None listed
Conditions
Brief summary
This single-arm feasibility trial evaluates the acceptability and practicality of an 8-week intervention combining a structured learn to swim program and (pain) educational sessions aimed at reducing LBP. Participants with LBP will engage in supervised swimming lessons, complemented by an educational content on pain management, physical activity benefits, and self-care strategies. The latter will comprise of two short videos. Primary objective(s) is to assess feasibility indicators, including recruitment and retention rates, adherence to learning to swim, and fidelity of the education sessions. Secondary objectives explore outcomes related to preliminary effects on pain intensity, disability, self-efficacy, fear behaviors and physical activity levels to inform the potential clinical benefits of the program. Hypothesis: This feasibility and small single-arm trial will show participant recruitment, retention and baseline data completion along with follow up rates to be within pre-determined levels. Further, participants will show trends towards greater self-efficacy (belief), and reduced pain and disability - associated with participation in an education and learn to swim program.
Interventions
- Brief educational messages provided to participants. These are readily available video / online resources (reference list below):
1. 'Tame the Beast: It’s Time to Rethink Persistent Pain" is designed to educate viewers on the neuroscience behind persistent pain, encouraging a shift in mindset about pain as a brain-based experience. It highlights concepts like neuroplasticity, emotional influence, and the brain's role in pain perception to empower viewers in managing chronic pain.
2. "Underst
- Brief educational messages provided to participants. These are readily available video / online resources (reference list below): 1. 'Tame the Beast: It’s Time to Rethink Persistent Pain" is designed to educate viewers on the neuroscience behind persistent pain, encouraging a shift in mindset about pain as a brain-based experience. It highlights concepts like neuroplasticity, emotional influence, and the brain's role in pain perception to empower viewers in managing chronic pain. 2. "Understanding Pain in Less than 5 Minutes" explains how pain works and the factors that influence it, while offering strategies to manage pain more effectively. It is aimed at helping individuals, especially parents and healthcare providers, to better understand pain and improve patient outcomes. These videos were assessed and considered of ‘high user engagement’ (1) and are freely available for the public and knowingly focus on simplified explanations and engaging formats like animations, thus making made complex topics accessible and engaging. References: 1. Heathcote LC, Pate JW, Park AL, Leake HB, Moseley GL, Kronman CA, et al. Pain neuroscience education on YouTube. PeerJ. 2019;7:e6603. - Participants will be asked to watch both videos prior to commencing the learn to swim program - learn to swim program comprising 8 weeks, 2 x week for 30 minutes duration - learn to swim supervised and taught by a qualified learnt to swim teacher or accredited swimming coach - lesson contents include but not limited to: * Water Familiarization * Breath Control and Submersion * Floating and Buoyancy * Kicking and Arm Movements * Body Position and Streamlining * Stroke Development * Basic Safety and Survival Skills * Gradual Distance Swimming - lessons will be conducted at approved urban and regional aquatic centers face-to-face - people with back pain may be either in a group or individual session, depending on participant and instructor time and availability. - instructor will take note of and document participant attendance.
Sponsors
CQUniversity
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
Inclusion criteria: 1. Adults aged 18 years + 2. Persistent low back pain (LBP) >12 weeks 3. Pain intensity >2/10 (numerical pain rating scale (NPRS) 4. Desire to learn to swim 5. Able to complete pain education program
Exclusion criteria
Exclusion criteria: 1. Inability to comprehend written English 2. Recent lumbar spine surgery 3. Signs and symptoms indicative of serious pathology causing LBP (bowel or bladder dysfunction, change in sensation in the perineal region, worsening pain at night, recent fevers/illness, or recent worsening of neurological symptoms in the lower legs, i.e., pins and needles, numbness, sensory loss, muscle weakness).
Outcome results
None listed