Study reveals which activities help or harm back pain

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Veterans age 18-65 years seen in VA primary care for LBP * Must have regular access (every day, during most hours of the day) to a computer, tablet, or smartphone with internet access at home or at work * Basic computer literacy * Having a mobile phone capable of receiving alerts using text messages * Must be able to understand and read English, sufficient to provide informed consent and validly complete the study assessments. * Participants must complete basic requirements during a 2-week run-in period, such as completing e-Questionnaires After approval by the study sponsor and IRB, an additional inclusion criterion was added beginning on 3/10/2023, to also allow the inclusion of other patients with low back pain. The inclusion criteria were broadened to include other patients seen for low back pain in the health care system, including three "specific" subgroups of Veterans with low back pain: (1) Veterans with lumbosacral facet-mediated low back pain; (2) Veterans with sacroiliac joint-mediated low back pain; and (3) Veterans with spondylolytic spondylolistheses. Exclusion Criteria: * Red flag' spine conditions (spinal cord injury, infection, malignancy, fracture) or spondyloarthropathy * Pregnancy * Prisoners or incarcerated * Severe active medical or psychiatric comorbidities likely to be a barrier to study participation including completing frequent, serial assessments (e.g., metastatic cancer). * Thoracolumbar spine surgery in the past 1 year * Other major orthopedic surgery potentially impeding normal physical activities (such as surgeries involving the hip, knee, ankle, shoulder, elbow, wrist joints) within the past 6 months, or major abdominal or chest surgery within the past 6 months.\* * Planned major orthopedic, abdominal, or chest surgery in the next 2 months.