Feasibility, Effectiveness, and Patient Experience of Online Acceptance and Commitment Therapy Plus Exercises for Older People With Chronic Low Back Pain

Last updated: June 2, 2026
Sponsor: The Hong Kong Polytechnic University
Overall Status: Completed

Phase

N/A

Condition

Chronic Pain

Treatment

back exercise

Acceptance and Commitment Therapy (ACT)

back care education

Clinical Study ID

NCT06576414
HSEARS20240503001
  • Ages > 60
  • All Genders
  • Accepts Healthy Volunteers

Study 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).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. have non-specific LBP in or near the lumbosacral spine with or without leg pain thatlasts for at least 3-months in the last 12 months

  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. Montreal Cognitive Assessment (MoCA) scores 22 or above

Exclusion

Exclusion Criteria:

  1. people with malignant pain or lumbar spinal stenosis

  2. confirmed dementia

  3. severe cognitive impairment

  4. serious psychiatric or psychological disorders

  5. Montreal Cognitive Assessment (MoCA) scores below 22

Study Design

Total Participants: 50
Treatment Group(s): 3
Primary Treatment: back exercise
Phase:
Study Start date:
July 01, 2024
Estimated Completion Date:
May 15, 2026

Study Description

Recruitment posters will be displayed in five Hong Kong community centers. A total of 40 older people with LBP will be recruited and randomized to either a 4-week online ACT-plus-back-exercise group or a 4-week online spine care education-back-exercise control group. All participants will be screened for eligibility.

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.

Connect with a study center

  • Arnold YL Wong

    Hong Kong, None Selected
    Hong Kong

    Site Not Available

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