Evidence map›Paper›PMID 30099402›Full record

Trial reportBMJ open2018

Pain education for patients with non-specific low back pain in Nepal: protocol of a feasibility randomised clinical trial (PEN-LBP Trial).

Saurab Sharma, Mark P Jensen, G Lorimer Moseley, J Haxby Abbott

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

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03387228 (Pain Education for Patients With Non-specific Low Back Pain in Nepal), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT03387228 nacompletednot on this map

Pain Education for Patients With Non-specific Low Back Pain in Nepal: A Feasibility Clinical Trial

TypeinterventionalSponsorKathmandu University School of Medical SciencesRan2018 to 2018Enrolled40ConditionsLow Back Pain, MechanicalArmsPain education, Control group
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Cultural tailoring of pain management approaches: a scoping review.International journal for equity in health · 2025
    Article
  7. Development of pain science education for chronic low back pain in India.The Journal of manual & manipulative therapy · 2025
    Article
  8. Article
  9. Pain science education concepts for pelvic pain: an e-Delphi of expert clinicians.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
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

4 authors at 4 institutions in 4 countries.

Saurab SharmaDepartment of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Bagmati, Nepal.ORCID 0000-0002-9817-5372
Mark P JensenDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA.
G Lorimer MoseleySchool of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
J Haxby AbbottCentre for Musculoskeletal Outcomes Research, Dunedin School of Medicine, University of Otago, Dunedin, Otago, New Zealand.ORCID 0000-0001-6468-7284
Kathmandu University · NPUniversity of Otago · NZUniversity of South Australia · AUUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow back pain (LBP) is the leading cause of years lived with disability in Nepal and elsewhere. Management of LBP that is evidence-based, easily accessible, cost-effective and culturally appropriate is desirable. The primary aim of this feasibility study is to determine if it is feasible to conduct a full randomised clinical trial evaluating the effectiveness of pain education as an intervention for individuals with LBP in Nepal, relative to guideline-based physiotherapy treatment. The findings of the study will inform the planning of a full clinical trial and if any modifications are required to the protocol before undertaking a full trial. METHODS/ANALYSIS: This protocol describes an assessor-blinded feasibility clinical trial investigating feasibility of the pain education intervention in patients with non-specific LBP in a physiotherapy hospital in Kathmandu, Nepal. Forty patients with LBP will be randomly allocated to either pain education or guideline-based physiotherapy treatment (control). Outcomes will be assessed at baseline and at a 1 week post-treatment. The primary outcomes are related to feasibility, including: (1) participant willingness to participate in a randomised clinical trial, (2) feasibility of assessor blinding, (3) eligibility and recruitment rates, (4) acceptability of screening procedures and random allocation, (5) possible contamination between the groups, (6) intervention credibility, (7) intervention adherence, (8) treatment satisfaction and (9) difficulty in understanding the interventions being provided. ETHICS/DISSEMINATION: The protocol was approved by Nepal Health Research Council (NHRC; registration number: 422/2017) and University of Otago Human Ethics Committee for Health (registration number: H17/157). The results of the study will be presented at national and international conferences and published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: NCT03387228; Pre-results.

Indexed as

AdultClinical ProtocolsFeasibility StudiesFemaleHumansLow Back PainMaleNepalPatient Education as TopicPhysical Therapy Modalities

Identifiers

PMID30099402
PMCPMC6089285
OpenAlexW2886309526

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.