Evidence map›Paper›PMID 27129472›Full record

Trial reportTrials2016

Yoga versus education for Veterans with chronic low back pain: study protocol for a randomized controlled trial.

Robert B Saper, Chelsey M Lemaster, A Rani Elwy, Ruth Paris, Patricia M Herman, Dorothy N Plumb, Karen J Sherman, Erik J Groessl, Susan Lynch, Shihwe Wang and 1 more

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02224183 (Veterans Back to Health), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02224183 nacompletednot on this map

Veterans Back to Health: A Study Comparing Yoga and Education for Veterans With Chronic Low Back Pain

TypeinterventionalSponsorBoston Medical CenterRan2015 to 2016Enrolled120ConditionsRecurrent Low Back PainArmsEducation, Yoga
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Yoga for chronic non-specific low back pain.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Robert B SaperDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA. robert.saper@bmc.org.
Chelsey M LemasterDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA.
A Rani ElwyCenter for Information Dissemination and Education Resources, VA Boston Healthcare System, Boston, MA, USA.
Ruth ParisBoston University School of Social Work, Boston, MA, USA.
Patricia M HermanRAND Corporation, Santa Monica, CA, USA.
Dorothy N PlumbCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Karen J ShermanGroup Health Research Institute, Seattle, WA, USA.
Erik J GroesslVA San Diego Healthcare System, San Diego, CA, USA.
Susan LynchThere & Back Again, Inc., Wakefield, MA, USA.
Shihwe WangCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Janice WeinbergDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Boston Medical Center · USBoston University · USEdith Nourse Rogers Memorial Veterans Hospital · USRAND Corporation · USUniversity of California, San Diego · USUniversity of Washington · USVA Boston Healthcare System · US

Funding

Yoga vs. Physical Therapy for Chronic Low Back Pain in Minority PopulationsR01AT005956 · NCCIH · BOSTON MEDICAL CENTER · PI SAPER, ROBERT BRUCE · 2010 to 2015
$3.9M
NCCIH NIH HHS 3R01AT005956-05S1NCCIH NIH HHS R01 AT005956
6 · The paper itself

Abstract

backgroundChronic low back pain is the most frequent pain condition in Veterans and causes substantial suffering, decreased functional capacity, and lower quality of life. Symptoms of post-traumatic stress, depression, and mild traumatic brain injury are highly prevalent in Veterans with back pain. Yoga for low back pain has been demonstrated to be effective for civilians in randomized controlled trials. However, it is unknown if results from previously published trials generalize to military populations. METHODS/

designThis study is a parallel randomized controlled trial comparing yoga to education for 120 Veterans with chronic low back pain. Participants are Veterans ≥18 years old with low back pain present on at least half the days in the past six months and a self-reported average pain intensity in the previous week of ≥4 on a 0-10 scale. The 24-week study has an initial 12-week intervention period, where participants are randomized equally into (1) a standardized weekly group yoga class with home practice or (2) education delivered with a self-care book. Primary outcome measures are change at 12 weeks in low back pain intensity measured by the Defense and Veterans Pain Rating Scale (0-10) and back-related function using the 23-point Roland Morris Disability Questionnaire. In the subsequent 12-week follow-up period, yoga participants are encouraged to continue home yoga practice and education participants continue following recommendations from the book. Qualitative interviews with Veterans in the yoga group and their partners explore the impact of chronic low back pain and yoga on family relationships. We also assess cost-effectiveness from three perspectives: the Veteran, the Veterans Health Administration, and society using electronic medical records, self-reported cost data, and study records. DISCUSSION: This study will help determine if yoga can become an effective treatment for Veterans with chronic low back pain and psychological comorbidities.

trial registrationClinicalTrials.gov: NCT02224183.

Indexed as

Patient Education as TopicVeterans HealthYogaBostonChronic PainClinical ProtocolsCost-Benefit AnalysisDisability EvaluationElectronic Health RecordsHealth Care CostsHealth ExpendituresHealth Knowledge, Attitudes, PracticeHumansLow Back PainPain MeasurementRecovery of FunctionCost-effectivenessLow back painMilitary familiesRandomized controlled trialVeteransYoga

Identifiers

PMID27129472
PMCPMC4850721
OpenAlexW2343678351

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.