Perceived social support impacts on exercise adherence in patients with chronic low back pain.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-08-10 DOI:10.3233/BMR-230239

Katharine E Roberts, Emma Ho, Carolina Gassen-Fritsch, Mark Halliday, Manasi Murthy Mattinty, Paulo Ferreira

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引用次数: 0

Abstract

Background: Initiating and maintaining physical activity is particularly difficult for at-risk groups such as those with chronic low back pain (LBP).

Objective: This study aimed to assess whether there is a relationship between perceived social support (e.g., emotional and physical support) in individuals recently discharged from treatment for chronic LBP and the number of exercise sessions and total amount of exercise they perform over a 6-month period. This study also aimed to investigate a possible mediation effect of exercise self-efficacy on the relationship between perceived social support and exercise adherence (number of exercise sessions and total amount of exercise).

Methods: This prognostic study employed a secondary analysis of data collected for The Buddy Study; Data was collected through online weekly diaries over a 6-month period. Poisson regression analyses were used to quantify the relationship between social support at baseline and total number of exercise sessions, and total amount of exercise performed (frequency and duration) in the 6-month follow-up period. Where a relationship was observed, the Stata SEM command was used for the mediation analysis.

Results: A positive relationship was found between participants' perceived levels of social support at baseline and the total number of exercise sessions they performed (IRR = 1.56, 95%CI: 1.18 to 2.06) and the total amount of exercise they performed (IRR = 1.57, 95%CI: 1.05 to 2.35) during the 6-month follow-up period. No mediating relationship was found between exercise self-efficacy at 3-months and the total number of exercise sessions performed (β 3.96, 95% CI: -4.91 to 12.84), or the total amount of exercise performed (β 243.96, 95% CI: -258.08 to 746.01).

Conclusion: Social support is potentially an important aspect of exercise adherence, following discharge from treatment, for those with chronic LBP. People's self-efficacy to exercise does not appear to mediate this relationship. Harnessing social support following physiotherapy treatment may increase exercise adherence and may therefore improve long term outcomes for those with chronic LBP.

查看原文本刊更多论文

感知到的社会支持对慢性腰背痛患者坚持锻炼的影响。

背景：对于慢性腰背痛患者等高危人群来说，开始和坚持体育锻炼尤其困难：本研究旨在评估刚从慢性腰背痛治疗中出院的患者所感知到的社会支持（如情感支持和身体支持）与他们在 6 个月内的锻炼次数和锻炼总量之间是否存在关系。本研究还旨在调查运动自我效能感对感知到的社会支持与坚持运动（运动次数和运动总量）之间关系可能产生的中介效应：这项预后研究对 "巴迪研究 "收集的数据进行了二次分析；数据是通过在线每周日记收集的，为期6个月。研究采用泊松回归分析来量化基线时的社会支持与运动总次数之间的关系，以及6个月随访期间的运动总量（频率和持续时间）。如果发现两者之间存在关系，则使用 Stata SEM 命令进行中介分析：结果发现，基线时参与者感知到的社会支持水平与他们进行锻炼的总次数（IRR = 1.56，95%CI：1.18 至 2.06）以及他们在 6 个月随访期间进行锻炼的总次数（IRR = 1.57，95%CI：1.05 至 2.35）之间存在正相关关系。3个月时的运动自我效能感与运动总次数（β 3.96，95% CI：-4.91 至 12.84）或运动总量（β 243.96，95% CI：-258.08 至 746.01）之间未发现中介关系：结论：对于慢性腰椎间盘突出症患者来说，社会支持可能是他们出院后坚持锻炼的一个重要方面。人们的运动自我效能似乎并不影响这种关系。在物理治疗后利用社会支持可能会提高运动依从性，从而改善慢性腰椎间盘突出症患者的长期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.