Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2012
A model of integrative care for low-back pain.
Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025Pooled it
- Process of care in outpatient Integrative healthcare facilities: a systematic review of clinical trials.BMC health services research · 2015Pooled it
- Herbal medicine for low-back pain.The Cochrane database of systematic reviews · 2014Pooled it
- Sustainability of Improvements in Adaptive Coping Following Mind-Body and Activity Training for Chronic Pain.International journal of behavioral medicine · 2021Trial
- Development of a mind body program for obese knee osteoarthritis patients with comorbid depression.Contemporary clinical trials communications · 2021Article
- Development And Early Feasibility Testing Of A Mind-Body Physical Activity Program For Patients With Heterogeneous Chronic Pain; The GetActive Study.Journal of pain research · 2019Article
- The future of integrative health and medicine in Saudi Arabia.Integrative medicine research · 2018Review
- Associations of Early Treatments for Low-Back Pain with Military Readiness Outcomes.Journal of alternative and complementary medicine (New York, N.Y.) · 2018Article
- Establishing an Integrative Medicine Program Within an Academic Health Center: Essential Considerations.Academic medicine : journal of the Association of American Medical Colleges · 2016Article
- Quality of reporting of randomised controlled trials in chiropractic using the CONSORT checklist.Chiropractic & manual therapies · 2016Article
- Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review.Nursing research and practice · 2016Review
- Collaborative care for a patient with complex low back pain and long-term tobacco use: a case report.The Journal of the Canadian Chiropractic Association · 2015Article
- The process of care in integrative health care settings - a qualitative study of US practices.BMC complementary and alternative medicine · 2014Article
- Salutogenesis: the defining concept for a new healthcare system.Global advances in health and medicine · 2014Article
- Conventional Practitioners' Communication of Integrative Alternatives for Chronic Back Pain: An Evidence-based, Patient-centered Model.Integrative medicine (Encinitas, Calif.) · 2014Article
- Pathways to Healing: Person-centered Responses to Complementary Services.Global advances in health and medicine · 2014Article
- When a whole practice model is the intervention: developing fidelity evaluation components using program theory-driven science for an integrative medicine primary care clinic.Evidence-based complementary and alternative medicine : eCAM · 2013Article
- Designing, validation, and feasibility of integrated yoga therapy module for chronic low back pain.International journal of yogaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesWhile previous studies focused on the effectiveness of individual complementary and alternative medical (CAM) therapies, the value of providing patients access to an integrated program involving multiple CAM and conventional therapies remains unknown. The objective of this study is to explore the feasibility and effects of a model of multidisciplinary integrative care for subacute low-back pain (LBP) in an academic teaching hospital.
designThis was a pilot randomized trial comparing an individualized program of integrative care (IC) plus usual care to usual care (UC) alone for adults with LBP. SUBJECTS: Twenty (20) individuals with LPB of 3-12 weeks' duration were recruited from an occupational health clinic and community health center.
interventionsParticipants were randomized to 12 weeks of individualized IC plus usual care versus UC alone. IC was provided by a trained multidisciplinary team offering CAM therapies and conventional medical care. OUTCOME MEASURES: The outcome measures were symptoms (pain, bothersomeness), functional status (Roland-Morris score), SF-12, worry, and difficulty performing three self-selected activities.
resultsOver 12 weeks, participants in the IC group had a median of 12.0 visits (range 5-25). IC participants experienced significantly greater improvements at 12 weeks than those receiving UC alone in symptom bothersomeness (p=0.02) and pain (p=0.005), and showed greater improvement in functional status (p=0.08). Rates of improvement were greater for patients in IC than UC in functional status (p=0.02), bothersomeness (p=0.002), and pain scores (p=0.001). Secondary outcomes of self-selected most challenging activity, worry, and the SF-12 also showed improvement in the IC group at 12 weeks. These differences persisted at 26 weeks, but were no longer statistically significant.
conclusionsIt was feasible for a multidisciplinary, outpatient IC team to deliver coordinated, individualized intervention to patients with subacute LBP. Results showed a promising trend for benefit of treating patients with persistent LBP with this IC model, and warrant evaluation in a full-scale study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.