None listed
Conditions
Brief summary
Evidence suggests that health coaching is an effective approach to encourage healthy lifestyle habits, including physical activity engagement. These healthy lifestyle changes have been shown to improve patient outcomes and reduce personal healthcare expenditure and care-seeking. Telephone-based health coaching is a promising and emerging intervention for chronic low back pain and has shown to improve physical activity and enhance expectation of recovery in physiotherapy patients. In chiropractic settings, this approach is novel and has the potential to optimise the effectiveness of chiropractic care and encourage patients to take up healthy lifestyle habits through a telephone-based mechanism of support alongside their chiropractic care. Chiropractic patients will participate in a health coaching feasibility study, which will inform the potential for a larger interventional study to explore effectiveness and offer long-term patient engagement with healthy lifestyle habits, such as physical activity. The health coaching intervention includes chiropractic patient participants receiving a patient-centred physical activity plan developed with the advice of the health coach. This physical activity plan will specifically suit patient needs and preferences. Participants will be encouraged to develop goals to suit and gradually increase their physical activity. Health coaching will involve up to 5 individual online / virtual session. We hypothesise that participants in the health coaching program in addition to receiving concurrent usual chiropractic care, will demonstrate improved levels of physical activity, function and reduced levels of pain and rate of careseeking for low back pain. We also hypothesise that participants will build healthy lifestyle habits, and potential to positively impacting physical and mental health, quality of life and healthy ageing.
Interventions
The health intervention of 3 months duration, includes chiropractic patient participants receiving a patient-centred physical activity plan developed with the advice of a certified health coach/accredited allied health professional. This physical activity plan will specifically suit patient needs and preferences, encouraging them to develop goals to suit and gradually increase their physical activity. Health coaching will involve an initial individual online / virtual session, which can take up
The health intervention of 3 months duration, includes chiropractic patient participants receiving a patient-centred physical activity plan developed with the advice of a certified health coach/accredited allied health professional. This physical activity plan will specifically suit patient needs and preferences, encouraging them to develop goals to suit and gradually increase their physical activity. Health coaching will involve an initial individual online / virtual session, which can take up to 1 hour and it will be held over Zoom or similar platform. Subsequent health coaching sessions will be 10-15 minutes duration. Specifically, the health coaching sessions will comprise: 1. Increasing physical activity through an individually developed plan that meets patient lifestyle preferences. Guided by The World Health Organisation (WHO), physical activities will relate (but not limited to) sports, other leisure activities, work and transport activity. 2. Decreasing sedentary behaviour by encouraging an increase in incidental physical activity throughout the day. Opportunities may include (but not limited to) public transportation to work, walking to shops, carrying out a home exercise program, standing at work and spending less time sitting while at home. 3. Setting goals that are to the individual, realistic, can be monitored, and receives positive encouragement. The health coach will work with each participant to set short-term physical activity goals to be achieved fortnightly. The participants’ individual goals will be set taking into consideration the nature of their chronic low back pain. After the first individual virtual coaching session, the health coach will contact each participant 2 week later, and each phone call will be approximately each fortnightly (5 phone calls over a 3-month period for each participant). Calls will comprise of patient progress, updating goals and assist in overcoming barriers. Within the phone call, patients will be asked about their adherence to the intervention.
Sponsors
Matthew Fernandez
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who are 18 years and over with chronic low back pain (persisting for over 12 weeks).
Exclusion criteria
Acute (<6 weeks) low back pain; Planned surgery Currently participating in a supervised exercise program
Outcome results
None listed