An evaluation of self-efficacy of patients with chronic pain attending a community based exercise program.

Status

Terminated

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12618000043235

Enrollment

Registered

2018-01-15

Start date

2018-01-19

Completion date

2018-07-24

Last updated

2020-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to evaluate the pain self-efficacy, or confidence, of participants undertaking a ten week group exercise program for people with chronic pain. Specifically this study aims to answer the following questions: 1. Does the pain self-efficacy of participants attending the Physiocise Foundations program change between the initial assessment, the end of the ten week program and the 3 month follow-up? 2. Does participants level of confidence to perform set tasks at home change between weeks 1, 5 and 10 of the program? 3. Are there any associations between participants’ outcome scores for Goal Attainment Scale, and their pain self-efficacy, level of disability and fear avoidance scores?

Interventions

This project is a prospective observational study of participants in a pre existing group exercise program (called Physiocise ) for people with chronic pain. It aims to evaluate the self-efficacy of participants in regards to their pain during a 10 week combined cognitive behavioural therapy and exercise program and whether any changes seen, continue to a three month follow up. This study also aims to understand which components of the Physiocise program, if any, are associated with changes in self efficacy. Standard Physiocise Protocol: Participants attend a one hour exercise class once a week for ten weeks. The classes will be held at the Physiocise studios in Willoughby Sydney and will have the same physiotherapist teaching each week as well as the same participants. Participants are encouraged to read specific educational material or watch a Physiocise exercise clip that is emailed to them on the Monday of each week. The educational component of classes is taught by the Physiotherapist and includes teaching participants about chronic pain, CBT strategies, strategies for relieving their pain, postural advice and movement advice. The exercise component of the classes involves postural re-education as well as teaching better movement patterns whilst also practising strengthening exercises. Classes are planned to focus on functional tasks such as standing, sitting, bending, walking, lifting and stairs. The information is presented by the class physiotherapist then practised in the classroom as a group. The sessions in weeks 1, 2, 3 and 4 consist of approximately 40 minutes of education and 20 minutes of movement re-education and exercise. The sessions in weeks 5 - 10 consist of approximately 15 minutes of education and 45 minutes of movement re-education and exercise. As this study is evaluating possible changes to self-efficacy of patients attending a preexisting exercise program the majority of the data being used is collected by Physiocise as a normal part of their program. The only additional questionnaires are a pain self-efficacy questionnaire and a goal attainment scale (GAS). A confidence visual analogue score has been added to the existing homework sheets provided in weeks 1, 5 and 10 of the program.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

1 Chronic pain which may or may not be back pain (is pain lasting > 3 months duration) 2 VAS greater than or equal to 2 3 Be able to read and understand written and spoken English 4 Have completed their Initial Assessments at Physiocise in the four weeks prior to the commencement of the exercise class. 5 Be 18 years or older 6 Have access to the internet for the 3 month email follow up 7 Be able to participate the full ten weeks of the Physiocise Foundations program

Exclusion criteria

1 Currently pregnant 2 Low back pain that is attributable to a recognisable known specific pathology (eg infection, tumour, fracture, inflammatory disorder).

Outcome results