{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T05:28:23Z","timestamp":1794374903913,"version":"4.9.0"},"reference-count":46,"publisher":"Human Kinetics","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Introduction<\/jats:bold>\n                    <\/jats:italic>\n                    : Chronic low back pain (CLBP) is a prevalent musculoskeletal condition worldwide, with physical exercise being the primary management strategy. However, this approach poses a significant challenge among the older population, as older people with CLBP often demonstrate low adherence to exercise-based treatments. Despite this, there is limited research evaluating the perceptions and experiences of older people regarding group exercise protocol (GEP) specifically designed for this population, which could enhance adherence and outcomes.\n                    <jats:italic>\n                      <jats:bold>Objective<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    To explore the perceptions and experiences of older people with CLBP regarding a GEP tailored to their needs.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    A qualitative interpretative phenomenological approach was employed to investigate participants\u2019 experiences after an 8-week GEP. Data were collected through focus groups guided by a trained researcher. The Bardin\u2019s content analysis was conducted. To facilitate the analysis and generate graphical representations, IRAMUTEQ (\n                    <jats:italic>Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires<\/jats:italic>\n                    ) software was used.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    The results suggest that the perceptions of older people with CLBP regarding the GEP can be categorized into three thematic clusters: (a)\u00a0social interaction, mutual support, and community integration with group exercise; (b)\u00a0comprehensive benefits of specific group exercise on quality of life, sleep, and autonomy for older people with CLBP; and (c)\u00a0perceived benefits of group exercise in managing low back pain and improving balance and mobility.\n                    <jats:italic>\n                      <jats:bold>Conclusion<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Older people with CLBP can achieve biopsychosocial improvements through adherence to a tailored GEP. Strategies such as locating sessions in community centers, adapting exercises to individual capabilities, and fostering social bonds effectively promoted high adherence, enhanced social relationships, and improved sleep quality.\n                  <\/jats:p>","DOI":"10.1123\/japa.2025-0036","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T02:25:18Z","timestamp":1771554318000},"page":"1-8","source":"Crossref","is-referenced-by-count":1,"title":["Experiences and Perceptions of Older People With Chronic Low Back Pain After 8\u00a0Weeks of a Specific Group-Based Exercise: Qualitative Analysis of the ESCAPE Trial"],"prefix":"10.1123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9611-2186","authenticated-orcid":true,"given":"Hytalo","family":"Silva","sequence":"first","affiliation":[{"name":"Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5783-1820","authenticated-orcid":true,"given":"Whesley Tanor","family":"Silva","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Clinical Research in Infectious Diseases, Instituto Nacional de Infectologia Evandro Chagas, Funda\u00e7\u00e3o Oswaldo Cruz, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7125-8813","authenticated-orcid":true,"given":"J\u00falio Pasqual de","family":"Miranda","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8278-3536","authenticated-orcid":true,"given":"Di\u00eago Mendes","family":"Xavier","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6358-4910","authenticated-orcid":true,"given":"Murilo","family":"Xavier Oliveira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"},{"name":"Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2212-3995","authenticated-orcid":true,"given":"Marivaldo Aparecido","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health, Society and Environment, Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8658-3774","authenticated-orcid":true,"given":"Vinicius Cunha","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"},{"name":"Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Health Psychology and Behavioral Medicine,","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1080\/21642850.2021.2022487","article-title":"Determinants of quality of life in individuals with chronic low back pain: A systematic review","volume":"10","author":"Agnus Tom, A.","year":"2022","unstructured":"Agnus Tom, A., Rajkumar, E., John, R., & Joshua George, A. (2022). Determinants of quality of life in individuals with chronic low back pain: A systematic review. Health Psychology and Behavioral Medicine, 10(1), 124\u2013144. 10.1080\/21642850.2021.2022487"},{"key":"r2","series-title":"Content analysis","author":"Bardin, L.","year":"1991","unstructured":"Bardin, L. (1991). Content analysis (L. Edi\u00e7\u00f5es, Ed.; Editions 7). Luiz Antero Reto and Augusto Pinheiro. https:\/\/www.scirp.org\/reference\/referencespapers?referenceid=2085973"},{"key":"r3","series-title":"An\u00e1lise de Conte\u00fado (Em Portuguese do Brasil)","first-page":"280","author":"Bardin, L.","year":"2011","unstructured":"Bardin, L. (2011). An\u00e1lise de Conte\u00fado (Em Portuguese do Brasil) (1a, p.\u00a0280). Campus Books."},{"issue":"5","key":"r4","series-title":"European Spine Journal,","doi-asserted-by":"publisher","first-page":"1537","DOI":"10.1007\/s00586-023-07618-3","article-title":"Age-based exclusion is common and multifactorial in spinal RCTs: A systematic review and quantitative analysis","volume":"32","author":"Chew, G.","year":"2023","unstructured":"Chew, G., Menounos, S., Sheldrick, K., Das, A., & Diwan, A.D. (2023). Age-based exclusion is common and multifactorial in spinal RCTs: A systematic review and quantitative analysis. European Spine Journal, 32(5), 1537\u20131545. 10.1007\/s00586-023-07618-3"},{"issue":"6","key":"r5","series-title":"Age and Ageing,","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1093\/ageing\/30.6.495","article-title":"Factors associated with health status of older Americans","volume":"30","author":"Cooper, J.K.","year":"2001","unstructured":"Cooper, J.K., & Kohlmann, T. (2001). Factors associated with health status of older Americans. Age and Ageing, 30(6), 495\u2013501. 10.1093\/ageing\/30.6.495"},{"key":"r6","series-title":"Qualitative inquiry & research design: Choosing among five approaches","first-page":"515","author":"Creswell, J.W.","year":"2025","unstructured":"Creswell, J.W., & Poth, C.N. (2025). Qualitative inquiry & research design: Choosing among five approaches (pp.\u00a0515\u2013552). Sage Publications."},{"issue":"6","key":"r7","series-title":"Revista Brasileira de Otorrinolaringologia,","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1590\/S0034-72992006000600014","article-title":"Vers\u00e3o brasileira do dynamic gait index","volume":"72","author":"De Castro, S.M.","year":"2006","unstructured":"De Castro, S.M., Perracini, M.R., & Ganan\u00e7a, F.F. (2006). Vers\u00e3o brasileira do dynamic gait index. Revista Brasileira de Otorrinolaringologia, 72(6), 817\u2013825. 10.1590\/S0034-72992006000600014"},{"issue":"5","key":"r8","series-title":"PLoS One,","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266613","article-title":"The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial","volume":"17","author":"de Jesus Silva, H.","year":"2022","unstructured":"de Jesus Silva, H., Fonseca, L.S., Mascarenhas, R.O., de Miranda, J.P., Almeida, P.A., Souza, M.B., Pereira, L.S.M., Oliveira, M.X., & Oliveira, V.C. (2022). The ESCAPE trial for older people with chronic low back pain: Protocol of a randomized controlled trial. PLoS One, 17(5), Article 266613. 10.1371\/journal.pone.0266613"},{"key":"r9","series-title":"","article-title":"ACSM\u2019s resources for the group exercise instructor","author":"DeSimone, G.","year":"2011","unstructured":"DeSimone, G. (2011). ACSM\u2019s resources for the group exercise instructor. (1st ed.). Lippincott Williams & Wilkins."},{"issue":"17","key":"r10","series-title":"Spine,","doi-asserted-by":"publisher","first-page":"1352","DOI":"10.1097\/BRS.0000000000000975","article-title":"Trajectories of symptoms and function in older adults with low back disorders","volume":"40","author":"Deyo, R.A.","year":"2015","unstructured":"Deyo, R.A., Bryan, M., Comstock, B.A., Turner, J.A., Heagerty, P., Friedly, J., Avins, A.L., Nedeljkovic, S.S., Nerenz, D.R., & Jarvik, J.G. (2015). Trajectories of symptoms and function in older adults with low back disorders. Spine, 40(17), 1352\u20131362. 10.1097\/BRS.0000000000000975"},{"issue":"117","key":"r11","series-title":"Sa\u00fade Em Debate,","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1590\/0103-1104201811709","article-title":"Percep\u00e7\u00f5es sobre a Rede de Cuidados \u00e0 Pessoa com Defici\u00eancia em uma Regi\u00e3o de Sa\u00fade","volume":"42","author":"Dubow, C.","year":"2018","unstructured":"Dubow, C., Garcia, E.L., & Krug, S.B.F. (2018). Percep\u00e7\u00f5es sobre a Rede de Cuidados \u00e0 Pessoa com Defici\u00eancia em uma Regi\u00e3o de Sa\u00fade. Sa\u00fade Em Debate, 42(117), 455\u2013467. 10.1590\/0103-1104201811709"},{"issue":"12","key":"r12","series-title":"Journal of the American Geriatrics Society,","doi-asserted-by":"publisher","first-page":"1702","DOI":"10.1046\/j.1532-5415.2003.51553.x","article-title":"Function and back symptoms in older adults","volume":"51","author":"Edmond, S.L.","year":"2003","unstructured":"Edmond, S.L., & Felson, D.T. (2003). Function and back symptoms in older adults. Journal of the American Geriatrics Society, 51(12), 1702\u20131709. 10.1046\/j.1532-5415.2003.51553.x"},{"issue":"4","key":"r13","series-title":"Revista Brasileira de Geriatria e Gerontologia,","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1590\/1981-22562017020.170086","article-title":"Timed Up and Go test as a sarcopenia screening tool in home-dwelling elderly persons","volume":"20","author":"Filippin, L.I.","year":"2017","unstructured":"Filippin, L.I., Miraglia, F., Teixeira, V.N.D.O., & Boniatti, M.M. (2017). Timed Up and Go test as a sarcopenia screening tool in home-dwelling elderly persons. Revista Brasileira de Geriatria e Gerontologia, 20(4), 556\u2013561. 10.1590\/1981-22562017020.170086"},{"issue":"10","key":"r14","series-title":"Pain,","doi-asserted-by":"publisher","first-page":"2200","DOI":"10.1097\/j.pain.0000000000003234","article-title":"Barriers and enablers to exercise adherence in people with nonspecific chronic low back pain: A systematic review of qualitative evidence","volume":"165","author":"Gilanyi, Y.L.","year":"2024","unstructured":"Gilanyi, Y.L., Shah, B., Cashin, A.G., Gibbs, M.T., Bellamy, J., Day, R., McAuley, J.H., & Jones, M.D. (2024). Barriers and enablers to exercise adherence in people with nonspecific chronic low back pain: A systematic review of qualitative evidence. Pain, 165(10), 2200\u20132214. 10.1097\/j.pain.0000000000003234"},{"key":"r15","series-title":"Social Science & Medicine,","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample sizes for saturation in qualitative research: A systematic review of empirical tests","volume":"292","author":"Hennink, M.","year":"2022","unstructured":"Hennink, M., & Kaiser, B.N. (2022). Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Social Science & Medicine, 292, Article 114523. 10.1016\/j.socscimed.2021.114523"},{"issue":"1","key":"r16","series-title":"BMC Health Services Research,","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-021-07337-9","article-title":"Cost-effectiveness analysis of a chronic back pain multidisciplinary biopsychosocial rehabilitation (MBR) compared to standard care for privately insured in Germany","volume":"21","author":"Hochheim, M.","year":"2021","unstructured":"Hochheim, M., Ramm, P., Wunderlich, M., & Amelung, V. (2021). Cost-effectiveness analysis of a chronic back pain multidisciplinary biopsychosocial rehabilitation (MBR) compared to standard care for privately insured in Germany. BMC Health Services Research, 21(1), 1\u201320. 10.1186\/s12913-021-07337-9"},{"issue":"4","key":"r17","series-title":"Preventive Medicine,","first-page":"276","article-title":"What are the barriers and facilitators to exercise and physical activity uptake and adherence among South Asian older adults: A systematic review of qualitative studies","volume":"55","author":"Horne, M.","year":"2012","unstructured":"Horne, M., & Tierney, S. (2012). What are the barriers and facilitators to exercise and physical activity uptake and adherence among South Asian older adults: A systematic review of qualitative studies. Preventive Medicine, 55(4), 276\u2013284. c10.1016\/j.ypmed.2012.07.016"},{"key":"r18","series-title":"Musculoskeletal Science and Practice,","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2022.102663","article-title":"Person-centered care for musculoskeletal pain: Putting principles into practice","volume":"62","author":"Hutting, N.","year":"2022","unstructured":"Hutting, N., Caneiro, J.P., Ong\u2019wen, O.M., Miciak, M., & Roberts, L. (2022). Person-centered care for musculoskeletal pain: Putting principles into practice. Musculoskeletal Science and Practice, 62, Article 102663. 10.1016\/j.msksp.2022.102663"},{"issue":"4","key":"r19","series-title":"Age and Ageing,","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae080","article-title":"Barriers and motivators to undertaking physical activity in adults over 70\u2014A systematic review of the quantitative literature","volume":"53","author":"Kilgour, A.H.M.","year":"2024","unstructured":"Kilgour, A.H.M., Rutherford, M., Higson, J., Meredith, S.J., McNiff, J., Mitchell, S., Wijayendran, A., Lim, S.E.R., & Shenkin, S.D. (2024). Barriers and motivators to undertaking physical activity in adults over 70\u2014A systematic review of the quantitative literature. Age and Ageing, 53(4), Article 80. 10.1093\/ageing\/afae080"},{"issue":"3","key":"r20","series-title":"Physical Therapy,","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1093\/ptj\/85.3.209","article-title":"Trunk muscle stabilization training plus general exercise versus general exercise only: Randomized controlled trial of patients with recurrent low back pain","volume":"85","author":"Koumantakis, G.A.","year":"2005","unstructured":"Koumantakis, G.A., Watson, P.J., & Oldham, J.A. (2005). Trunk muscle stabilization training plus general exercise versus general exercise only: Randomized controlled trial of patients with recurrent low back pain. Physical Therapy, 85(3), 209\u2013225. 10.1093\/ptj\/85.3.209"},{"issue":"1","key":"r21","series-title":"BMC Musculoskeletal Disorders,","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-016-0986-y","article-title":"Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial","volume":"17","author":"Lehtola, V.","year":"2016","unstructured":"Lehtola, V., Luomajoki, H., Leinonen, V., Gibbons, S., & Airaksinen, O. (2016). Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial. BMC Musculoskeletal Disorders, 17(1), Article 986. 10.1186\/s12891-016-0986-y"},{"issue":"3","key":"r22","series-title":"Revista Brasileira de Reumatologia,","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/j.rbr.2016.01.004","article-title":"Prevalence of low back pain in older Brazilians: A systematic review with meta-analysis","volume":"56","author":"Leopoldino, A.A.O.","year":"2016","unstructured":"Leopoldino, A.A.O., Diz, J.B.M., Martins, V.T., Henschke, N., Pereira, L.S.M., Dias, R.C., & Oliveira, V.C. (2016). Prevalence of low back pain in older Brazilians: A systematic review with meta-analysis. Revista Brasileira de Reumatologia, 56(3), 258\u2013269. 10.1016\/j.rbr.2016.01.004"},{"issue":"3","key":"r23","series-title":"Cadernos de Sa\u00fade P\u00fablica,","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1590\/S0102-311X1993000300002","article-title":"Quantitativo-qualitativo: Oposi\u00e7\u00e3o ou complementaridade?","volume":"9","author":"Minayo, M.C.S.","year":"1993","unstructured":"Minayo, M.C.S., & Sanches, O. (1993). Quantitativo-qualitativo: Oposi\u00e7\u00e3o ou complementaridade? Cadernos de Sa\u00fade P\u00fablica, 9(3), 237\u2013248. 10.1590\/S0102-311X1993000300002"},{"issue":"9","key":"r24","series-title":"Brazilian Journal of Medical and Biological Research,","doi-asserted-by":"publisher","first-page":"1411","DOI":"10.1590\/S0100-879X2004000900017","article-title":"Brazilian version of the Berg balance scale","volume":"37","author":"Miyamoto, S.T.","year":"2004","unstructured":"Miyamoto, S.T., Lombardi, I., Berg, K.O., Ramos, L.R., & Natour, J. (2004). Brazilian version of the Berg balance scale. Brazilian Journal of Medical and Biological Research, 37(9), 1411\u20131421. 10.1590\/S0100-879X2004000900017"},{"issue":"6","key":"r25","series-title":"Physiotherapy,","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/S0031-9406(05)61003-6","article-title":"Back to fitness programme","volume":"86","author":"Moffett, J.K.","year":"2000","unstructured":"Moffett, J.K., & Frost, H. (2000). Back to fitness programme. Physiotherapy, 86(6), 295\u2013305. 10.1016\/S0031-9406(05)61003-6"},{"issue":"7","key":"r26","series-title":"Journal of Clinical Sleep Medicine,","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.5664\/jcsm.7896","article-title":"What are the effects of physical activity on sleep quality and low back pain in older adults?","volume":"15","author":"Morelh\u00e3o, P.K.","year":"2019","unstructured":"Morelh\u00e3o, P.K., Tufik, S., & Andersen, M.L. (2019). What are the effects of physical activity on sleep quality and low back pain in older adults? Journal of Clinical Sleep Medicine, 15(7), 1067\u20131068. 10.5664\/jcsm.7896"},{"issue":"1","key":"r27","series-title":"IOP Conference Series: Earth and Environmental Science,","doi-asserted-by":"publisher","DOI":"10.1088\/1755-1315\/125\/1\/012183","article-title":"The correlation of pain intensity and quality of life in chronic LBP patients in Adam Malik general hospital","volume":"125","author":"Nasution, I.K.","year":"2018","unstructured":"Nasution, I.K., Lubis, N.D.A., Amelia, S., & Hocin, K. (2018). The correlation of pain intensity and quality of life in chronic LBP patients in Adam Malik general hospital. IOP Conference Series: Earth and Environmental Science, 125(1), Article 12183. 10.1088\/1755-1315\/125\/1\/012183"},{"issue":"2","key":"r28","series-title":"The Journals of Gerontology: Series B,","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1093\/geronb\/gbn037","article-title":"Self-reported sleep quality predicts poor cognitive performance in healthy older adults","volume":"64B","author":"Nebes, R.D.","year":"2009","unstructured":"Nebes, R.D., Buysse, D.J., Halligan, E.M., Houck, P.R., & Monk, T.H. (2009). Self-reported sleep quality predicts poor cognitive performance in healthy older adults. The Journals of Gerontology: Series B, 64B(2), 180\u2013187. 10.1093\/geronb\/gbn037"},{"issue":"11","key":"r29","series-title":"European Spine Journal,","doi-asserted-by":"publisher","first-page":"2791","DOI":"10.1007\/s00586-018-5673-2","article-title":"Clinical practice guidelines for the management of non-specific low back pain in primary care: An updated overview","volume":"27","author":"Oliveira, C.B.","year":"2018","unstructured":"Oliveira, C.B., Maher, C.G., Pinto, R.Z., Traeger, A.C., Lin, C.W.C., Chenot, J.F., van Tulder, M., & Koes, B.W. (2018). Clinical practice guidelines for the management of non-specific low back pain in primary care: An updated overview. European Spine Journal, 27(11), 2791\u20132803. 10.1007\/s00586-018-5673-2"},{"issue":"11","key":"r30","series-title":"Journal of Applied Gerontology,","doi-asserted-by":"publisher","first-page":"2374","DOI":"10.1177\/07334648221113500","article-title":"Sleep quality predicts functional disability in older adults with low back pain: A longitudinal study","volume":"41","author":"Oliveira, S.D.","year":"2022","unstructured":"Oliveira, S.D., Pinto, R.Z., Gobbi, C., Fernandes, G.L., Dokkedal-Silva, V., Lemes, \u00cd.R., Andersen, M.L., Tufik, S., Lorenconi, R.M.R., & Morelh\u00e3o, P.K. (2022). Sleep quality predicts functional disability in older adults with low back pain: A longitudinal study. Journal of Applied Gerontology, 41(11), 2374\u20132381. 10.1177\/07334648221113500"},{"issue":"8","key":"r31","series-title":"Arthritis Care & Research,","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1002\/acr.22261","article-title":"Are older adults missing from low back pain clinical trials? A systematic review and meta-analysis","volume":"66","author":"Paeck, T.","year":"2014","unstructured":"Paeck, T., Ferreira, M.L., Sun, C., Lin, C.W.C., Tiedemann, A., & Maher, C.G. (2014). Are older adults missing from low back pain clinical trials? A systematic review and meta-analysis. Arthritis Care & Research, 66(8), 1220\u20131226. 10.1002\/acr.22261"},{"issue":"1","key":"r32","series-title":"Scientific Reports,","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/s41598-023-36762-5","article-title":"Social dimensions impact individual sleep quantity and quality","volume":"13","author":"Park, S.","year":"2023","unstructured":"Park, S., Zhunis, A., Constantinides, M., Aiello, L.M., Quercia, D., & Cha, M. (2023). Social dimensions impact individual sleep quantity and quality. Scientific Reports, 13(1), 1\u201311. 10.1038\/s41598-023-36762-5"},{"issue":"1","key":"r33","series-title":"Chronic Diseases in Canada,","first-page":"13","article-title":"Refining the measurement of the economic burden of chronic diseases in Canada","volume":"25","author":"Rapoport, J.","year":"2004","unstructured":"Rapoport, J., Jacobs, P., Bell, N.R., & Klarenbach, S. (2004). Refining the measurement of the economic burden of chronic diseases in Canada. Chronic Diseases in Canada, 25(1), 13\u201321."},{"issue":"7668","key":"r34","series-title":"British Medical Journal,","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1136\/BMJ.A1020","article-title":"Qualitative research methodologies: Ethnography","volume":"337","author":"Reeves, S.","year":"2008","unstructured":"Reeves, S., Kuper, A., & Hodges, B.D. (2008). Qualitative research methodologies: Ethnography. British Medical Journal, 337(7668), 512\u2013514. 10.1136\/BMJ.A1020"},{"issue":"1","key":"r35","series-title":"BMC Geriatrics,","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12877-023-04455-3\/FIGURES\/3","article-title":"The impact of social support, physical and psychological performance on sleep outcomes in Iranian older adults: A case-control study","volume":"23","author":"Salehi, Z.","year":"2023","unstructured":"Salehi, Z., Pasha, H., Hosseini, S.R., Kheirkhah, F., & Bijani, A. (2023). The impact of social support, physical and psychological performance on sleep outcomes in Iranian older adults: A case-control study. BMC Geriatrics, 23(1), 1\u201313. 10.1186\/S12877-023-04455-3\/FIGURES\/3"},{"key":"r36","series-title":"Journal of Aging and Physical Activity,","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1123\/JAPA.2024-0026","article-title":"The ESCAPE trial for older people with chronic low back pain: A feasibility study of a clinical trial of group-based exercise in primary health care","volume":"33","author":"Silva, H.J.","year":"2024","unstructured":"Silva, H.J., Miranda, J.P., Melo, C.S., Fonseca, L.S., Mascarenhas, R.O., Veloso, N.S., Silva, W.T., Bastone, A.C., & Oliveira, V.C. (2024). The ESCAPE trial for older people with chronic low back pain: A feasibility study of a clinical trial of group-based exercise in primary health care. Journal of Aging and Physical Activity, 33, 151\u2013160. 10.1123\/JAPA.2024-0026"},{"key":"r37","series-title":"Sleep,","doi-asserted-by":"publisher","DOI":"10.1093\/SLEEP\/ZSAE023","article-title":"Sleep as a prognostic factor in low back pain: A systematic review of prospective cohort studies and secondary analyses of randomized controlled trials","volume":"47","author":"Silva, S.","year":"2024","unstructured":"Silva, S., Hayden, J.A., Mendes, G., Verhagen, A., Pinto, R.Z., & Silva, A. (2024). Sleep as a prognostic factor in low back pain: A systematic review of prospective cohort studies and secondary analyses of randomized controlled trials. Sleep, 47, Article 23. 10.1093\/SLEEP\/ZSAE023"},{"issue":"5","key":"r38","series-title":"Physical Therapy,","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzy028","article-title":"Paradigm shift in geriatric low back pain management: Integrating influences, experiences, and consequences","volume":"98","author":"Simon, C.B.","year":"2018","unstructured":"Simon, C.B., & Hicks, G.E. (2018). Paradigm shift in geriatric low back pain management: Integrating influences, experiences, and consequences. Physical Therapy, 98(5), Article 434. 10.1093\/ptj\/pzy028"},{"issue":"6","key":"r39","series-title":"Management International Review,","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1007\/s11575-012-0140-5","article-title":"Progressive focusing and trustworthiness in qualitative research: The enabling role of Computer-Assisted Qualitative Data Analysis Software (CAQDAS)","volume":"52","author":"Sinkovics, R.R.","year":"2012","unstructured":"Sinkovics, R.R., & Alfoldi, E.A. (2012). Progressive focusing and trustworthiness in qualitative research: The enabling role of Computer-Assisted Qualitative Data Analysis Software (CAQDAS). Management International Review, 52(6), 817\u2013845. 10.1007\/s11575-012-0140-5"},{"issue":"1","key":"r40","series-title":"British Journal of Pain,","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1177\/2049463714541642","article-title":"Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain","volume":"9","author":"Smith, J.A.","year":"2015","unstructured":"Smith, J.A., & Osborn, M. (2015). Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain. British Journal of Pain, 9(1), 41\u201342. 10.1177\/2049463714541642"},{"issue":"12","key":"r41","series-title":"BMJ Open,","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-038800","article-title":"Barriers and facilitators to patient uptake and utilisation of digital interventions for the self-management of low back pain: A systematic review of qualitative studies","volume":"10","author":"Svendsen, M.J.","year":"2020","unstructured":"Svendsen, M.J., Wood, K.W., Kyle, J., Cooper, K., Rasmussen, C.Di, N., Sandal, L.F., Stochkendahl, M.J., Mair, F.S., & Nicholl, B.I. (2020). Barriers and facilitators to patient uptake and utilisation of digital interventions for the self-management of low back pain: A systematic review of qualitative studies. BMJ Open, 10(12), Article 800. 10.1136\/bmjopen-2020-038800"},{"key":"r42","article-title":"Department of economic and social affairs population division. World population ageing 2013","year":"2013","unstructured":"United Nations. (2013). Department of economic and social affairs population division. World population ageing 2013. https:\/\/doi.org\/ST\/ESA\/SER.A\/348"},{"issue":"9995","key":"r43","series-title":"The Lancet,","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1016\/S0140-6736(15)60692-4","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990\u20132013: A systematic analysis for the Global Burden of Disease Study 2013","volume":"386","author":"Vos, T.","year":"2015","unstructured":"Vos, T., Barber, R.M., Bell, B., Bertozzi-Villa, A., Biryukov, S., Bolliger, I., Charlson, F., Davis, A., Degenhardt, L., Dicker, D., Duan, L., Erskine, H., Feigin, V.L., Ferrari, A.J., Fitzmaurice, C., Fleming, T., Graetz, N., Guinovart, C., Haagsma, J., . . .\u00a0Global Burden of Disease Study 2013 Collaborators. (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990\u20132013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 386(9995), 743\u2013800. 10.1016\/S0140-6736(15)60692-4"},{"key":"r44","series-title":"WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings","first-page":"1","year":"2023","unstructured":"World Health Organization. (2023). WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings (pp.\u00a01\u2013243)."},{"key":"r45","article-title":"Exercise and older patients: Prescribing guidelines","author":"Yelmokas Mcdermott, A.","year":"2006","unstructured":"Yelmokas Mcdermott, A., Mernitz, H., & Jean Mayer, M. (2006). Exercise and older patients: Prescribing guidelines. http:\/\/www.cdc.gov\/nccdphp\/dnpa\/physical\/measuring\/perceived_exertion.htm."},{"issue":"1","key":"r46","series-title":"BMC Geriatrics,","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12877-021-02711-Y\/FIGURES\/4","article-title":"The association between sleep quality and psychological distress among older Chinese adults: A moderated mediation model","volume":"22","author":"Zhang, C.","year":"2022","unstructured":"Zhang, C., Xiao, S., Lin, H., Shi, L., Zheng, X., Xue, Y., Dong, F., Zhang, J., & Xue, B. (2022). The association between sleep quality and psychological distress among older Chinese adults: A moderated mediation model. BMC Geriatrics, 22(1), 1\u201310. 10.1186\/S12877-021-02711-Y\/FIGURES\/4"}],"container-title":["Journal of Aging and Physical Activity"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/japa\/aop\/article-10.1123-japa.2025-0036\/article-10.1123-japa.2025-0036.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/japa\/aop\/article-10.1123-japa.2025-0036\/article-10.1123-japa.2025-0036.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/japa\/aop\/article-10.1123-japa.2025-0036\/article-10.1123-japa.2025-0036.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T05:19:58Z","timestamp":1794374398000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/japa\/aop\/article-10.1123-japa.2025-0036\/article-10.1123-japa.2025-0036.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":46,"URL":"https:\/\/doi.org\/10.1123\/japa.2025-0036","relation":{},"ISSN":["1063-8652","1543-267X"],"issn-type":[{"value":"1063-8652","type":"print"},{"value":"1543-267X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}