完成了随访研究问卷，15 人完成了 6 个月的随访。14 名参与者回复了每周的消息，而 3 名参与者报告没有移动设备或互联网接入。总共有 15 名参与者对我们的项目结束调查做出了回应。平均年龄为 54.9 岁 (11.7 岁)；9 名女性（53%），LBP 平均持续时间为 62.9（69.7）个月。与锻炼计划、教育计划和数据收集程序相关的所有满意度反馈都达到了 70% 的阈值（满分 100%）。据报告，参与该计划的障碍包括担心受伤、缺乏动力和旅行。便利因素包括靠近家、低成本、灵活的时间安排和友好的地点。结果表明，该计划在招募、低人员流失和患者满意度方面是可行的。参与者强调了优秀、相关的教育计划和积极、个性化的锻炼。未来的研究应该在完全有效的随机对照试验中评估这种干预措施的有效性。NCT03328689