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. 2019 Apr 29;20:e45. doi: 10.1017/S1463423619000070
Themes Positive perceptions of the programme Good understanding of recommended self-management strategies Adherence behaviour Recommendations for programme improvement
Subthemes Group structure of the programme was valued Behaviour change was correctly understood as an ongoing process Improvement of symptoms appeared to have the strongest influence on adherence behaviour Shorter but ongoing programme sessions incorporating videos and print materials were suggested
Improvements in symptoms positively influenced views of the programme Exercise was correctly regarded as part of daily life Expectation of symptom improvement was important for adherence Spacious exercise/demonstration rooms in primary care centres was recommended
Health professional-led intervention delivered in primary care centre was advocated Adherence was facilitated by interesting practice sessions with self-help educational materials Community involvement to reduce the stigma associated with exercise as treatment, and legitimise exercise for back pain management
Enhancing participants’ knowledge of chronic low back pain via a collaborative communication style was appreciated Non-adherence was related to contextual personal factors