Home‑Based Resistance Exercise for Chronic Low‑Back Pain in Middle‑Aged Community Adults

1. What is your gender?

MaleFemalePrefer not to say

2. What is your age in years?

3. What is your height in centimeters?

4. What is your weight in kilograms?

5. What is your current employment status?

Employed full-timeEmployed part-timeSelf-employedRetiredHomemakerUnemployedOther

6. What is your highest level of education completed?

Primary school or belowMiddle schoolHigh school or vocational schoolCollege or bachelor degreePostgraduate degree or above

7. How long have you been experiencing lower back pain?

Less than 12 weeks12 weeks to less than 6 months6 months to less than 1 year1 year to less than 3 years3 years or more

8. Please rate your current lower back pain intensity on a scale from 0 to 10, where 0 means no pain and 10 means unbearable severe pain.

9. How often do you experience lower back pain?

Every daySeveral times a weekAbout once a weekSeveral times a monthLess than once a month

10. Which situations usually trigger or worsen your lower back pain?

Prolonged sittingStanding for a long timeBending or lifting objectsWalking long distancesHousehold choresCold or damp weatherStress or poor moodNo obvious trigger

11. Please rate how much lower back pain interferes with the following daily activities.

Not at all
Slightly
Moderately
Severely
Unable to do

Getting out of bed

Putting on shoes or socks

Carrying groceries

Climbing stairs

Walking for 30 minutes

Doing household cleaning

12. Have you received any professional treatment for your lower back pain in the past 6 months?

YesNo

13. Which treatments have you received for your lower back pain in the past 6 months?

Pain medicationPhysical therapy in a hospitalMassage or manual therapyAcupunctureTraditional Chinese medicineHome stretching exercisesNo treatment

14. How often do you currently exercise or engage in physical activity?

NeverLess than once a week1 to 2 times a week3 to 4 times a week5 times a week or more

15. What types of physical activity do you usually do?

WalkingJoggingSwimmingCyclingTai Chi or QigongStretchingResistance or strength trainingDancingHousework as main activityI do not exercise regularly

16. Have you ever done resistance or strength training at home?

Yes, regularlyYes, occasionallyTried but stoppedNever

17. How confident are you that you can complete a home-based exercise program three times a week for 8 weeks?

Not confident at all

Extremely confident

18. What barriers might prevent you from exercising at home regularly?

Lack of timePain or discomfort during exerciseLack of space at homeLack of equipmentNot knowing how to exercise correctlyLow motivationFamily responsibilitiesNo barriers

19. Please rank the following features of a home exercise program from most important to least important to you.

Clear video instructionsWeekly follow-up from a physiotherapistShort session durationNo special equipment neededGradual increase in difficultyPrinted training plan

20. Would you be willing to exercise at home for about 30 minutes per session, three times a week, for 8 weeks?

Definitely willingProbably willingNot sureProbably not willingDefinitely not willing

21. Please indicate how much you agree with the following statements about exercise and back pain.

Strongly disagree
Disagree
Neutral
Agree
Strongly agree

Exercise can help reduce my lower back pain

I believe I can safely exercise at home with proper guidance

Regular exercise is important for maintaining my daily function

I am willing to record my exercise in a daily log

I would recommend home-based exercise to others with back pain

22. How likely are you to recommend a home-based resistance exercise program to a friend or family member with chronic lower back pain?

Impossible

Extremely likely

23. Please describe any concerns or expectations you have about starting a home-based resistance exercise program.

24. You mentioned your views on home-based exercise. Could you tell us more about what would help you stay motivated to exercise regularly at home?

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