Improving COmmuNication skills aNd Exercise Compliance in physioTherapy (CONNECT)

Testing a theory-based intervention designed to increase chronic low back pain patients adherence to physiotherapists recommendations

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN63723433

Enrollment

292

Registered

2012-01-11

Start date

2011-04-01

Completion date

Unknown

Last updated

2017-05-08

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

Conditions

Chronic low back pain Musculoskeletal Diseases Low back pain

Interventions

Patients (n = 146) in the experimental arm will receive treatment from physiotherapists who have participated in self-determination theory (SDT)-communication skills training. Patients in the control

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Between 18-70 years 2. Low back pain (LBP) of mechanical origin with/without radiation to the lower limb 3. Chronic (=3 months) 4. English speaking and English literate 5. Access to a telephone

Exclusion criteria

Exclusion criteria: 1. Spinal surgery or history of systemic/inflammatory disease 2. Scheduled for major surgery during treatment 3. Received treatment for CLBP within previous 3 months 4. Suspected or confirmed pregnancy 5. Unstable angina/uncontrolled cardiac dysrhythmias/severe aortic stenosis/acute systemic infection accompanied by fever 6. Patients with acute (< 6 weeks) or subacute LBP (6-12 weeks)

Design outcomes

Primary

Measure	Time frame
1. Adherence; measured at weeks 1, 4, 12 and 24 1.1. The Injury-Rehabilitation Adherence Scale completed by the therapists 1.2. The Injury-Rehabilitation Adherence Scale completed by the patient 1.3. A Home-Exercise Compliance Assessment 2. Self-reported physical activity; measured at baseline (week 0) and at weeks 1, 4, 12 and 24 with the International Physical Activity Questionnaire 3. Low back pain symptoms; measured at baseline (week 0) and at weeks 4, 12 and 24 with pain intensity and pain bothersomeness 4. Pain-related activity limitation; measured at baseline (week 0) and at weeks 4, 12 and 24 measures with: 4.1. The Roland Morris Disability Questionnaire 4.2. The Patient Specific Functional Scale 5. Quality of life; measured at baseline (week 0) and at weeks 4, 12 and 24 with the European Quality of Life Questionnaire. Baseline (week 0) refers to the 24 hours before the initial physiotherapy session.	—

Measure

Time frame

1. Adherence; measured at weeks 1, 4, 12 and 24 1.1. The Injury-Rehabilitation Adherence Scale completed by the therapists 1.2. The Injury-Rehabilitation Adherence Scale completed by the patient 1.3. A Home-Exercise Compliance Assessment 2. Self-reported physical activity; measured at baseline (week 0) and at weeks 1, 4, 12 and 24 with the International Physical Activity Questionnaire 3. Low back pain symptoms; measured at baseline (week 0) and at weeks 4, 12 and 24 with pain intensity and pain bothersomeness 4. Pain-related activity limitation; measured at baseline (week 0) and at weeks 4, 12 and 24 measures with: 4.1. The Roland Morris Disability Questionnaire 4.2. The Patient Specific Functional Scale 5. Quality of life; measured at baseline (week 0) and at weeks 4, 12 and 24 with the European Quality of Life Questionnaire. Baseline (week 0) refers to the 24 hours before the initial physiotherapy session.

—

Secondary

Measure	Time frame
1. Objective Physical Activity: measured at weeks 4, 12 and 24 with pedometers 2. Fear avoidance; measured at baseline (week 0) and at weeks 4, 12 and 24 with Fear Avoidance Back Beliefs Questionnaire 3. Global Perception of improvement; measured at baseline (week 0) and at weeks 4, 12 and 24 with the Global Perceived Effect scale 4. Motivation; measured at baseline (week 0), immediately after the initial physiotherapy session and at weeks 4, 12 and 24 with the Treatment Self-Regulation Questionnaire 5. Perceived competence; measured at baseline (week 0), immediately after the initial physiotherapy session and at weeks 4, 12 and 24 with the Perceived Competence Scale 6. Autonomy support; measured immediately after the initial physiotherapy session and at week 4, with the Health Care Climate Questionnaire completed by the patients	—

Measure

Time frame

1. Objective Physical Activity: measured at weeks 4, 12 and 24 with pedometers 2. Fear avoidance; measured at baseline (week 0) and at weeks 4, 12 and 24 with Fear Avoidance Back Beliefs Questionnaire 3. Global Perception of improvement; measured at baseline (week 0) and at weeks 4, 12 and 24 with the Global Perceived Effect scale 4. Motivation; measured at baseline (week 0), immediately after the initial physiotherapy session and at weeks 4, 12 and 24 with the Treatment Self-Regulation Questionnaire 5. Perceived competence; measured at baseline (week 0), immediately after the initial physiotherapy session and at weeks 4, 12 and 24 with the Perceived Competence Scale 6. Autonomy support; measured immediately after the initial physiotherapy session and at week 4, with the Health Care Climate Questionnaire completed by the patients

—

Countries

Ireland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026