Trial reportMedicine2016
Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity: Randomized controlled trial.
Trial report in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Effectiveness and Characteristics of Work Participation Interventions for Adults with Musculoskeletal Upper Limb Conditions: A Systematic Review.Journal of occupational rehabilitation · 2025Pooled it
- Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers.The Cochrane database of systematic reviews · 2019Pooled it
- Multi-disciplinary interventions for chronic pain involving education: A systematic review.PloS one · 2019Pooled it
- Comparison of high-intensity laser therapy and combination of ultrasound treatment and transcutaneous nerve stimulation in patients with cervical spondylosis: a randomized controlled trial.Lasers in medical science · 2019Trial
- Effectiveness of percutaneous neuromuscular electrical stimulation for neck pain relief in patients with cervical spondylosis.Medicine · 2018Trial
- Pilates in the Workplace: A Systematic Review and Meta-Analysis of Physical, Psychological, and Functional Outcomes in Employees.Journal of functional morphology and kinesiology · 2026Review
- Article
- Injury-related psychological distress and the association with perceived running ability in injured runners.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2022Article
- A Scoping Review of the Evidence regarding Assessment and Management of Psychological Features of Shoulder Pain.Rehabilitation research and practice · 2021Article
- Effects of Mindfulness Training on Psychological Capital, Depression, and Procrastination of the Youth Demographic.Iranian journal of public health · 2020Article
- Exploring the Use of Meditation as a Valuable Tool to Counteract Sedentariness.Frontiers in psychology · 2020Article
- What Is the Relationship of Fear Avoidance to Physical Function and Pain Intensity in Injured Athletes?Clinical orthopaedics and related research · 2018Article
- Can high social capital at the workplace buffer against stress and musculoskeletal pain?: Cross-sectional study.Medicine · 2018Article
- Fear Avoidance Beliefs and Risk of Long-Term Sickness Absence: Prospective Cohort Study among Workers with Musculoskeletal Pain.Pain research and treatment · 2018Article
- Effects of Mantra Meditation versus Music Listening on Knee Pain, Function, and Related Outcomes in Older Adults with Knee Osteoarthritis: An Exploratory Randomized Clinical Trial (RCT).Evidence-based complementary and alternative medicine : eCAM · 2018Article
- Physical Activity as Cause and Cure of Muscular Pain: Evidence of Underlying Mechanisms.Exercise and sport sciences reviews · 2017Review
- Fear Avoidance After Injury and Readiness to Return to Sport in Collegiate Male and Female Gaelic Games Players.Sports healthArticle
- Article
- A cross-sectional study on fear-avoidance beliefs and chronic low back pain in fighter pilots.International journal of critical illness and injury scienceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
People with chronic musculoskeletal pain often experience pain-related fear of movement and avoidance behavior. The Fear-Avoidance model proposes a possible mechanism at least partly explaining the development and maintenance of chronic pain. People who interpret pain during movement as being potentially harmful to the organism may initiate a vicious behavioral cycle by generating pain-related fear of movement accompanied by avoidance behavior and hyper-vigilance.This study investigates whether an individually adapted multifactorial approach comprised of biopsychosocial elements, with a focus on physical exercise, mindfulness, and education on pain and behavior, can decrease work-related fear-avoidance beliefs.As part of a large scale 10-week worksite randomized controlled intervention trial focusing on company initiatives to combat work-related musculoskeletal pain and stress, we evaluated fear-avoidance behavior in 112 female laboratory technicians with chronic neck, shoulder, upper back, lower back, elbow, and hand/wrist pain using the Fear-Avoidance Beliefs Questionnaire at baseline, before group allocation, and again at the post intervention follow-up 10 weeks later.A significant group by time interaction was observed (P < 0.05) for work-related fear-avoidance beliefs. The between-group difference at follow-up was -2.2 (-4.0 to -0.5), corresponding to a small to medium effect size (Cohen's d = 0.30).Our study shows that work-related, but not leisure time activity-related, fear-avoidance beliefs, as assessed by the Fear-avoidance Beliefs Questionnaire, can be significantly reduced by 10 weeks of physical-cognitive-mindfulness training in female laboratory technicians with chronic pain.
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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.