Trial reportPain2015
A multifaceted workplace intervention for low back pain in nurses' aides: a pragmatic stepped wedge cluster randomised controlled trial.
Trial report in Pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 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
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Effectiveness of Team and Organisational Level Workplace Interventions Aimed at Improving Sustainable Employability of Aged Care Staff: A Systematic Review.Journal of occupational rehabilitation · 2023Pooled it
- Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021Pooled it
- A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work.Journal of occupational rehabilitation · 2020Pooled it
- Effectiveness of a team-level participatory approach aimed at improving sustainable employability among long-term care workers: a randomized controlled trial.Scandinavian journal of work, environment & health · 2025Trial
- Effect of a smartphone self-management digital support system for low-back pain (selfBACK) among workers with high physical work demands - secondary analysis of a randomized controlled trial.Scandinavian journal of work, environment & health · 2024Trial
- The effectiveness of social media and in-person interventions for low back pain conditions in nursing personnel (SMILE).Nursing open · 2021Trial
- Trial
- Mechanisms for reducing low back pain: a mediation analysis of a multifaceted intervention in workers in elderly care.International archives of occupational and environmental health · 2019Trial
- Attendance barriers experienced by female health care workers voluntarily participating in a multi-component health promotion programme at the workplace.BMC public health · 2018Trial
- Operationalizing a model to quantify implementation of a multi-component intervention in a stepped-wedge trial.Implementation science : IS · 2018Trial
- Trial
- A randomized controlled trial of the effect of participatory ergonomic low back pain training on workplace improvement.Journal of occupational health · 2017Trial
- The Implementation of the Toolbox "Talk About Pain-Take Action Together" to Improve Musculoskeletal Pain Management in the Workplace.Journal of occupational rehabilitation · 2026Article
- Article
- Copen-SCALE: scaling-up an effective intervention to childcare institutions in Copenhagen - a stepped wedge type II hybrid effectiveness-implementation trial. A study protocol.BMC public health · 2025Article
- Self-Management Strategies for Low Back Pain Among Horticulture Workers: Protocol for a Type II Hybrid Effectiveness-Implementation Study.JMIR research protocols · 2025Article
- Do job demands and resources differ between permanent and temporary eldercare workers in Sweden?Annals of work exposures and health · 2025Article
- Development and evaluation of a participatory ergonomic intervention for the reduction of work-related musculoskeletal disorders among nurses.AIMS public health · 2025Article
- Scoping review meets expert interviews: Key issues of multimodal programs for workplace health promotion in long-term care facilities -Health promotion perspectives · 2024Article
- A participatory ergonomics intervention to re-design work and improve the musculoskeletal health of paramedics: protocol for a cluster randomised controlled trial.BMC musculoskeletal disorders · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study established the effectiveness of a workplace multifaceted intervention consisting of participatory ergonomics, physical training, and cognitive-behavioural training (CBT) for low back pain (LBP). Between November 2012 and May 2014, we conducted a pragmatic stepped wedge cluster randomised controlled trial with 594 workers from eldercare workplaces (nursing homes and home care) randomised to 4 successive time periods, 3 months apart. The intervention lasted 12 weeks and consisted of 19 sessions in total (physical training [12 sessions], CBT [2 sessions], and participatory ergonomics [5 sessions]). Low back pain was the outcome and was measured as days, intensity (worst pain on a 0-10 numeric rank scale), and bothersomeness (days) by monthly text messages. Linear mixed models were used to estimate the intervention effect. Analyses were performed according to intention to treat, including all eligible randomised participants, and were adjusted for baseline values of the outcome. The linear mixed models yielded significant effects on LBP days of -0.8 (95% confidence interval [CI], -1.19 to -0.38), LBP intensity of -0.4 (95% CI, -0.60 to -0.26), and bothersomeness days of -0.5 (95% CI, -0.85 to -0.13) after the intervention compared with the control group. This study shows that a multifaceted intervention consisting of participatory ergonomics, physical training, and CBT can reduce LBP among workers in eldercare. Thus, multifaceted interventions may be relevant for improving LBP in a working population.
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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.