MyBack - effectiveness and implementation of a behavior change informed exercise programme to prevent low back pain...

Area of Science:

• Rehabilitation Medicine
• Public Health
• Behavioral Science

Background:

• Low back pain (LBP) is a leading cause of global disability, with high recurrence rates.
• Effective secondary prevention strategies and real-world implementation remain challenging.
• Limited evidence exists for interventions targeting LBP recurrence prevention.

Purpose of the Study:

• To analyze the effectiveness of the MyBack programme for secondary prevention of LBP.
• To evaluate the acceptability, feasibility, and implementation determinants of the MyBack programme.
• To assess the implementation strategy of the MyBack programme in a real-world context.

Main Methods:

• A hybrid type I randomized controlled trial (NCT05841732) in primary health care.
• The MyBack programme integrates the Behaviour Change Wheel and FITT-VP principles.
• Patients recently recovered from LBP are randomized to MyBack plus usual care or usual care alone, with 1-year follow-up.

Main Results:

• Primary outcome: risk of LBP recurrence.
• Secondary outcomes: disability, pain intensity, musculoskeletal health, quality of life.
• Implementation outcomes: acceptability, feasibility, adherence, and cost-effectiveness data.

Conclusions:

• This is the first study to assess the effectiveness and implementation of a tailored program for LBP recurrence prevention.
• Findings are expected to inform healthcare for patients at risk of LBP recurrence.
• The study aims to reduce direct and indirect costs associated with LBP recurrences for patients and the healthcare system.