{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:51:16Z","timestamp":1768567876384,"version":"3.49.0"},"posted":{"date-parts":[[2025,1,28]]},"group-title":"Rehabilitation Medicine and Physical Therapy","reference-count":49,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.medrxiv.org\/about\/FAQ#license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2025,1,28]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Booster sessions are a potential method for maintaining self-management behaviors and treatment effects in people with chronic low back pain (LBP). However, few studies have examined booster prescription or outcomes in people with LBP.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>(1) Compare booster prescription for two exercise-based treatments for low back pain (LBP) in a randomized clinical trial (RCT) where the number of boosters prescribed was based on self-management program independence, (2) Determine if there are variables that predict who will require &gt;1 booster, (3) Explore the effects of boosters on pain and function in people who required &gt;1 booster.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Secondary analysis of a RCT in which participants were randomized to motor skill training (MST), MST+Boosters (MST+B), strength and flexibility exercise (SFE), or SFE+B.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Academic research setting.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>76 participants with chronic LBP assigned to receive boosters.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Interventions<\/jats:title>\n                  <jats:p>This secondary analysis focuses only on the MST+B and SFE+B groups. Both groups received 6 visits of MST or SFE and six months later received up to 3 boosters. The number of boosters was based on self-management program independence at the first booster. Those who required &gt;1 booster were not able to independently perform their program at the first booster.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Booster attendance and prescription, pain (Numeric Pain Rating Scale), function (modified Oswestry Disability Questionnaire)<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>\n                    There was not a significant difference between MST+B and SFE+B in returning for the initial booster, \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (1)=1.76, p=0.185. SFE+B were more likely to require &gt;1 booster than MST+B;\n                    <jats:italic>\u03b2<\/jats:italic>\n                    =2.39,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;0.001. No participant-specific factors we examined were statistically related to needing &gt;1 booster.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>MST+B participants were less likely to require additional boosters. No additional participant-specific factors we examined were associated with needing additional boosters. Qualitatively, attending additional booster sessions did not appear to change pain or function in the current sample.<\/jats:p>\n                <\/jats:sec>","DOI":"10.1101\/2025.01.27.25321189","type":"posted-content","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:20:18Z","timestamp":1738110018000},"source":"Crossref","is-referenced-by-count":0,"title":["Exploring booster session attendance, prescription, and outcomes in adults with chronic low back pain: Secondary analysis of a randomized clinical trial"],"prefix":"10.64898","author":[{"given":"Vanessa M.","family":"Lanier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7643-3887","authenticated-orcid":false,"given":"Keith R.","family":"Lohse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quenten L.","family":"Hooker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse M.","family":"Civello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda R.","family":"van Dillen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"54368","reference":[{"key":"2025013103400440000_2025.01.27.25321189v1.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31678-6"},{"key":"2025013103400440000_2025.01.27.25321189v1.2","first-page":"CD012085","article-title":"Motor control exercise for acute non-specific low back pain","volume":"2","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2025013103400440000_2025.01.27.25321189v1.3","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20090303"},{"key":"2025013103400440000_2025.01.27.25321189v1.4","first-page":"CD002014","article-title":"Behavioural treatment for chronic low-back pain","volume":"7","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"2025013103400440000_2025.01.27.25321189v1.5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-11-200306030-00008"},{"key":"2025013103400440000_2025.01.27.25321189v1.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.01.002"},{"key":"2025013103400440000_2025.01.27.25321189v1.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1518-3"},{"issue":"2","key":"2025013103400440000_2025.01.27.25321189v1.8","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.physio.2015.10.003","article-title":"Interventions to aid patient adherence to physiotherapist prescribed self-management strategies: a systematic review","volume":"102","year":"2016","journal-title":"Physiotherapy"},{"key":"2025013103400440000_2025.01.27.25321189v1.9","doi-asserted-by":"publisher","DOI":"10.1016\/S1356-689X(03)00055-9"},{"issue":"4","key":"2025013103400440000_2025.01.27.25321189v1.10","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S0004-9514(14)60288-9","article-title":"The concept of maintenance physiotherapy","volume":"46","year":"2000","journal-title":"Aust J Physiother"},{"key":"2025013103400440000_2025.01.27.25321189v1.11","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3181925791"},{"key":"2025013103400440000_2025.01.27.25321189v1.12","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2579"},{"issue":"2","key":"2025013103400440000_2025.01.27.25321189v1.13","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1002\/msc.1715","article-title":"Development of a booster intervention for graded sensorimotor retraining (RESOLVE) in people with persistent low back pain: A nested, randomised, feasibility trial","volume":"21","year":"2023","journal-title":"Musculoskeletal Care"},{"issue":"9","key":"2025013103400440000_2025.01.27.25321189v1.14","doi-asserted-by":"crossref","first-page":"2074","DOI":"10.1111\/sms.13091","article-title":"Resistance band training or general exercise in multidisciplinary rehabilitation of low back pain? 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