European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
Adherence to home-based exercise therapy in adults with non-specific chronic low back pain: a cross-sectional study of 491 participants of the ComPaRE cLBP e-cohort (ADHERE II).
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Giraudo-Guglielmi Julien, Toko Kamga Leslie, Chagnas-Martin Marie-Ombeline, Coudeyre Emmanuel, Daste Camille, de Sèze Mathieu, Dupeyron Arnaud, Kirren Quentin, Lefèvre-Colau Marie-Martine, Nicol Vanina, Pane Isabelle, Rannou François, Rören Alexandra, Tran Viet-Thi, Nguyen Christelle
Аннотация
BACKGROUND: Exercise therapy is part of the core treatment of non-specific chronic low back pain (cLBP) and is usually first delivered under the supervision of a health care provider, then home-based. Adherence to home-based exercise therapy is a key contributor to clinical response. However, reproducible standardized measure of adherence is lacking and determinants of adherence, especially the role of supervision, have not been fully explored. We aimed: 1/ to report adherence to exercise therapy in adults with non-specific cLBP, 2/ to assess whether supervision could influence adherence, and 3/ to identify contributors to adherence.
METHODS: We assessed adherence to exercise therapy in a sample of participants from the ComPaRe cLBP French e-cohort using the Exercise Adherence Rating Scale (EARS). Adherence to home-based exercise therapy was defined as a score ≥ 3/4 on the first item of the EARS. We compared modalities of supervision between adherent and non-adherent participants. Finally, we performed logistic regression to identify independent contributors to adherence.
FINDINGS: Overall, 491 adults with non-specific cLBP were included in the analysis. Adherence to home-based exercise therapy was 45%. Bivariate analysis showed that adherent participants more often received supervised sessions within the last 6 months. Multivariate analysis showed that higher levels of physical activity before the onset of cLBP, lower intensity of cLBP and lower burden of treatment were associated with a higher adherence to home-based exercise therapy (odds ratio [95% confidence interval]: 2.66 [1.77; 4.00], 1.01 [1.00; 1.02] and 0.95 [0.94; 0.96], respectively).
CONCLUSIONS: We found that 45% of adults with non-specific cLBP were adherent to home-based exercise therapy. We were unable to demonstrate a significant influence of supervision on adherence.
METHODS: We assessed adherence to exercise therapy in a sample of participants from the ComPaRe cLBP French e-cohort using the Exercise Adherence Rating Scale (EARS). Adherence to home-based exercise therapy was defined as a score ≥ 3/4 on the first item of the EARS. We compared modalities of supervision between adherent and non-adherent participants. Finally, we performed logistic regression to identify independent contributors to adherence.
FINDINGS: Overall, 491 adults with non-specific cLBP were included in the analysis. Adherence to home-based exercise therapy was 45%. Bivariate analysis showed that adherent participants more often received supervised sessions within the last 6 months. Multivariate analysis showed that higher levels of physical activity before the onset of cLBP, lower intensity of cLBP and lower burden of treatment were associated with a higher adherence to home-based exercise therapy (odds ratio [95% confidence interval]: 2.66 [1.77; 4.00], 1.01 [1.00; 1.02] and 0.95 [0.94; 0.96], respectively).
CONCLUSIONS: We found that 45% of adults with non-specific cLBP were adherent to home-based exercise therapy. We were unable to demonstrate a significant influence of supervision on adherence.