{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:11:49Z","timestamp":1784797909326,"version":"3.55.0"},"reference-count":45,"publisher":"National University of Health Sciences","issue":"1-5","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmptonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Manipulative and Physiological Therapeutics"],"published-print":{"date-parts":[[2025,1]]},"DOI":"10.1016\/j.jmpt.2025.08.004","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T17:56:03Z","timestamp":1758822963000},"page":"112-118","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Rehabilitative Home Exercise Adherence Among Older Adults With Chronic Back Pain: Secondary Analysis of a Randomized Trial"],"prefix":"10.67400","volume":"48","author":[{"given":"Michele J.","family":"Maiers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4566-2529","authenticated-orcid":false,"given":"Mary L.","family":"Forte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"57152","reference":[{"issue":"6","key":"10.1016\/j.jmpt.2025.08.004_bib0001","doi-asserted-by":"crossref","first-page":"e316","DOI":"10.1016\/S2665-9913(23)00098-X","article-title":"Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the global burden of disease study 2021","volume":"5","year":"2023","journal-title":"Lancet Rheumatol"},{"issue":"415","key":"10.1016\/j.jmpt.2025.08.004_bib0002","first-page":"1","article-title":"Lower limb, and upper limb pain among U.S. Adults, 2019","author":"Lucas","year":"2021","journal-title":"NCHS Data Brief"},{"issue":"6","key":"10.1016\/j.jmpt.2025.08.004_bib0003","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1093\/pm\/pnw236","article-title":"Predictors of persistent disability and back pain in older adults with a new episode of care for back pain","volume":"18","author":"Rundell","year":"2017","journal-title":"Pain Med"},{"issue":"4","key":"10.1016\/j.jmpt.2025.08.004_bib0004","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.jpain.2021.07.012","article-title":"Prevalence, incidence, and factors associated with non-specific chronic low back pain in community-dwelling older adults aged 60 years and older: a systematic review and meta-analysis","volume":"23","author":"Wong","year":"2022","journal-title":"J Pain"},{"issue":"6","key":"10.1016\/j.jmpt.2025.08.004_bib0005","doi-asserted-by":"crossref","first-page":"299","DOI":"10.21037\/atm.2020.02.175","article-title":"Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the global burden of disease study 2017","volume":"8","author":"Wu","year":"2020","journal-title":"Ann Transl Med"},{"issue":"3","key":"10.1016\/j.jmpt.2025.08.004_bib0006","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.pain.2007.01.012","article-title":"The impact of chronic low back pain on older adults: a comparative study of patients and controls","volume":"131","author":"Rudy","year":"2007","journal-title":"Pain"},{"issue":"9","key":"10.1016\/j.jmpt.2025.08.004_bib0007","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1002\/art.24006","article-title":"Associations of back and leg pain with health status and functional capacity of older adults: findings from the retirement community back pain study","volume":"59","author":"Hicks","year":"2008","journal-title":"Arthritis Rheum"},{"issue":"7","key":"10.1016\/j.jmpt.2025.08.004_bib0008","doi-asserted-by":"crossref","first-page":"514","DOI":"10.7326\/M16-2367","article-title":"Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians","volume":"166","author":"Qaseem","year":"2017","journal-title":"Ann Intern Med"},{"issue":"7","key":"10.1016\/j.jmpt.2025.08.004_bib0009","doi-asserted-by":"crossref","first-page":"493","DOI":"10.7326\/M16-2459","article-title":"Nonpharmacologic therapies for low back pain: a systematic review for an american college of physicians clinical practice guideline","volume":"166","author":"Chou","year":"2017","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0010","doi-asserted-by":"crossref","first-page":"j840","DOI":"10.1136\/bmj.j840","article-title":"Non-drug therapies should be first line treatment for low back pain, US guidance says","volume":"356","author":"McCarthy","year":"2017","journal-title":"BMJ"},{"issue":"10137","key":"10.1016\/j.jmpt.2025.08.004_bib0011","doi-asserted-by":"crossref","first-page":"2368","DOI":"10.1016\/S0140-6736(18)30489-6","article-title":"Prevention and treatment of low back pain: evidence, challenges, and promising directions","volume":"391","author":"Foster","year":"2018","journal-title":"Lancet"},{"issue":"9836","key":"10.1016\/j.jmpt.2025.08.004_bib0012","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0140-6736(12)60240-2","article-title":"Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study","volume":"380","author":"Barnett","year":"2012","journal-title":"Lancet"},{"issue":"10","key":"10.1016\/j.jmpt.2025.08.004_bib0013","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1007\/s40266-023-01052-2","article-title":"Evaluation and treatment of acute trauma pain in older adults","volume":"40","author":"Merrick","year":"2023","journal-title":"Drugs Aging"},{"issue":"3","key":"10.1016\/j.jmpt.2025.08.004_bib0014","first-page":"179","article-title":"Pain management in the elderly population: a review","volume":"10","author":"Kaye","year":"2010","journal-title":"Ochsner J. Fall"},{"issue":"12","key":"10.1016\/j.jmpt.2025.08.004_bib0015","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1177\/0269215515570379","article-title":"Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials","volume":"29","author":"Searle","year":"2015","journal-title":"Clin Rehabil"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0016","doi-asserted-by":"crossref","DOI":"10.1016\/j.archger.2020.104177","article-title":"Efficacy of conservative therapy in older people with nonspecific low back pain: a systematic review with meta-analysis and GRADE recommendations","volume":"90","author":"Amaral","year":"2020","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0017","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.msksp.2018.09.002","article-title":"Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy","volume":"38","author":"Saner","year":"2018","journal-title":"Musculoskelet Sci Pract"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0018","article-title":"Exercise adherence in trials of therapeutic exercise interventions for common musculoskeletal conditions: a scoping review","volume":"65","author":"Kenny","year":"2023","journal-title":"Musculoskelet Sci Pract."},{"issue":"12","key":"10.1016\/j.jmpt.2025.08.004_bib0019","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1016\/j.spinee.2013.08.027","article-title":"Individual and intervention-related factors associated with adherence to home exercise in chronic low back pain: a systematic review","volume":"13","author":"Beinart","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0020","doi-asserted-by":"crossref","first-page":"e4547","DOI":"10.1136\/bmj.e4547","article-title":"Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial","volume":"345","author":"Clemson","year":"2012","journal-title":"BMJ"},{"issue":"6","key":"10.1016\/j.jmpt.2025.08.004_bib0021","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1093\/ageing\/afq102","article-title":"Does the 'Otago exercise programme' reduce mortality and falls in older adults?: a systematic review and meta-analysis","volume":"39","author":"Thomas","year":"2010","journal-title":"Age Ageing"},{"issue":"02","key":"10.1016\/j.jmpt.2025.08.004_bib0022","doi-asserted-by":"crossref","first-page":"88","DOI":"10.4236\/health.2012.42014","article-title":"Quality of life, elderly and physical activity","volume":"04","author":"Pernambuco","year":"2012","journal-title":"Health"},{"issue":"3","key":"10.1016\/j.jmpt.2025.08.004_bib0023","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jphys.2014.06.012","article-title":"Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review","volume":"60","author":"Picorelli","year":"2014","journal-title":"J Physiother"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0024","doi-asserted-by":"crossref","DOI":"10.1111\/jep.12763","article-title":"Impact of co-morbidities on resource use and adherence to guidelines among commercially insured adults with new visits for back pain","author":"Rundell","year":"2017","journal-title":"J Eval Clin Pract"},{"issue":"11","key":"10.1016\/j.jmpt.2025.08.004_bib0025","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1002\/acr.23798","article-title":"Short- or long-term treatment of spinal disability in older adults with manipulation and exercise","volume":"71","author":"Maiers","year":"2019","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0026","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12998-014-0026-7","article-title":"Short term treatment versus long term management of neck and back disability in older adults utilizing spinal manipulative therapy and supervised exercise: a parallel-group randomized clinical trial evaluating relative effectiveness and harms","volume":"22","author":"Vihstadt","year":"2014","journal-title":"Chiropr Man Therap"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0027","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/1471-2474-8-94","article-title":"Chiropractic and exercise for seniors with low back pain or neck pain: the design of two randomized clinical trials","volume":"8","author":"Maiers","year":"2007","journal-title":"BMC Musculoskelet Disord"},{"issue":"22","key":"10.1016\/j.jmpt.2025.08.004_bib0028","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The Oswestry disability index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"10.1016\/j.jmpt.2025.08.004_bib0029","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/j.pain.0000000000001117","article-title":"Core outcome measurement instruments for clinical trials in nonspecific low back pain","volume":"159","author":"Chiarotto","year":"2018","journal-title":"Pain"},{"issue":"1","key":"10.1016\/j.jmpt.2025.08.004_bib0030","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1054\/math.2002.0484","article-title":"Psychometric properties of the Tampa Scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain","volume":"8","author":"Swinkels-Meewisse","year":"2003","journal-title":"Man Ther"},{"issue":"1-2","key":"10.1016\/j.jmpt.2025.08.004_bib0031","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/S0304-3959(03)00255-0","article-title":"Fear of movement\/(re)injury, disability and participation in acute low back pain","volume":"105","author":"Swinkels-Meewisse","year":"2003","journal-title":"Pain"},{"issue":"1","key":"10.1016\/j.jmpt.2025.08.004_bib0032","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/0022-3956(82)90033-4","article-title":"Development and validation of a geriatric depression screening scale: a preliminary report","volume":"17","author":"Yesavage","year":"1982","journal-title":"J Psychiatr Res"},{"issue":"2","key":"10.1016\/j.jmpt.2025.08.004_bib0033","doi-asserted-by":"crossref","first-page":"M85","DOI":"10.1093\/geronj\/49.2.M85","article-title":"A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission","volume":"49","author":"Guralnik","year":"1994","journal-title":"J Gerontol"},{"issue":"11","key":"10.1016\/j.jmpt.2025.08.004_bib0034","first-page":"S158","volume":"63","author":"Smeets","year":"2011","journal-title":"Arthritis Care Res (Hoboken)"},{"issue":"2","key":"10.1016\/j.jmpt.2025.08.004_bib0035","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.jpain.2007.09.005","article-title":"Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations","volume":"9","author":"Dworkin","year":"2008","journal-title":"J Pain"},{"issue":"1","key":"10.1016\/j.jmpt.2025.08.004_bib0036","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1097\/BRS.0b013e31815e3a10","article-title":"Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change","volume":"33","author":"Ostelo","year":"2008","journal-title":"Spine (Phila Pa 1976)"},{"issue":"9","key":"10.1016\/j.jmpt.2025.08.004_bib0037","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1016\/j.jmpt.2022.03.001","article-title":"Association between psychosocial parameters and response to chiropractic care among older adults with chronic low back pain: secondary analysis of a randomized clinical trial","volume":"44","author":"Maiers","year":"2021","journal-title":"J Manipulative Physiol Ther"},{"issue":"3","key":"10.1016\/j.jmpt.2025.08.004_bib0038","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/AJP.0b013e318226c411","article-title":"Adherence to a community-based exercise program is a strong predictor of improved back pain status in older adults: an observational study","volume":"28","author":"Hicks","year":"2012","journal-title":"Clin J Pain"},{"issue":"4","key":"10.1016\/j.jmpt.2025.08.004_bib0039","doi-asserted-by":"crossref","first-page":"603","DOI":"10.3233\/BMR-181269","article-title":"Psychological and physical factors related to disability in chronic low back pain","volume":"32","author":"La Touche","year":"2019","journal-title":"J Back Musculoskelet Rehabil"},{"issue":"7","key":"10.1016\/j.jmpt.2025.08.004_bib0040","doi-asserted-by":"crossref","first-page":"2679","DOI":"10.1590\/1413-81232018247.14172017","article-title":"Biopsychosocial factors associated with disability in older adults with acute low back pain: BACE-Brasil study","volume":"24","author":"Silva","year":"2019","journal-title":"Cien Saude Colet"},{"key":"10.1016\/j.jmpt.2025.08.004_bib0041","unstructured":"Centers for Disease Control and Prevention. Defining Adult Overweight & Obesity. https:\/\/www.cdc.gov\/obesity\/basics\/adult-defining.html. Accessed October 4, 2023."},{"issue":"2","key":"10.1016\/j.jmpt.2025.08.004_bib0042","first-page":"294","article-title":"Exploring the experience of exercise in older adults with chronic back pain","volume":"28","author":"Hay","year":"2020","journal-title":"J Aging Phys Act"},{"issue":"11","key":"10.1016\/j.jmpt.2025.08.004_bib0043","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1002\/acr.24636","article-title":"Like peanut butter and jelly\": a qualitative study of chiropractic care and home exercise among older adults with spinal disability","volume":"74","author":"Maiers","year":"2022","journal-title":"Arthritis Care Res (Hoboken)"},{"issue":"10","key":"10.1016\/j.jmpt.2025.08.004_bib0044","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.2340\/16501977-1876","article-title":"Perceived value of spinal manipulative therapy and exercise among seniors with chronic neck pain: a mixed methods study","volume":"46","author":"Maiers","year":"2014","journal-title":"J Rehabil Med"},{"issue":"2","key":"10.1016\/j.jmpt.2025.08.004_bib0045","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.rehab.2016.01.009","article-title":"Barriers to home-based exercise program adherence with chronic low back pain: patient expectations regarding new technologies","volume":"59","author":"Palazzo","year":"2016","journal-title":"Ann Phys Rehabil Med"}],"container-title":["Journal of Manipulative and Physiological Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475425000090?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475425000090?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:58:40Z","timestamp":1784797120000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmpt.kglmeridian.com\/doi\/10.1016\/j.jmpt.2025.08.004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":45,"journal-issue":{"issue":"1-5","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["S0161475425000090"],"URL":"https:\/\/doi.org\/10.1016\/j.jmpt.2025.08.004","relation":{},"ISSN":["0161-4754"],"issn-type":[{"value":"0161-4754","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors Associated With Rehabilitative Home Exercise Adherence Among Older Adults With Chronic Back Pain: Secondary Analysis of a Randomized Trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Manipulative and Physiological Therapeutics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmpt.2025.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by National University of Health Sciences.","name":"copyright","label":"Copyright"}]}}