Trial reportBMJ open2019
Results of a feasibility randomised clinical trial on pain education for low back pain in Nepal: the Pain Education in Nepal-Low Back Pain (PEN-LBP) feasibility trial.
Trial report in BMJ open, 2019. 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 30 papers, 1 of them a synthesis 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.
Pain Education for Patients With Non-specific Low Back Pain in Nepal: A Feasibility Clinical Trial
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Group Differences Between Countries and Between Languages in Pain-Related Beliefs, Coping, and Catastrophizing in Chronic Pain: A Systematic Review.Pain medicine (Malden, Mass.) · 2020Pooled it
- Impact of the Osijek Multidisciplinary Biopsychosocial Program on Chronic Low Back Pain: A Prospective Randomized Controlled Study.International journal of environmental research and public health · 2026Trial
- What is the Journey to Physiotherapy Care for Women over 60 Years with Pelvic Floor Dysfunction: Scoping Review.International urogynecology journal · 2026Article
- Development, Cultural Adaptation, and Content Validation of Urdu Pain Neuroscience Education Materials for Low Back Pain in Pakistan.Medical sciences (Basel, Switzerland) · 2026Article
- What does collaborative healthcare for people with musculoskeletal-related conditions look like? A scoping review.BMC musculoskeletal disorders · 2025Article
- Development of pain science education for chronic low back pain in India.The Journal of manual & manipulative therapy · 2025Article
- Psychological Interventions in Patients with Physical Pain: A Focus on Catastrophizing and Resilience-A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Keeping It Simple-Pain Science Education for Patients with Chronic Pain Referred to Community-Based Rehabilitation: Translation, Adaptation, and Clinical Feasibility Testing of PNE4Adults.Journal of clinical medicine · 2025Article
- Association of Health-Related Quality of Life and Pain Medication Perception Among Chronic Low Back Pain Patients at Tertiary Care Hospital: A Cross-Sectional Study.Journal of pain research · 2025Article
- A physiotherapist-led biopsychosocial education and exercise programme for patients with chronic low back pain in Ghana: a mixed-methods feasibility study.BMC musculoskeletal disorders · 2024Article
- Article
- Pain neuroscience education through cultural lens: insights, challenges and future implications.The Journal of manual & manipulative therapy · 2024Article
- Research from low-income and middle-income countries will benefit global health and the physiotherapy profession, but it requires support.The Journal of manual & manipulative therapy · 2023Article
- Research From Low-Income and Middle-Income Countries Will Benefit Global Health and the Physiotherapy Profession, but It Requires Support.Physical therapy · 2023Article
- Recommendations for progression criteria during external randomised pilot trial design, conduct, analysis and reporting.Pilot and feasibility studies · 2023Article
- The physiotherapy workforce in Nepal: A national survey.Journal of evaluation in clinical practice · 2023Article
- Research from low-income and middle-income countries will benefit global health and the physiotherapy profession, but it requires support.The South African journal of physiotherapy · 2023Article
- Research from Low-Income and Middle-Income Countries will Benefit Global Health and the Physiotherapy Profession, but it Requires Support.International journal of sports physical therapy · 2023Article
- Spreading the word: pediatric pain education from treatment to prevention.Archives of physiotherapy · 2022Article
- Does the implementation of clinical practice guidelines for low back and neck pain by physical therapists improve patient outcomes? A systematic review.Implementation science communications · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aims of this study were to: (1) develop pain education materials in Nepali and (2) determine the feasibility of conducting a randomised clinical trial (RCT) of a pain education intervention using these materials in Nepal.
designA two-arm, parallel, assessor-blinded, feasibility RCT.
settingA rehabilitation hospital in Kathmandu, Nepal.
participantsForty Nepalese with non-specific low back pain (mean [SD] age 41 [14] years; 12 [30%] women).
interventionsEligible participants were randomised, by concealed, 1:1 allocation, to one of two groups: (1) a pain education intervention and (2) a guideline-based physiotherapy active control group intervention. Each intervention was delivered by a physiotherapist in a single, 1-hour, individualised treatment session. PRIMARY OUTCOME MEASURES: The primary outcomes were related to feasibility: recruitment, retention and treatment adherence of participants, feasibility and blinding of outcome assessments, fidelity of treatment delivery, credibility of, and satisfaction with, treatment. Assessments were performed at baseline and at 1 week post-treatment. SECONDARY OUTCOME MEASURES: Pain intensity, pain interference, pain catastrophising, sleep disturbance, resilience, global rating of change, depression and quality of life. Statistical analyses were conducted blind to group allocation.
resultsForty participants were recruited. Thirty-eight participants (95%) completed the 1-week post-treatment assessment. Most primary outcomes surpassed the a priori thresholds for feasibility. Several findings have important implications for designing a full trial. Secondary analyses suggest clinical benefit of pain education over the control intervention, with larger decrease in pain intensity (mean difference=3.56 [95% CI 0.21 to 6.91]) and pain catastrophising (mean difference=6.16 [95% CI 0.59 to 11.72]) in the pain education group. Pain intensity would seem an appropriate outcome for a full clinical trial. One minor adverse event was reported.
conclusionWe conclude that a full RCT of pain education for back pain in Nepal is feasible and warranted. TRIAL REGISTRATION NUMBER: NCT03387228; Results.
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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.