Evidence map›Paper›PMID 30770763›Full record

Trial reportBMC psychology2019

Psychological and work-related outcomes after inpatient multidisciplinary rehabilitation of chronic low back pain: a prospective randomized controlled trial.

P Hampel, A Köpnick, S Roch

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Observational
  9. Article
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  11. Neuropathic pain and chronic pain as an underestimated interdisciplinary problem.International journal of occupational medicine and environmental health · 2022
    Review
  12. 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

3 authors at 1 institution in 1 country.

P HampelInstitute of Health, Nutrition, and Sport Sciences, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Germany. petra.hampel@uni-flensburg.de.ORCID http://orcid.org/0000-0002-8429-125X
A KöpnickInstitute of Health, Nutrition, and Sport Sciences, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Germany.
S RochInstitute of Health, Nutrition, and Sport Sciences, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Germany.
Europa-Universität Flensburg · DE

Funding

Deutsche Rentenversicherung Bund 8011 - 106 - 31/31.115
6 · The paper itself

Abstract

backgroundThis study investigated the long-term effects (12 months post-rehabilitation) of a standard inpatient multidisciplinary rehabilitation program for patients with chronic low back pain (CLBP), in which a control group (CG) received pain competence training and an intervention group (IG) received combined pain competence and depression prevention training.

methodsIn this prospective control group study with cluster-block randomization, a total of n = 583 patients were included into per protocol analyses. To examine the effects of rehabilitation on depressive symptoms, pain self-efficacy, and work ability, patients were stratified in repeated-measures analyses of variance by treatment condition (IG vs. CG), level of depressive symptoms (low vs. high), and time of assessment (pre, post, 6, and 12 months after rehabilitation). The impact of each treatment on pain-related days of sick leave (DSL; dichotomized into ≤ vs. > 2 weeks) was determined separately by conducting non-parametric analyses. Multiple imputations (n = 1225) confirmed the results. Effects were interpreted if clinical significance was given.

resultsOnly patients with high levels of depressive symptoms showed long-term improvements in depressive symptoms and self-efficacy. Long-term improvements in work ability index and mental work ability item were restricted to the IG. Furthermore, long-term effects on pain-related DSL were ascertained by per protocol and multiple imputation analyses only for the IG.

conclusionsPatients with high levels of depressive symptoms showed improvements in depressive symptoms and self-efficacy, supporting the psychological effectiveness of both interventions. However, the beneficial long-term effects of rehabilitation on work ability and pain-related DSL among the IG support implementation of combined pain competence and depression prevention training.

trial registrationDRKS00015465 (German Clinical Trial Register DRKS); date of registration: 03.09.2018.

Indexed as

Cognitive Behavioral TherapyInpatientsPain ManagementAdultChronic PainDepressionFemaleHumansLow Back PainMaleMiddle AgedProspective StudiesReturn to WorkTreatment OutcomeChronic low back painCognitive-behavioral treatmentDepressive symptomsInpatient multidisciplinary rehabilitationWork ability

Identifiers

PMID30770763
PMCPMC6377771
OpenAlexW2919608281

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.