{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:41:33Z","timestamp":1788417693991,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The prevalence of chronic low back pain (CLBP) and its concomitant cost implications have continued to rise across the globe. Currently, there is no effective treatment for CLBP that leads to long\u2010term improvement. Hence, there is growing recognition of the need for behaviour techniques including motivational interviewing (MI) to address CLBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the effect of MI and exercise on pain in individuals with CLBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We searched for trials in seven databases from inception to April 2024. Trials were included if MI was used alone or in addition to an exercise programme for improving CLBP in adults aged (\u2265\u00a018\u00a0years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 3062 records retrieved, we included three randomized controlled trials (RCTs). Only one study was rated as having a low risk of bias. There is no evidence to support the benefit of MI and exercise on improving pain (SMD\u20100.23, 95% CI\u20100.55 to 0.09, I<jats:sup>2<\/jats:sup>\u00a0=\u00a00%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.16), disability (MD\u20101.80, 95% CI\u20104.55 to 0.94, I<jats:sup>2<\/jats:sup>\u00a0=\u00a085%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.20) and physical functioning (SMD 0.00, 95% CI\u20101.31 to 1.32, I<jats:sup>2<\/jats:sup>\u00a0=\u00a093%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is insufficient evidence to support the effect of MI and exercise on pain in individuals with CLBP. More large\u2010scale RCTs are needed in evaluating the effectiveness of MI and exercise in individuals with CLBP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70048","type":"journal-article","created":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T01:33:06Z","timestamp":1735781586000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of Motivational Interviewing and Exercise on Chronic Low Back Pain: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3974-7035","authenticated-orcid":false,"given":"Olayinka","family":"Akinrolie","sequence":"first","affiliation":[{"name":"Applied Health Sciences Faculty of Graduate Studies University of Manitoba  Winnipeg Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uchechukwu B.","family":"Abioke","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Basic Medical Sciences College of Medical Sciences University of Benin  Benin\u2010City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis O.","family":"Kolawole","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Basic Medical Sciences College of Medical Sciences University of Benin  Benin\u2010City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Askin","sequence":"additional","affiliation":[{"name":"Neil John Maclean Health Sciences Library University of Manitoba  Winnipeg Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebuka M.","family":"Anieto","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"},{"name":"School of Allied Health Sciences University of Suffolk  Ipswich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena A.","family":"Itua","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Basic Medical Sciences College of Medical Sciences University of Benin  Benin\u2010City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwatoyin G.","family":"Akin","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Basic Medical Sciences College of Medical Sciences University of Benin  Benin\u2010City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blessing","family":"Eromosele","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Basic Medical Sciences College of Medical Sciences University of Benin  Benin\u2010City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Opeyemi A.","family":"Idowu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Redeemer's University  Ede Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrietta O.","family":"Fawole","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Basic Medical Sciences College of Medical Sciences University of Benin  Benin\u2010City Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijop.13269"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312118757387"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.10.021"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.2017\u20100009"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12264"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(14)61462\u20108"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.2323"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/m16\u20102458"},{"key":"e_1_2_9_10_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.4","author":"Deeks J.","year":"2023"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1098100"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30489\u20106"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.ad"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30480\u2010X"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009790.pub2"},{"key":"e_1_2_9_17_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins J. 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