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This pilot study found the Healthy Back Curriculum program not feasible for chronic low back pain (CLBP) due to recruitment and retention challenges. Future trials require modifications based on these findings for effective CLBP management.

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Area of Science:

  • Physical Therapy
  • Rehabilitation Medicine
  • Public Health Interventions

Background:

  • Exercise therapy shows modest benefits for chronic low back pain (CLBP).
  • Community programs, like the YMCA's Healthy Back Curriculum, offer lifestyle modifications.
  • Previous YMCA programs ran from 1974 to 2004.

Purpose of the Study:

  • To assess the feasibility of a larger randomized controlled trial (RCT) for the Healthy Back Curriculum program.
  • To evaluate recruitment, retention, and adherence in a CLBP population.
  • To inform future trial design for this intervention.

Main Methods:

  • A 2-arm parallel randomized pilot trial was conducted.
  • Seventy-eight adults (18-64 years) with CLBP were randomized.
  • Interventions included group stretching classes versus a self-care book.

Main Results:

  • Sixty participants completed the 24-week study (30 per group).
  • Eligibility rate was 60% from invited participants.
  • Group stretching arm retention was 70% (30/43), with 42% class attendance.

Conclusions:

  • The pilot trial did not meet predefined feasibility benchmarks.
  • Recruitment and adherence challenges suggest modifications are needed.
  • A larger trial should incorporate lessons learned from this pilot study.