Feasibility, Effectiveness, and Patient Experience of Online Acceptance and Commitment Therapy Pl… (NCT06576414) | Clinical Trial Compass
CompletedNot Applicable
Feasibility, Effectiveness, and Patient Experience of Online Acceptance and Commitment Therapy Plus Exercises for Older People With Chronic Low Back Pain
Hong Kong50 participantsStarted 2024-07-01
Plain-language summary
No study has investigated the effects of online ACT on community-dwelling older adults. Given that clinical practice guidelines have recommended exercise therapy for treating people with CLBP, a combination of ACT and exercise therapy may yield better clinical outcomes than exercise alone among community-dwelling older adults with CLBP.
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).
Who can participate
Age range
60 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
. have non-specific LBP in or near the lumbosacral spine with or without leg pain that lasts for at least 3-months in the last 12 months
. have sought some medical or healthcare professional treatments for CLBP
. able to read and write at an adequate level of proficiency in Chinese
. Montreal Cognitive Assessment (MoCA) scores 22 or above
Exclusion criteria
. people with malignant pain or lumbar spinal stenosis
. confirmed dementia
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial tested a 4-week online program combining Acceptance and Commitment Therapy with exercises specifically for older adults with chronic low back pain — given my situation, does my doctor think a psychological flexibility approach like this makes sense alongside my current pain management plan?
2The trial has already been completed, so some results may exist — can my doctor help me find out what the findings showed about whether this online ACT-plus-exercise program actually helped participants, and whether those results are relevant to my case?
3Since this was a feasibility study rather than a large randomized controlled trial, how much confidence can my doctor place in the safety and effectiveness data it produced, and does that change whether it's worth pursuing this type of program?
4The program was delivered entirely online over just four weeks — would my doctor consider that format and timeframe realistic and sufficient for managing my level of chronic low back pain, or would a longer or in-person program be a better fit for me?
5Before exploring programs like this one, should my doctor and I first make sure I've tried standard first-line treatments for chronic low back pain, and how would this kind of ACT-based online therapy fit into that broader treatment sequence?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change from baseline of psychological flexibility at immediately after the 4-week treatments
Timeframe: Baseline, immediately after the 4-week treatment, and at 3- and 6-month post-treatment (All these time points are consistent with the description)