Motivational Program for Physical Activity After Spine Surgery

(ASSET Trial)

This trial aims to determine if a special program can help increase activity levels after surgery for back pain caused by lumbar spinal stenosis (a narrowing of the spaces in the spine). The program includes telephonic active coaching (motivational interviewing) to boost motivation and financial rewards for meeting activity goals. Participants will either receive an activity tracker alone or the tracker plus coaching and incentives. The trial seeks individuals scheduled for specific types of spine surgery who currently take fewer than 6,000 steps a day. As an unphased trial, this study provides a unique opportunity to explore innovative methods to enhance recovery and improve quality of life after surgery.

Research has shown that motivational interviewing, a key component of the treatment being tested, is generally safe and well-tolerated. Studies have found that it can help individuals with spinal cord injuries manage better without serious side effects. This approach involves conversations with a trained coach to encourage positive changes, such as increased physical activity.

Regarding the wrist-based activity tracker, specific safety data is not available in the provided sources. However, these devices are widely used in daily life to monitor physical activity and are generally considered safe for most people. They assist in tracking steps and activity levels, making it easier to stay active.

Researchers are excited about this trial because it explores new ways to boost physical activity after spine surgery using a unique combination of technology and motivation. Unlike the standard recovery methods that often rely on self-discipline and regular follow-ups, this trial integrates telephonic active coaching using motivational interviewing techniques and financial incentives to encourage patients. Additionally, participants wear a wrist-based activity tracker, which provides real-time feedback and helps track progress. This innovative approach could lead to better recovery outcomes by making it easier for patients to stay active and engaged in their rehabilitation process.

This trial will compare two approaches to increasing physical activity after spine surgery. One arm involves participants using a wrist-based activity tracker to monitor their activity. Research has shown that wearing activity trackers like Fitbits can help people track their activity and encourage more movement, often leading to more daily steps and improved activity levels after surgery.