NCT03470753

Impact of Home Exercise Delivery on Compliance & Outcomes for Musculoskeletal Pain

The Impact of Home Exercise Program Delivery Type on Exercise Compliance and Clinical Outcomes for Musculoskeletal Pain

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 116 (actual)
• Sponsor: Dan Rhon · Federal
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

Patients seeking care for chronic low back or knee pain will be recruited for enrollment, and randomized within two phases (retention and compliance). Patients will consent to a 2-step study design, with independent randomization for each. The initial step will assess retention based on 4 different exercise prescription strategies. This will be assessed short-term, and then the 2nd step will consist of a second independent randomization to receive different reminder strategies to determine their influence on exercise compliance at home.

Detailed description

Patients seeking care for their chronic low back or knee pain will be recruited to participate in a trial investigating the value of different exercise and education prescription strategies as well as strategies to determine the influence of various exercise reminder strategies. On day 1 of enrollment, patients will be randomized and instructed in two different types and amounts of exercises, as well as two types of delivery strategies. The ability to recall and perform these exercises will be assessed 20 minutes after completion of the instructional period (retention). In phase 2, patients will be randomized to receive different reminder strategies (none, email, text, and/or video) and their compliance assessed over a 1 month period (compliance). Self-reported compliance over the first month, and health care utilization outcomes will be analyzed for the 1 year following completion of the 1 month period, in all groups.

Conditions

• Chronic Pain
• Compliance, Patient
• Chronic Low Back Pain
• Knee Pain Chronic

Interventions

Type	Name	Description
OTHER	Number of Exercises	Subjects will receive either 2 or 4 exercises to evaluate the short-term recall and performance.
OTHER	Type of Instruction	The type of instruction in phase 1 will be compared: Instruction by providing a handout only vs being instructed by a provider and practiced by the patient with provider feedback.
OTHER	Delivery Type	In phase 2 subjects will be provided 4 exercises using only a handout vs delivered to them electronically with the addition of a video.
OTHER	Mobile Reminder	A text-message based mobile reminder tool will be utilized to engage with subjects via texting on a daily basis to provide reminders and encouragement to perform their home exercises.

Timeline

• Start date: 2018-01-12
• Primary completion: 2019-06-30
• Completion: 2019-11-30
• First posted: 2018-03-20
• Last updated: 2020-01-18

Locations

1 site across 1 country: United States