Feasibility, Effectiveness, and Patient Experience of Online Acceptance and Commitment Therapy Plus Exercises for Older People With Chronic Low Back Pain
NCT ID: NCT06576414
Last Updated: 2024-08-28
Study Results
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Basic Information
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RECRUITING
NA
40 participants
INTERVENTIONAL
2024-07-01
2026-03-01
Brief Summary
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A double-blinded (participants and statistician) pilot randomized controlled trial (RCT) will be conducted to evaluate the feasibility and the relative effects of online ACT plus back exercise training as compared to exercise alone in improving psychological flexibility, physical well-being, and quality of life of community-dwelling older people with CLBP at different time points. The clinical outcomes will be measured at baseline, immediately after the 4-week treatment, and at the 3- and 6-month post-treatment follow-ups. Further, a qualitative research study will be conducted to understand the experiences of participating in online ACT and back exercise training in older people with CLBP (including identifying facilitators and barriers to participation).
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Detailed Description
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After providing the informed consent, participants will undergo baseline assessments. Then they will be randomized into either group. Immediately after the 4-week treatment and at 3- and 6-month post-treatment, participants will be invited to complete another set of questionnaires that are identical to their baseline questionnaires to evaluate the effects of interventions on their pain, physical function, psychological well-being, and quality of life.
Semi-structured interviews will be conducted to collect the user experience of participants in both groups by purposive sampling. The interviews will be conducted immediately post-treatment and at the 6-month post-treatment follow-up to evaluate the perspectives at different time points.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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Older people with online ACT intervention
4 week ACT plus back exercise group
Acceptance and Commitment Therapy (ACT)
the first hour of ACT intervention followed by 1 hour of back exercise class, which led by a trained ACT counsellor and a trained exercise trainer
back exercise
1 hour of back exercise class led by a trained exercise trainer
Older people without ACT intervention
4-week back exercise control group
back exercise
1 hour of back exercise class led by a trained exercise trainer
back care education
1 hour long interactive lesson to participants about LBP-related pathology, disability, psychology, and pain management skills.
Interventions
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Acceptance and Commitment Therapy (ACT)
the first hour of ACT intervention followed by 1 hour of back exercise class, which led by a trained ACT counsellor and a trained exercise trainer
back exercise
1 hour of back exercise class led by a trained exercise trainer
back care education
1 hour long interactive lesson to participants about LBP-related pathology, disability, psychology, and pain management skills.
Eligibility Criteria
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Inclusion Criteria
2. have sought some medical or healthcare professional treatments for CLBP
3. able to read and write at an adequate level of proficiency in Chinese
4. Mini-Mental Status Examination (MMSE) scores 23 or above
Exclusion Criteria
2. confirmed dementia
3. severe cognitive impairment
4. serious psychiatric or psychological disorders
5. Mini-Mental Status Examination (MMSE) scores below 23
60 Years
ALL
Yes
Sponsors
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The Hong Kong Polytechnic University
OTHER
Responsible Party
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Dr Arnold Wong Yu Lok
Associate Professor
Locations
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Arnold YL Wong
Hong Kong, None Selected, Hong Kong
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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HSEARS20240503001
Identifier Type: -
Identifier Source: org_study_id
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