Survey of the barriers, enablers and preferences to swimming for people with chronic lower back pain

Journal article


Oakes, H., DeVivo, M., Stephensen, D. and Mills, H. 2024. Survey of the barriers, enablers and preferences to swimming for people with chronic lower back pain. Journal of Aquatic Physical Therapy . 32 (2), pp. 16-24. https://doi.org/10.1097/PXT.0000000000000038
AuthorsOakes, H., DeVivo, M., Stephensen, D. and Mills, H.
Abstract

Background and Purpose
It is common practice for health professionals to recommend swimming to people with chronic low back pain (CLBP) for rehabilitation, pain management and to improve levels of physical activity. Uptake and engagement in swimming involves a change in behaviour, influenced by various factors including barriers, enablers and preferences. The aim of this study was to identify the most common barriers, enablers, and preferences to swimming for people with CLBP and map them onto the Capability Opportunity Motivation-Behaviour (COM-B) model.

Methods
People with CLBP were invited to complete a survey collecting data regarding the barriers, enablers, and preferences in relation to swimming. The questions were scored on a 5-point Likert scale and mapped onto the COM-B model.

Results
82 people completed the survey. More than 50% of participants agreed with the following barriers: I am not sure which swimming stroke is best for my back pain and I lack motivation to go swimming. These barriers mapped to the psychological capability and reflective motivation dimensions on the COM-B model. At least 50% of participants agreed with the following enablers: I would like to use swimming to improve my strength, flexibility, weight, fitness, health, mood, and wellbeing; setting goals and making an action plan could help me swim regularly, I am more likely to go swimming if a health professional advised me and I believe that swimming is good for my back. These enablers mapped to the reflective motivation and physical and social opportunity dimensions on the COM-B model.

Discussion and Conclusions
The findings from this survey suggest that when recommending swimming health professionals should discuss the wider health benefits of swimming, discuss specific swimming strokes and why swimming could be beneficial for back pain, and consider using motivational tools to encourage reflective motivation such as goal setting and action planning.

KeywordsBarriers; Chronic low back pain; Enablers; Preferences; Swimming
Year2024
JournalJournal of Aquatic Physical Therapy
Journal citation32 (2), pp. 16-24
PublisherWolters Kluwer
APTA Aquatic Physical Therapy
ISSN2377-6102
2377-6110
Digital Object Identifier (DOI)https://doi.org/10.1097/PXT.0000000000000038
Official URLhttps://journals.lww.com/japt/abstract/2024/05000/survey_of_the_barriers,_enablers,_and_preferences.2.aspx
Publication dates
Print11 Jul 2024
Publication process dates
Accepted08 May 2024
Deposited15 Jul 2024
Accepted author manuscript
License
File Access Level
Open
Output statusPublished
References

References
1. Ferreira ML, de Luca K, Haile LM, Steinmetz JD, Culbreth GT, Cross M, Kopec JA, Ferreira PH, Blyth FM, Buchbinder R, Hartvigsen J. 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. The Lancet Rheumatology. 2023 Jun 1;5(6):e316-29.
2. Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, Cohen M, Evers S, Finnerup NB, First MB, Giamberardino MA. A classification of chronic pain for ICD-11. Pain. 2015 Jun 1;156(6):1003-7.
3. NICE. Low back pain and sciatica in over 16s: assessment and management. https://www.nice.org.uk/guidance/ng59 Published November 30, 2016. Accessed March 7, 2019.
4. Cole A, Moschetti M, Eagleston R and Stratton S. Spine pain: Aquatic rehabilitation strategies. In Becker B and Cole A, eds. Comprehensive Aquatic Therapy. Boston: Butterworth Heinemann; 1997
5. Ribaud A, Tavares I, Viollet E, Julia M, Hérisson C, Dupeyron A. Which physical activities and sports can be recommended to chronic low back pain patients after rehabilitation? Annals of Physical and Rehabilitation Medicine. 2013 Oct 1;56(7-8):576-94.
6. Baptista I, Abrantes J, Atalaia T. Aquatic Exercise Choice Prevalence by Individuals With Low Back Pain. The Journal of Aquatic Physical Therapy. 2020 Dec 1;28(2):27-32.
7. Pocovi NC, de Campos TF, Christine Lin CW, Merom D, Tiedemann A, Hancock MJ. Walking, cycling, and swimming for nonspecific low back pain: a systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2022 Feb;52(2):85-99.
8. Setchell J, Costa N, Ferreira M, Hodges PW. What decreases low back pain? A qualitative study of patient perspectives. Scandinavian Journal of Pain. 2019 Jul 26;19(3):597-603.
9. Vader K, Doulas T, Patel R, Miller J. Experiences, barriers, and facilitators to participating in physical activity and exercise in adults living with chronic pain: a qualitative study. Disability and Rehabilitation. 2021 Jun 19;43(13):1829-37.
10. Brody L and Geigle P. Aquatic exercise for rehabilitation and training. Leeds: Human Kinetics; 2009
11. Fisken AL, Waters DL, Hing WA, Keogh JW. Perceptions towards aqua‐based exercise among older adults with osteoarthritis who have discontinued participation in this exercise mode. Australasian Journal on Ageing. 2016 Mar;35(1):12-7.
12. Boutevillain L, Dupeyron A, Rouch C, Richard E, Coudeyre E. Facilitators and barriers to physical activity in people with chronic low back pain: A qualitative study. PloS one. 2017 Jul 25;12(7):e0179826.
13. Joelsson M, Bernhardsson S, Larsson ME. Patients with chronic pain may need extra support when prescribed physical activity in primary care: a qualitative study. Scandinavian Journal of Primary Health Care. 2017 Jan 2;35(1):64-74.
14. McPhail SM, Schippers M, Marshall AL, Waite M, Kuipers P. Perceived barriers and facilitators to increasing physical activity among people with musculoskeletal disorders: a qualitative investigation to inform intervention development. Clinical Interventions in Aging. 2014 Dec 5:2113-22.
15. Schaller A, Exner AK, Schroeer S, Kleineke V, Sauzet O. Barriers to physical activity in low back pain patients following rehabilitation: a secondary analysis of a randomized controlled trial. BioMed Research International. 2017 Oct 25;2017.
16. Hornsby C. How can physiotherapists facilitate long-term adherence to aquatic exercise, Aqualines, 2016 28(2), pp.13- 17.
17. Marley J, Tully MA, Porter-Armstrong A, Bunting B, O’Hanlon J, Atkins L, Howes S, McDonough SM. The effectiveness of interventions aimed at increasing physical activity in adults with persistent musculoskeletal pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders. 2017 Dec;18(1):1-20.
18. Meade LB, Bearne LM, Sweeney LH, Alageel SH, Godfrey EL. Behaviour change techniques associated with adherence to prescribed exercise in patients with persistent musculoskeletal pain: systematic review. British Journal of Health Psychology. 2019 Feb;24(1):10-30.
19. Michie S, Van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation Science. 2011 Dec;6(1):1-2.
20. Michie S, Atkins L and West R. The behavioural change wheel. Great Britain: Silverback publishing; 2014.
21. Swim England. Behaviour change research Swim England insight. https://www.swimming.org/library/696 Published November 2, 2017. Accessed February 20, 2019.
22. Swim England. Value of Swimming. https://www.swimming.org/library/1106 https://www.swimming.org/swimengland/value-of-swimming/ Published 2019. Accessed December 15, 2023.
23. Aboagye E. Valuing individuals’ preferences and health choices of physical exercise. Pain and Therapy. 2017 Jun;6(1):85-91.
24. Tanaka Y, Shigetoh H, Sato G, Fujii R, Imai R, Osumi M, Morioka S. Classification of circadian pain rhythms and pain characteristics in chronic pain patients: an observational study. Medicine. 2021 Jun 6;100(25).
25. Hofling I, Linnenbecker S, Ungerechts B and Nicol K. Analysis of lordosis and kyphosis in swimming. International Symposium on Biomechanics and Medicine in Swimming, 2003 Congress proceedings, pp.575-578.
26. Liyanage P. Adults guide to swimming. Great Britain: Change Empire Books; 2020
27. Young M. The complete beginners guide to swimming. Hertfordshire: Educate and Learn publishing; 2016.
28. Dunlap E. Swim stroke training and modification for rehabilitation. In Brody L and Geigle P, eds. Aquatic exercise for rehabilitation and training, USA: Human Kinetics; 2009: 172.
29. Oakes H, De Vivo M, Mills H, Stephensen D. Recommending swimming to people with low back pain: A scoping review. Journal of Bodywork and Movement Therapies. 2023 Aug 25.
30. Banting LK, Dimmock JA, Grove JR. The impact of automatically activated motivation on exercise-related outcomes. Journal of Sport and Exercise Psychology. 2011 Aug 1;33(4):569-85.
31. Buchbinder R, van Tulder M, Öberg B, Costa LM, Woolf A, Schoene M, Croft P, Hartvigsen J, Cherkin D, Foster NE, Maher CG. Low back pain: a call for action. The Lancet. 2018 Jun 9;391(10137):2384-8.
32. Lewis J, O’Sullivan P. Is it time to reframe how we care for people with non-traumatic musculoskeletal pain? British Journal of Sports Medicine. 2018 Jun 6.
33. NICE. Physical activity: brief advice for adults in primary care. https://www.nice.org.uk/guidance/ph44/chapter/1-Recommendations Published May 29, 2013. Accessed April 8, 2023.
34. Public Health England. Making every contact count (MECC): Consensus statement. https://www.england.nhs.uk/wp-content/uploads/2016/04/making-every-c... Published April 2016. Accessed April 8, 2023.
35. Babwah T, Roopchan V, Baptiste B, Ali A, Dwarika K. Exercise prescriptions given by GPs to sedentary patients attending chronic disease clinics in health centres–The effect of a very brief intervention to change exercise behavior. Journal of Family Medicine and Primary Care. 2018 Nov;7(6):1446.
36. Chartered Society of Physiotherapy. Brief interventions: Evidence briefing physical activity, smoking cessation, obesity, alcohol and falls preventions. https://www.csp.org.uk/system/files/4-brief_interventions_evidence_b... Published 2023. Accessed 18 March 18, 2023.
37. Bélanger-Gravel A, Godin G, Amireault S. A meta-analytic review of the effect of implementation intentions on physical activity. Health Psychology Review. 2013 Mar 1;7(1):23-54.
38. Handley M, MacGregor K, Schillinger D, Sharifi C, Wong S, Bodenheimer T. Using action plans to help primary care patients adopt healthy behaviors: a descriptive study. The Journal of the American Board of Family Medicine. 2006 May 1;19(3):224-31.
39. Peng S, Othman AT, Yuan F, Liang J. The Effectiveness of Planning Interventions for Improving Physical Activity in the General Population: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health. 2022 Jun 15;19(12):7337.
40. Society of Behavioural Medicine. How to create an exercise plan that sticks. https://www.sbm.org/healthy-living/how-to-create-an-exercise-plan-th... Published 2023. Accessed March 18, 2023.
41. Bell T, Pope C, Fazeli P, Crowe M, Ball K. The association of persistent low back pain with older adult falls and collisions: A longitudinal analysis. Journal of Applied Gerontology. 2021 Nov;40(11):1455-64.
42. Marshall LM, Litwack-Harrison S, Cawthon PM, Kado DM, Deyo RA, Makris UE, Carlson HL, Nevitt MC, Study of Osteoporotic Fractures (SOF) Research Group. A prospective study of back pain and risk of falls among older community-dwelling women. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2016 Sep 1;71(9):1177-83.
43. Swim England. #LoveSwimming to inspire 14 million adults who cannot swim in England. https://www.swimming.org/swimengland/one-three-adults-cannot-swim/ Published October , 2019c. Accessed September 3, 2023.

Permalink -

https://repository.canterbury.ac.uk/item/985xw/survey-of-the-barriers-enablers-and-preferences-to-swimming-for-people-with-chronic-lower-back-pain

Restricted files

Accepted author manuscript

  • 50
    total views
  • 1
    total downloads
  • 3
    views this month
  • 0
    downloads this month

Export as

Related outputs

A clinical practice guideline for primary care physiotherapy in patients with haemophilia
Blokzijl, J., Pisters, Martijn F., Aspdahl, M., de Boer, Wypke, Dybvik Matlary, Ruth Elise, Douma‐van Riet, Danielle, de Kleijn, Piet, Lobet, Sébastien, Loughnane, Paula, McLaughlin, P., Bladen, M., Roche, Sheila, Stephensen, D., van Vlimmeren, Leo, van Vulpen, L. and Timmer, M. 2024. A clinical practice guideline for primary care physiotherapy in patients with haemophilia. Haemophilia. https://doi.org/10.1111/hae.15065
Exploring provision and impact of physical activity advice and guidance offered to women undergoing fertility Treatment
Draper, S., DeVivo, M. and Mills, H. 2024. Exploring provision and impact of physical activity advice and guidance offered to women undergoing fertility Treatment.
Exploring provision and impact of physical activity advice and guidance offered to women undergoing fertility treatment
Draper, S., DeVivo, M. and Mills, H. 2024. Exploring provision and impact of physical activity advice and guidance offered to women undergoing fertility treatment.
Exercise-based telerehabilitation for the management of chronic pain in people with severe haemophilia: a mixed-methods feasibility study.
McLaughlin, P., Chowdary, P., Khair, K., Smith, C., Stephensen, D. and Hurley, M. 2024. Exercise-based telerehabilitation for the management of chronic pain in people with severe haemophilia: a mixed-methods feasibility study. Pilot and Feasibility Studies. 10, p. 128. https://doi.org/10.1186/s40814-024-01550-z
CSP2023: 379 The development of a swimming programme for people with chronic low back pain using a modified Delphi technique
de Vivo, M., Stephensen, D. and Mills, H. 2024. CSP2023: 379 The development of a swimming programme for people with chronic low back pain using a modified Delphi technique. Physiotherapy. 123, p. e202. https://doi.org/10.1016/j.physio.2024.04.252
CSP2023: 217 Barriers, enablers, and preferences to swimming for people with chronic low back pain
Oakes, H., de Vivo, M., Mills, H. and Stephensen, D. 2024. CSP2023: 217 Barriers, enablers, and preferences to swimming for people with chronic low back pain. Physiotherapy. 123, p. e28. https://doi.org/10.1016/j.physio.2024.04.035
MOMentum lost: Unpicking maternal physical activity patterns
The Active Pregnancy Foundation, DeVivo, M., Mills, H. and Hesketh, K. 2024. MOMentum lost: Unpicking maternal physical activity patterns. The Active Pregnancy Foundation.
Using evidence‐based co‐design to develop a hybrid delivered exercise intervention that aims to increase confidence to exercise in people with haemophilia
Taylor, S., Barker, Karen, Stephensen, D. and Williamson, Esther 2024. Using evidence‐based co‐design to develop a hybrid delivered exercise intervention that aims to increase confidence to exercise in people with haemophilia. Haemophilia. https://doi.org/10.1111/hae.14972
Expert United Kingdom consensus on the preservation of joint health in people with moderate and severe haemophilia A: A modified Delphi panel
Laffan, M., McLaughlin, P., Motwani, J., Alamelu, J., Austin, S. Classey, S., Dolan, G., Eales, M., Gooding, R., Grainger, J., Harrison, C., Jones, A., Kelly, A., Oyesiku, L., Rodgers, R., Stephensen, D., Talks, K., Sonecha, S. and Danquah, A. 2024. Expert United Kingdom consensus on the preservation of joint health in people with moderate and severe haemophilia A: A modified Delphi panel. Haemophilia. https://doi.org/10.1111/hae.14934
A multidisciplinary approach to optimising the virtual management of haemophilia: a roundtable meeting of UK experts
Benson, G., Bhandari, T., Gomez, K., Holder, K.A., Stephensen, D., Wilkinson, A. and Mangles, S. 2023. A multidisciplinary approach to optimising the virtual management of haemophilia: a roundtable meeting of UK experts. Journal of Haemophilia Practice. 10 (1), pp. 138-154. https://doi.org/10.2478/jhp-2023-0022
Educational needs of patients, families, and healthcare professionals to support the patient journey in haemophilia gene therapy in the UK
Boyse, S., Fletcher, S., Jones, A., Kohli, R., Mangles, S., Ong, M., Pollard, D., Sivasubramaniyam, S., Stephensen, D., Stoner, N. and Kazmi, R. 2023. Educational needs of patients, families, and healthcare professionals to support the patient journey in haemophilia gene therapy in the UK. Orphanet Journal of Rare Diseases. 18 (366). https://doi.org/10.1186/s13023-023-02977-y
Using theory of change to co-create a programme theory for a telerehabilitation intervention for pain management in people with haemophilia
McLaughlin, P., Hurley, M., Chowdary, P., Khair, K., Smith, C. and Stephensen, D. 2023. Using theory of change to co-create a programme theory for a telerehabilitation intervention for pain management in people with haemophilia. Orphanet Journal of Rare Diseases. 18 (376). https://doi.org/10.1186/s13023-023-02988-9
Clinical and exercise professional opinion of return-to-running readiness after childbirth: an international Delphi study and consensus statement.
Christopher, S., Donnelly, Gráinne, Brockwell, Emma, Bo, Kari, Davenport, M., DeVivo, M., Dufour, Sinead, Forner, L., Mills, H., Moore, I., Olson, Amanda and Deering, R. 2023. Clinical and exercise professional opinion of return-to-running readiness after childbirth: an international Delphi study and consensus statement. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2023-107489
How to assess, detect, and manage joint involvement in the era of transformational therapies: Role of point-of-care ultrasound
Stephensen, D., DiMinno, M. N. D., Martinoli, C., Pasta, G., DelaCorte-Rodriguez, H., Samy, I., Timmer, M. and Winburn, I. 2023. How to assess, detect, and manage joint involvement in the era of transformational therapies: Role of point-of-care ultrasound. Haemophilia. 29, pp. 1-10. https://doi.org/10.111/hae.14657
Identifying performance-based outcome measures of physical function in people with haemophilia (IPOP)
Melanie Bladen, Hannah Harbidge, Wendy Drechsler, Gaetan Duport, Ryan Mahaffey, Janjap van der Net, Sofía Pérez-Alenda, Fionnuala Sayers, Karen Strike, Merel Timmer and David Stephensen 2023. Identifying performance-based outcome measures of physical function in people with haemophilia (IPOP). Haemophilia. 29 (6), pp. 1611-1620. https://doi.org/10.1111/hae.14886
Accreditation model of European Haemophilia Centres in the era of novel treatments and gene therapy
Stephensen, D., Boban, A., Baghaei, F., Fijnvandraat, K., Klamroth, R., Miesbach, W., Kavanagh, M., Noone, D., Crato, M. and Peyvandi, F. 2023. Accreditation model of European Haemophilia Centres in the era of novel treatments and gene therapy. Haemophilia. https://doi.org/10.1111/hae.14887
Wearable activity trackers in young people with haemophilia: What needs to be considered?
Stephensen, D., Dodd, C. and Hashem, F. 2023. Wearable activity trackers in young people with haemophilia: What needs to be considered? Haemophilia. 29 (3), pp. 942-945. https://doi.org/10.1111/hae.14790
Recommending swimming to people with low back pain: a scoping review
Oakes, H., DeVivo, M., Mills, H. and Stephensen, D. 2023. Recommending swimming to people with low back pain: a scoping review. Journal of Bodywork and Movement Therapies. 36, pp. 274-281. https://doi.org/10.1016/j.jbmt.2023.05.012
Embedding physical activity guidance during pregnancy and in postpartum care: ‘This Mum Moves’ enhances professional practice of midwives and health visitors
Taylor, K., De Vivo, Marlize, Mills, Hayley, Hurst, Phil, Draper, S. and Foad, Abby 2023. Embedding physical activity guidance during pregnancy and in postpartum care: ‘This Mum Moves’ enhances professional practice of midwives and health visitors. Journal of Midwifery & Women's Health. 69 (1), pp. 101-109. https://doi.org/10.1111/jmwh.13547
Twelve-month prevalence of haemarthrosis and joint disease using the Haemophilia Joint Health score: evaluation of the UK National Haemophilia Database and Haemtrack patient reported data: an observational study
Wilkins, R., Stephensen, D., Siddle, H., Scott, M. J.,, Xiang, H., Horn, E., Palmer, B., Chapman, G. J., Richards, M., Walwyn, R. and Redmond, A. 2022. Twelve-month prevalence of haemarthrosis and joint disease using the Haemophilia Joint Health score: evaluation of the UK National Haemophilia Database and Haemtrack patient reported data: an observational study. BMJ Open. 12, p. 3052358. https://doi.org/10.1136/bmjopen-2021-052358
European principles of care for physiotherapy provision for persons with inherited bleeding disorders: Perspectives of physiotherapists and patients
de Kleijn, P, Duport, G., Jansone, K., Marinić, M., McLaughlin, P., Noone, D., Ramishvili, L., Tollwé, A. and Stephensen, D. 2022. European principles of care for physiotherapy provision for persons with inherited bleeding disorders: Perspectives of physiotherapists and patients. Haemophilia. 28 (4), pp. 649-655. https://doi.org/10.1111/hae.14566
Pain memories: A new concept to consider in the management of chronic pain in people with haemophilia
Stephensen, D., Wells, A. J., Whitaker, S., Gray, D., Mangles, S. and Hislop-Lennie, K. 2022. Pain memories: A new concept to consider in the management of chronic pain in people with haemophilia. Haemophilia. 28 (2), pp. e46-48. https://doi.org/10.1111/hae.14480
The experiences and beliefs of people with severe haemophilia and healthcare professionals on pain management, and their views of using exercise as an aspect of intervention: a qualitative study
Stephensen, D., McLaughlin, P., Hurley, M., Chowdary, P. and Khair, K. 2022. The experiences and beliefs of people with severe haemophilia and healthcare professionals on pain management, and their views of using exercise as an aspect of intervention: a qualitative study. Disability and Rehabilitation. 44 (26), pp. 8420-8428. https://doi.org/10.1080/09638288.2021.2018054
How does a lifetime of painful experiences influence sensations and beliefs about pain in adults with severe haemophilia? A qualitative study
Stephensen, D., McLaughlin, P., Hurley, M., Chowdary, P. and Khair, K. 2022. How does a lifetime of painful experiences influence sensations and beliefs about pain in adults with severe haemophilia? A qualitative study. Disability and Rehabilitation. 44 (26), pp. 8412-8419. https://doi.org/10.1080/09638288.2021.2018053
Impact of heavy resistance training on pregnancy and postpartum health outcomes.
Prevett, Christina, Kimber, Miranda L., Forner, Lori, de Vivo, Marlize and Davenport, M. 2022. Impact of heavy resistance training on pregnancy and postpartum health outcomes. International Urogynecology Journal. https://doi.org/10.1007/s00192-022-05393-1
Strategies to help people with back pain become life-long swimmers: learning from all stakeholders through the Delphi technique
Oakes, H. 2022. Strategies to help people with back pain become life-long swimmers: learning from all stakeholders through the Delphi technique.
Experts warn continued pool closures are building up health problems for the future
Oakes, H. 2021. Experts warn continued pool closures are building up health problems for the future .
The role of physiotherapy in the new treatment landscape for haemophilia
Sébastien Lobet, Merel Timmer, Christoph Königs, David Stephensen, Paul McLaughlin, Gaetan Duport, Cédric Hermans and Maria Elisa Mancuso 2021. The role of physiotherapy in the new treatment landscape for haemophilia. Journal of Clinical Medicine. 10 (2822). https://doi.org/10.3390/jcm10132822
A physiotherapy led service improvement project for people attending the emergency department with traumatic anterior shoulder dislocations [conference abstract]
Watts, C., Creasey, M., Oakes, H. and Relwani, J. 2021. A physiotherapy led service improvement project for people attending the emergency department with traumatic anterior shoulder dislocations [conference abstract]. Physiotherapy. 113 (S1), p. e112. https://doi.org/10.1016/j.physio.2021.10.094
Haemophilia
Berntorp, E., Fischer, K., Hart, D.P., Mancuso, M.E., Stephensen, D., Shapiro, A.D. and Blanchette, V. 2021. Haemophilia. Nature Reviews Disease Primers. 7 (45). https://doi.org/10.1038/s41572-021-00278-x
Managing flare-ups: The experience of a group of swimmers with persistent low back pain
Oakes, H., DeVivo, M., Stephensen, D. and Mills, H. 2021. Managing flare-ups: The experience of a group of swimmers with persistent low back pain. Physiotherapy. 114 (S1), pp. E220-E221. https://doi.org/10.1016/j.physio.2021.12.208
The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide
Williamson, C., Baker, Graham, Tomasone, Jennifer R, Bauman, Adrian, Mutrie, Nanette, Niven, Ailsa, Richards, Justin, Oyeyemi, Adewale, Baxter, Beelin, Rigby, Benjamin, Cullen, Benny, Paddy, Brendan, Smith, Brett, Foster, Charlie, Drummy, Clare, Vandelanotte, Corneel, Oliver, Emily, Dewi, Fatwa Sari Tetra, McEwen, Fran, Bain, Frances, Faulkner, Guy, McEwen, Hamish, Mills, Hayley, Brazier, Jack, Nobles, James, Hall, Jennifer, Maclaren, Kaleigh, Milton, Karen, Olscamp, Kate, Campos, Lisseth Villalobos, Bursle, Louise, Murphy, Marie, Cavill, Nick, Johnston, Nora J, McCrorie, Paul, Wibowo, Rakhmat Ari, Bassett-Gunter, Rebecca, Jones, Rebecca, Ruane, Sarah, Shilton, Trevor and Kelly, Paul 2021. The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. The International Journal of Behavioral Nutrition and Physical Activity. 18 (1), p. 164. https://doi.org/10.1186/s12966-021-01230-8
The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide
Williamson, C, Baker, G, Tomasone, J.R, Bauman, A, Mutrie, N, Niven, A, Richards, J, Oyeyemi, A, Baxter, B, Rigby, B, Cullen, B, Paddy, B, Smith, B, Foster, C, Drummy, C, Vandelanotte, C, Oliver, E, Sari Tetra Dewi, F, McEwen, F, Bain, F, Faulkner, G, McEwen, H, Mills, H., Brazier, J, Nobles, J, Hall, J, Maclaren, K, Milton, K, Olscamp, K, Villalobos Campos, L, Bursle, L, Murphy, M, Cavill, N, Johnston, N.J., Crorie, P, Ari Wibowo, R, Bassett-Gunter, R, Jones, R, Ruane, S, Shilton, T and Kelly, P 2021. The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. International Journal of Behavioral Nutrition and Physical Activity.
Do people with long-term pain swim? Understanding participation using the active lives survey
Oakes, H., De Vivo, M., Stephensen, D. and Mills, H. 2021. Do people with long-term pain swim? Understanding participation using the active lives survey. Physiotherapy. 113, p. e11. https://doi.org/10.1016/j.physio.2021.10.235
Laying the foundation for pregnancy physical activity profiling: A framework for providing tailored physical Activity advice and guidance to pregnant women
DeVivo, M. and Mills, H. 2021. Laying the foundation for pregnancy physical activity profiling: A framework for providing tailored physical Activity advice and guidance to pregnant women. International Journal of Environmental Research and Public Health. 18 (11). https://doi.org/ijerph18115996
A rapid review of communication strategies for physical activity guidelines and physical activity promotion: A review of worldwide strategies
Budzynski-Seymour, E., Milton, K., Mills, H., Wade, M., Foster, C., Vishnubala, D., Baxter, B., Williamson, C. and Steele, J. 2021. A rapid review of communication strategies for physical activity guidelines and physical activity promotion: A review of worldwide strategies. Journal of Physical Activity and Health. 18 (8), pp. 1014-1027. https://doi.org/10.1123/jpah.2020-0832
Pool closures during the COVID-19 pandemic and the impact on low back pain management
Oakes, H., DeVivo, M., Stephensen, D. and Mills, H. 2021. Pool closures during the COVID-19 pandemic and the impact on low back pain management.
Physiotherapy interventions for pain management in haemophilia: A systematic review
Hurley, M., Chowdary, P., Khair, K., McLaughlin, P. and Stephensen, D. 2020. Physiotherapy interventions for pain management in haemophilia: A systematic review. Haemophilia. https://doi.org/10.1111/hae.14030
The importance of cancer patients' functional recollections to explore the acceptability of an isometric-resistance exercise intervention: A qualitative study
Hashem, F., Corbett, K., Stephensen, D., Swaine, I.L., Ali, H. and Hutchins, I. 2020. The importance of cancer patients' functional recollections to explore the acceptability of an isometric-resistance exercise intervention: A qualitative study. Health Science Reports. https://doi.org/10.1002/hsr2.186
Muscle strengthening intervention for boys with haemophilia: Developing and evaluating a best-practice exercise programme with boys, families and health-care professionals
Hashem, F., Stephensen, D., Drechsler, W.I., Bladen, M., Carroll, L., Pellatt-Higgins, T. and Saloniki, E.C. 2020. Muscle strengthening intervention for boys with haemophilia: Developing and evaluating a best-practice exercise programme with boys, families and health-care professionals. Health Expectations. 23 (5), pp. 1350-1361. https://doi.org/10.1111/hex.13119
Acceptability and feasibility of an isometric resistance exercise program for abdominal cancer surgery: An embedded qualitative study
Stephensen, D., Hashem, F., Bates, A., Pellatt-Higgins, T., Hobbs, R.P., Hopkins, M., Woodward, H., Stavropoulou, C., Swaine, I.L. and Ali, H. 2020. Acceptability and feasibility of an isometric resistance exercise program for abdominal cancer surgery: An embedded qualitative study. Cancer Control. https://doi.org/10.1177/1073274820950855
Comprehensive care on paper only? The challenge for physiotherapy provision in day to day haemophilia practice
McLaughlin, P., Aspdahl, M., Matlary, R. E. D., Grinda, N., Katzerova, M., O'Mahony, B., Stephensen, D. and Lobet, S. 2020. Comprehensive care on paper only? The challenge for physiotherapy provision in day to day haemophilia practice. Haemophilia. 2021 (27), pp. 284-286. https://doi.org/10.1111/hae.14150
Results of feasibility and safety of randomised controlled trial of a musculoskeletal exercise intervention versus usual care for children with haemophilia
Bladen, M., Carroll, L., Dodd, C., Drechsler, W., Hashem, F., Patel, V., Pellatt-Higgins, T., Saloniki, I. and Stephensen, D. 2020. Results of feasibility and safety of randomised controlled trial of a musculoskeletal exercise intervention versus usual care for children with haemophilia. Haemophilia. 2020 (26), pp. 223-225. https://doi.org/10.1111/hae.14026
Natural history of radiographic first metatarsophalangeal joint osteoarthritis: A nineteen‐year population‐based cohort study
Bowen, C., Gates, Lucy, McQueen, Peter, Daniels, Maxine, Delmestri, Antonella, Drechsler, Wendy, Stephensen, David, Doherty, Michael and Arden, Nigel 2020. Natural history of radiographic first metatarsophalangeal joint osteoarthritis: A nineteen‐year population‐based cohort study. Arthritis Care & Research. 72 (9), pp. 1224-1230. https://doi.org/10.1002/acr.24015
Pregnancy in the female athlete - Part 1: antenatal
Pitchers, G., Elliot-Sale, K., DeVivo, M., Donelon, T., Mills, H., Brockwell, E. and Donnelly, G. 2020. Pregnancy in the female athlete - Part 1: antenatal. Professional Strength & Conditioning. 58, pp. 15-22.
Scoping review: should physiotherapists recommend swimming to patients with low back pain and is further research indicated
Oakes, H., Mills, H., DeVivo, M. and Stephensen, D. 2020. Scoping review: should physiotherapists recommend swimming to patients with low back pain and is further research indicated. Physiotherapy. 107 (S1), p. e190. https://doi.org/10.1016/j.physio.2020.03.278
Do people with long-term pain swim? Understanding participation using the active lives survey
Oakes, H. 2020. Do people with long-term pain swim? Understanding participation using the active lives survey.
Telephone or video? A review of telemedicine consultations during the COVID-19 pandemic in a spinal MSK service
Oakes, H., Hussey, J, Stephensen, D. and Oakes, A 2020. Telephone or video? A review of telemedicine consultations during the COVID-19 pandemic in a spinal MSK service.
Encouraging physical activity during and after pregnancy in the COVID-19 era, and beyond
Atkinson, L., DeVivo, M., Hayes, L., Hesketh, K. R., Mills, H., Newham, J. J., Olander, E. K. and Smith, D. M. 2020. Encouraging physical activity during and after pregnancy in the COVID-19 era, and beyond. International Journal of Environmental Research and Public Health. 17 (7304), pp. 1-9. https://doi.org/10.3390/ijerph17197304
Evaluating Mums’ Zone: a combined intervention of physical activity and social support for new mums.
DeVivo, M. and Mills, H. 2020. Evaluating Mums’ Zone: a combined intervention of physical activity and social support for new mums.
2019 Women in Sport and Exercise Conference abstracts: Introducing This Mum Moves: an educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle
DeVivo, M. and Mills, H. 2020. 2019 Women in Sport and Exercise Conference abstracts: Introducing This Mum Moves: an educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle. Women in Sport and Physical Activity Journal. 28 (1), pp. 55-65. https://doi.org/10.1123/wspaj.2020-0011
Infographic. Guidance for medical, health and fitness professionals to support women in returning to running postnatally
Donnelly, G. M., Rankin, A., Mills, H., DeVivo, M., Goom, T. and Brockwell, E 2020. Infographic. Guidance for medical, health and fitness professionals to support women in returning to running postnatally. British Journal of Sports Medicine.
Exercise professionals' confidence in engaging women to be physically active during pregnancy
Draper, S., DeVivo, M. and Mills, H. 2020. Exercise professionals' confidence in engaging women to be physically active during pregnancy.
#Greatcoaching within sport
Howells, K., Gubby, L., Dray, K. and Mills, H. 2019. #Greatcoaching within sport. Expert Comments
#BalanceforBetter within sport
Howells, K., Gubby, L., Dray, K. and Mills, H. 2019. #BalanceforBetter within sport. CCCU website Media Department.
Educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle. Insight report.
Gilroy, V., DeVivo, M. and Lawson, R. 2019. Educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle. Insight report. ukactive.
You're pregnant, are you sure you should be doing that?
Mills, H. and DeVivo, M. 2019. You're pregnant, are you sure you should be doing that? Human Kinetics.
Physical activity during and beyond pregnancy: The importance of consistent and clear messages
Mills, H. and DeVivo, M. 2019. Physical activity during and beyond pregnancy: The importance of consistent and clear messages.
Physical activity and pregnancy
Mills, H., DeVivo, M., Tillet, E. and Johnson, B. 2019. Physical activity and pregnancy. Royal College of General Practitioners.
Should physiotherapists recommend swimming to patients with low back pain (LBP) and is further research warrented?
Oakes, H., DeVivo, M., Mills, H. and Stephensen, D 2019. Should physiotherapists recommend swimming to patients with low back pain (LBP) and is further research warrented?
“They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women.
De Vivo, M. and Mills, H. 2019. “They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women. BMC Pregnancy and Childbirth.
Bump start needed: linking guidelines, policy and practice in promoting physical activity during and beyond pregnancy
Mills, H., Atkinson, L, Olander, E.K, Smith, D, Hayes, L, Currie, S, Newham, J, Foster, C and De Vivo, M. 2019. Bump start needed: linking guidelines, policy and practice in promoting physical activity during and beyond pregnancy. British Journal of Sports Medicine.
Assessing the psychosocial factors associated with adherence to exercise referral schemes: a systematic review
Eynon, M., Foad, J., Downey, J., Bowmer, Y. and Mills, H. 2019. Assessing the psychosocial factors associated with adherence to exercise referral schemes: a systematic review. Scandinavian Journal Of Medicine & Science In Sports. 29 (5), pp. 638-650. https://doi.org/10.1111/sms.13403
Treatment regimens and outcomes in severe and moderate haemophilia A in the UK: The THUNDER study
Scott M.J., Xiang, H., Hart, D.P., Palmer, B., Collins, P.W., Stephensen, D., Sima, C.S. and Hay, C.R.M. 2018. Treatment regimens and outcomes in severe and moderate haemophilia A in the UK: The THUNDER study. Haemophilia. https://doi.org/10.1111/hae.13616
We need more female role models in sport to inspire the next generation
Howells, K., Gubby, L., Dray, K. and Mills, H. 2018. We need more female role models in sport to inspire the next generation. Canterbury Christ Church University.
Postural stability is affected in older males with Haemophilia—a matched control study
Digby-Bowl, C., Brown, M. and Stephensen, D. 2018. Postural stability is affected in older males with Haemophilia—a matched control study. Journal of Functional Morphology and Kinesiology. 3 (1), pp. 10-20. https://doi.org/10.3390/jfmk3010010
New teaching resource for promoting physical activity in pregnancy
De Vivo, M. and Mills, H. 2017. New teaching resource for promoting physical activity in pregnancy. Canterbury Christ Church University.
A mixed methods approach to advance the understanding of physical activity behaviour during pregnancy
De Vivo, M. and Mills, H. 2017. A mixed methods approach to advance the understanding of physical activity behaviour during pregnancy. Journal of Sports Sciences. 35 (S1), pp. 22-23. https://doi.org/10.1080/02640414.2017.1378421
Experiences of physical activity during pregnancy resulting from in vitro fertilisation: an interpretative phenomenological analysis
Walker, C., Mills, H. and Gilchrist, A. 2017. Experiences of physical activity during pregnancy resulting from in vitro fertilisation: an interpretative phenomenological analysis. Journal of Reproductive and Infant Psychology. https://doi.org/10.1080/02646838.2017.1313968
Why absence of evidence of risk is not the same as evidence for absence of risk
Mills, H., De Vivo, M. and Beedie, C. 2017. Why absence of evidence of risk is not the same as evidence for absence of risk. Canterbury Christ Church University.
“Already tired – do I need to be more tired?!” Eliciting the modal salient exercise beliefs of pregnant women in East Kent (United Kingdom).
De Vivo, M. and Mills, H. 2015. “Already tired – do I need to be more tired?!” Eliciting the modal salient exercise beliefs of pregnant women in East Kent (United Kingdom).
Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review
Mahaffey, R., Morrison, S.C., Stephensen, D. and Drechsler, W.I. 2016. Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review. Obesity. 24 (5), pp. 993-1017. https://doi.org/10.1002/oby.21468
Examining the effectiveness of the theory of planned behaviour in explaining exercise intention and behaviour during pregnancy: a meta-analysis
De Vivo, M., Hulbert, S., Mills, H. and Uphill, M. 2016. Examining the effectiveness of the theory of planned behaviour in explaining exercise intention and behaviour during pregnancy: a meta-analysis. Journal of Reproductive and Infant Psychology. https://doi.org/10.1080/02646838.2015.1118022
Public attitudes toward people with intellectual disabilities after viewing Olympic or Paralympic performance
Ferrara, K., Burns, J. and Mills, H. 2015. Public attitudes toward people with intellectual disabilities after viewing Olympic or Paralympic performance. Adapted Physical Activity Quarterly. 32 (1), pp. 19-33. https://doi.org/10.1123/apaq.2014-0136
“I could have gone off much harder”. Post-race counterfactual thinking in indoor rowers.
Dray, K., Uphill, M., Mills, H. and Southam, M. 2015. “I could have gone off much harder”. Post-race counterfactual thinking in indoor rowers.
Examining the effectiveness of the Theory of Planned Behaviour in predicting exercise intention and behaviour during pregnancy: Preliminary findings from a random effects meta-analysis
De Vivo, M., Hulbert, S., Mills, H. and Uphill, M. 2014. Examining the effectiveness of the Theory of Planned Behaviour in predicting exercise intention and behaviour during pregnancy: Preliminary findings from a random effects meta-analysis.
Exploring perceptions of success within an exercise referral scheme: a mixed method investigation
Mills, H., Crone, D., James, D. and Johnston, L. 2012. Exploring perceptions of success within an exercise referral scheme: a mixed method investigation. Evaluation Review. 36 (6), pp. 407-429. https://doi.org/10.1177/0193841X12474452
The potential power of the Paralympics - changing attitudes towards people with intellectual disabilities
Parrot, K., Burns, J., Mills, H. and Baker, P. 2012. The potential power of the Paralympics - changing attitudes towards people with intellectual disabilities.
'Even if you can’t skip, you have a skip in your step when you walk out of the gym': a study into patients' perceptions of an exercise referral scheme
Mills, H., Crone, D., Johnston, L. and James, D. 2007. 'Even if you can’t skip, you have a skip in your step when you walk out of the gym': a study into patients' perceptions of an exercise referral scheme.
Emotional intelligence: associations with emotions, emotion regulation and rowing performance
Uphill, M. and Mills, H. 2011. Emotional intelligence: associations with emotions, emotion regulation and rowing performance. British Journal of Sports Medicine. 45 (15). https://doi.org/10.1136/bjsports-2011-090606.36
Response to article: Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis
Crone, D., James, D., Mills, H. and Johnston, L. 2011. Response to article: Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis. British Medical Journal (BMJ). 2011 (343). https://doi.org/10.1136/bmj.d6462
Building Bridges - An innovative tool to capture small health behaviour changes; the development process
Mills, H., Uphill, M. and Weed, M. 2011. Building Bridges - An innovative tool to capture small health behaviour changes; the development process.
Factors associated with exercise referral scheme success
Mills, H. 2009. Factors associated with exercise referral scheme success.
'Even if you can't skip, you have a skip in your step when you walk out of the gym': a study into patients' perceptions of an exercise referral scheme
Mills, H., James, D., Chrone, D. and Johnston, L. 2007. 'Even if you can't skip, you have a skip in your step when you walk out of the gym': a study into patients' perceptions of an exercise referral scheme. Journal of Sports Sciences. 25 (S2), pp. 108-109.
A mixed method investigation into the perception and measurement of success in an exercise referral scheme
Mills, H., Crone, D., James, D. and Johnston, L. 2010. A mixed method investigation into the perception and measurement of success in an exercise referral scheme.
‘Like I say to my dad, it’s not you’re fat, it’s probably muscle’ – exploring young boys’ perceptions of the physical activity and health relationship
Mills, H. and Mendez, K. 2010. ‘Like I say to my dad, it’s not you’re fat, it’s probably muscle’ – exploring young boys’ perceptions of the physical activity and health relationship.
Public health and physical activity
Mills, H., Crone, D. and El Ansari, W. 2009. Public health and physical activity. in: Wilson, F. and Mabhala, M. (ed.) Key Concepts in Public Health Los Angeles SAGE Publications Ltd. pp. 202-206
Factors associated with physical activity referral completion and health outcomes
James, D., Mills, H., Crone, D., Johnston, L., Morris, C. and Gidlow, C. 2009. Factors associated with physical activity referral completion and health outcomes. Journal of Sports Sciences. 27 (10), pp. 1007-1017. https://doi.org/10.1080/02640410903214248