There is moderate quality evidence that exercise can help to prevent future low back pain (LBP). This study aimed to explore patient needs and preferences for exercise programs to prevent LBP and the outcomes of these programs that would be most important to a patient. Researchers conducted 26 semistructured interviews with people with LBP. Interviews were audio-recorded, transcribed, and analysed using framework thematic analysis. Three themes were developed. Theme 1 emphasised that everyone's LBP was different, translating to preferences for tailored prevention programs with a high level of initial supervision and individualised biomedical explanations for the program. Theme 2 highlighted important outcomes. Pain was considered not only for intensity but also for the duration, frequency, and severity of flare-ups or episodes. Other important outcomes were general fitness and capacity to engage in everyday activities, social interactions, and work. Theme 3 outlined aspects of exercise programs that were considered important for people with fluctuating pain, including how to foster a sense of “progress,” set realistic expectations, and support patients to establish exercise routines that can adapt to fluctuating pain. Theme 4 discussed participants' desire for social connection. Patients want exercise programs for LBP prevention, which are highly individualised, provide meaningful explanations of exercises, and help them maintain exercise in the long-term. Clinicians should discuss with patients the transition from a focus on treatment to the prevention of LBP. This provides greater opportunity to adjust goals and expectations and provide relevant education. Balancing the need for individualised care against affordability presents an ongoing challenge.

有中等质量的证据表明运动有助于预防未来的腰痛 (LBP)。本研究旨在探讨患者对预防腰痛的运动项目的需求和偏好，以及对患者最重要的这些项目的结果。研究人员对 LBP 患者进行了 26 次半结构化访谈。采访内容被录音、转录，并使用框架主题分析进行分析。开发了三个主题。主题 1 强调每个人的 LBP 都是不同的，这转化为对定制预防计划的偏好，以及对计划的高水平初始监督和个性化生物医学解释。主题 2 强调了重要成果。疼痛不仅要考虑强度，还要考虑发作或发作的持续时间、频率和严重程度。其他重要的结果是总体健康状况以及参与日常活动、社交互动和工作的能力。主题 3 概述了运动计划中被认为对波动性疼痛患者很重要的各个方面，包括如何培养“进步”感、设定切合实际的期望以及支持患者建立能够适应波动性疼痛的锻炼习惯。主题 4 讨论了参与者对社交联系的渴望。患者希望预防腰痛的运动计划高度个性化，对运动提供有意义的解释，并帮助他们长期保持运动。临床医生应与患者讨论从关注治疗到预防 LBP 的转变。这提供了更大的机会来调整目标和期望并提供相关教育。平衡个性化护理的需求和负担能力是一个持续的挑战。