Kim L Bennell1, Charlotte J Marshall, Fiona Dobson, Jessica Kasza, Chris Lonsdale, Rana S Hinman. 1. From the Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Victoria, Australia (KLB, CJM, FD, RSH); Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia (JK); and Institute for Positive Psychology and Education, Faculty of Health Sciences, Australian Catholic University, Sydney, New South Wales, Australia (CL).
Abstract
OBJECTIVE: The aim of the study was to evaluate whether a web-based exercise programming system improves adherence to a home exercise program for people with musculoskeletal conditions. DESIGN:Eligible patients with a musculoskeletal condition presenting to a physical therapist in private practice were randomized to the following: (a) control (home exercise prescribed by therapist's usual methods) or (b) intervention (home exercise prescribed using a web-based exercise programming system). The primary outcome was self-rated exercise adherence measured at week 3 via 11-point Numeric Rating Scales. Secondary outcomes were satisfaction with exercise delivery and confidence in ability to undertake prescribed exercise. Process measures were also included. RESULTS:We enrolled 305 participants, with loss to follow-up of 14.5% (22/152) and 13.7% (21/153) in intervention and control groups, respectively. Compared with controls, the intervention group reported higher exercise adherence (mean difference Numeric Rating Scale units (95% confidence intervals): adherence overall -1.0 [-1.6 to -0.3] and regarding number of exercises in session -0.7 [-1.3 to -0.1], number of repetitions -0.8 [-1.4 to -0.2], and number of sessions -1.0 [-1.6 to -0.3]). The intervention group showed greater confidence to exercise than control, with no difference in satisfaction. CONCLUSIONS: A web-based exercise programming system improved home exercise adherence and confidence in ability to undertake exercise, although the clinical relevance of the results needs to be established.
RCT Entities:
OBJECTIVE: The aim of the study was to evaluate whether a web-based exercise programming system improves adherence to a home exercise program for people with musculoskeletal conditions. DESIGN: Eligible patients with a musculoskeletal condition presenting to a physical therapist in private practice were randomized to the following: (a) control (home exercise prescribed by therapist's usual methods) or (b) intervention (home exercise prescribed using a web-based exercise programming system). The primary outcome was self-rated exercise adherence measured at week 3 via 11-point Numeric Rating Scales. Secondary outcomes were satisfaction with exercise delivery and confidence in ability to undertake prescribed exercise. Process measures were also included. RESULTS: We enrolled 305 participants, with loss to follow-up of 14.5% (22/152) and 13.7% (21/153) in intervention and control groups, respectively. Compared with controls, the intervention group reported higher exercise adherence (mean difference Numeric Rating Scale units (95% confidence intervals): adherence overall -1.0 [-1.6 to -0.3] and regarding number of exercises in session -0.7 [-1.3 to -0.1], number of repetitions -0.8 [-1.4 to -0.2], and number of sessions -1.0 [-1.6 to -0.3]). The intervention group showed greater confidence to exercise than control, with no difference in satisfaction. CONCLUSIONS: A web-based exercise programming system improved home exercise adherence and confidence in ability to undertake exercise, although the clinical relevance of the results needs to be established.
Authors: David Hohenschurz-Schmidt; Whitney Scott; Charlie Park; Georgios Christopoulos; Steven Vogel; Jerry Draper-Rodi Journal: Schmerz Date: 2022-07-14 Impact factor: 1.629
Authors: Tjarco Koppenaal; Remco M Arensman; Johanna M van Dongen; Raymond W J G Ostelo; Cindy Veenhof; Corelien J J Kloek; Martijn F Pisters Journal: BMC Musculoskelet Disord Date: 2020-04-22 Impact factor: 2.362
Authors: Holly E L Evans; Cynthia C Forbes; Corneel Vandelanotte; Daniel A Galvão; Robert U Newton; Gary Wittert; Suzanne Chambers; Ganessan Kichenadasse; Nicholas Brook; Danielle Girard; Camille E Short Journal: Int J Behav Med Date: 2020-09-23