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Trial registered on ANZCTR
Registration number
ACTRN12614000270617
Ethics application status
Approved
Date submitted
5/03/2014
Date registered
14/03/2014
Date last updated
29/01/2019
Date data sharing statement initially provided
29/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Self-paced walking for chronic low back pain
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Scientific title
Effectiveness of affect-regulated walking on disability and physical activity levels of adults with chronic low back pain
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Secondary ID [1]
284196
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Nil
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Universal Trial Number (UTN)
U1111-1154-0745
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic low back pain
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Condition category
Condition code
Musculoskeletal
291653
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
291654
291654
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Affect-regulated walking intervention: 8-week home-based walking intervention using affect-regulation to an intensity to feel 'fairly good' (using the Feeling Scale). The intervention dosage is aiming to achieve Australian physical activity guidelines of 30-60 minutes of walking on 5 or more days each week. Accelerometers will collect objectively measured physical activity levels during week 3, 6 and 8 of the intervention to monitor adherence, and the participants will complete a pen and paper walking diary as an additional adherence measure.
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Rehabilitation
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Intervention code [3]
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Behaviour
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Comparator / control treatment
Usual advise walking: 8-week home-based walking intervention. The intervention dosage is aiming to achieve Australian physical activity guidelines of 30-60 minutes of walking on 5 or more days each week. No specific advice or education will be provided regarding exercise intensity regulation. Accelerometers will collect objectively measured physical activity levels during week 3, 6 and 8 of the intervention to monitor adherence, and the participants will complete a pen and paper walking diary as an additional adherence measure.
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Control group
Active
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Outcomes
Primary outcome [1]
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Disability as assessed via the Oswestry Disability Questionnaire (mean score)
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Assessment method [1]
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Timepoint [1]
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baseline, completion of intervention (week 8) and 3 months post intervention
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Secondary outcome [1]
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Physical activity as measured using 7 day accelerometry (GENEActive) (mean total counts/day)
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Assessment method [1]
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Timepoint [1]
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baseline, end of intervention (week 8) and 3 month post intervention as effectiveness outcome measure
additional time points week 3 and week 6 of intervention to monitor adherence
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Secondary outcome [2]
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exercise capacity as measured using the 6 minute walk test (mean distance walked in m)
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Assessment method [2]
307116
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Timepoint [2]
307116
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baseline, end of intervention and 3 months post intervention
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Secondary outcome [3]
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Exercise self-efficacy as measured by the Barriers Self-Efficacy Scale
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Assessment method [3]
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Timepoint [3]
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baseline, end of intervention and 3 months post intervnetion
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Secondary outcome [4]
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Health-related quality of life by the RAND-36 questionnaire
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Assessment method [4]
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Timepoint [4]
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baseline, end of intervention, 3 months post intervention
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Secondary outcome [5]
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Pain using a 0-10 numerical rating scale
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Assessment method [5]
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Timepoint [5]
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baseline, end of intervention and 3 months post intervention and
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Secondary outcome [6]
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adherence using a self-report daily walking diary (mean minutes walked/day)
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Assessment method [6]
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Timepoint [6]
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duration of 8 week intervention
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Secondary outcome [7]
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Participant satisfaction using questionnaire developed for the study
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Assessment method [7]
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Timepoint [7]
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end of intervention
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Eligibility
Key inclusion criteria
age 18-64 years to align with the Australian Physical Activity Guidelines bracket,with chronic low back pain (current symptoms persisting longer than 3 months) not achieving Australian physical activity guidelines (30-60 minutes of moderate intensity physical activity on 5 or more days each week)
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Minimum age
18
Years
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Maximum age
64
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
meeting or exceeding current Australian physical activity guidelines; pregnancy (or intended pregnancy for duration of intervention); any other condition deemed as a contraindication to increasing physical activity levels e.g. unstable cardiac conditions (including cardiac medications) or musculoskeletal conditions; predominantly bed-ridden; - previous spinal surgery; medico-legal involvement; unable to speak and understand English fluently; unable to attend all testing sessions
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/03/2014
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Actual
8/04/2014
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Date of last participant enrolment
Anticipated
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Actual
27/11/2017
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Date of last data collection
Anticipated
10/04/2018
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Actual
17/05/2018
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Sample size
Target
62
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Accrual to date
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Final
74
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of South Australia
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Address [1]
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North Terrace, Adelaide, South Australia, 5000
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Katia Ferrar
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Address
University of South Australia, North Terrace, Adelaide,
South Australia, 5000
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
287523
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Country [1]
287523
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of South Australia Human Research Ethics Committee
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Ethics committee address [1]
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GPO Box 2471, Adelaide, South Australia, 5001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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23/01/2014
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Approval date [1]
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24/02/2014
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Ethics approval number [1]
290669
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0000032487
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Summary
Brief summary
The individual and community cost of chronic low back pain (CLBP) is staggering. Guidelines recommend physical activity (PA) as a management for CLBP. Adults with CLBP report unique barriers to PA which need to be overcome to facilitate long term PA behaviour change. Walking, regulated by an internal sense of emotion (affect-regulated), may provide an effective approach to increase PA in people with CLBP. The primary hypothesis is that affect-regulated walking (ARW) will lead to improved disability status and increased PA levels compared with usual advice walking (UAW).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Katia Ferrar
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Address
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University of South Australia
City East Campus, Cnr North Terrace and Frome Road,
Adelaide, South Australia, 5000
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Country
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Australia
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Phone
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+ 61883022554
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Fax
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Email
46678
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[email protected]
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Contact person for public queries
Name
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Katia Ferrar
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Address
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University of South Australia
City East Campus, Cnr North Terrace and Frome Road,
Adelaide, South Australia, 5000
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Country
46679
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Australia
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Phone
46679
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+61883022554
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Fax
46679
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Email
46679
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[email protected]
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Contact person for scientific queries
Name
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Katia Ferrar
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Address
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University of South Australia
City East Campus, Cnr North Terrace and Frome Road,
Adelaide, South Australia, 5000
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Country
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Australia
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Phone
46680
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+61883022554
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Fax
46680
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Email
46680
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Research team yet to discuss/decide.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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