Evidence map›Paper›PMID 32500130›Full record

Trial reportPain medicine (Malden, Mass.)2020

Changes in Perceived Stress After Yoga, Physical Therapy, and Education Interventions for Chronic Low Back Pain: A Secondary Analysis of a Randomized Controlled Trial.

Jonathan Berlowitz, Daniel L Hall, Christopher Joyce, Lisa Fredman, Karen J Sherman, Robert B Saper, Eric J Roseen

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

Trial report in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05106647 (Reducing Work-related Screen Time in Health Care Workers During Leisure Time), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-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.

NCT05106647 nacompletednot on this mapstarted 2021, after this paper: background citation

Reducing Work-related Screen Time in Health Care Workers During Leisure Time

TypeinterventionalSponsorUniversity of NebraskaRan2021 to 2023Enrolled520ConditionsStress, Burnout, CaregiverArmsReduce screen time
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Yoga for chronic non-specific low back pain.The Cochrane database of systematic reviews · 2022
    Pooled it
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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

7 authors at 3 institutions in 1 country.

Jonathan BerlowitzDepartment of Family Medicine, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts.
Daniel L HallDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Christopher JoyceDepartment of Rehabilitation Science, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts.
Lisa FredmanDepartment of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.
Karen J ShermanKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Robert B SaperDepartment of Family Medicine, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts.
Eric J RoseenDepartment of Family Medicine, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts.
Boston University · USMassachusetts General Hospital · USKaiser Permanente Washington Health Research Institute · 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
Improving Access to Chiropractic Care for Low Back Pain in Underserved Primary Care Settings: Development and Evaluation of a Multi-level Implementation StrategyK23AT010487 · NCCIH · BOSTON MEDICAL CENTER · PI ROSEEN, ERIC J · 2019 to 2023
$839k
A Multimodal Mind-Body Intervention for Fear of Recurrence among Cancer SurvivorsK23AT010157 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HALL, DANIEL LEE · 2019 to 2023
$785k
Improving Care for Chronic Low Back Pain in Primary Care: Development of a Novel Yoga Clinical Prediction RuleF32AT009272 · NCCIH · BOSTON MEDICAL CENTER · PI ROSEEN, ERIC J · 2016 to 2018
$245k
NCCIH NIH HHS F32 AT009272NCCIH NIH HHS K23 AT010157NCCIH NIH HHS K23 AT010487NCCIH NIH HHS R01 AT005956
6 · The paper itself

Abstract

objectivePerceived stress and musculoskeletal pain are common, especially in low-income populations. Studies evaluating treatments to reduce stress in patients with chronic pain are lacking. We aimed to quantify the effect of two evidence-based interventions for chronic low back pain (cLBP), yoga and physical therapy (PT), on perceived stress in adults with cLBP.

methodsWe used data from an assessor-blinded, parallel-group randomized controlled trial, which recruited predominantly low-income and racially diverse adults with cLBP. Participants (N = 320) were randomly assigned to 12 weeks of yoga, PT, or back pain education. We compared changes in the 10-item Perceived Stress Scale (PSS-10) from baseline to 12- and 52-week follow-up among yoga and PT participants with those receiving education. Subanalyses were conducted for participants with elevated pre-intervention perceived stress (PSS-10 score ≥17). We conducted sensitivity analyses using various imputation methods to account for potential biases in our estimates due to missing data.

resultsAmong 248 participants (mean age = 46.4 years, 80% nonwhite) completing all three surveys, yoga and PT showed greater reductions in PSS-10 scores compared with education at 12 weeks (mean between-group difference = -2.6, 95% confidence interval [CI] = -4.5 to -0.66, and mean between-group difference = -2.4, 95% CI = -4.4 to -0.48, respectively). This effect was stronger among participants with elevated pre-intervention perceived stress. Between-group effects had attenuated by 52 weeks. Results were similar in sensitivity analyses.

conclusionsYoga and PT were more effective than back pain education for reducing perceived stress among low-income adults with cLBP.

Indexed as

Chronic PainLow Back PainYogaAdultHumansMiddle AgedPhysical Therapy ModalitiesStress, PsychologicalTreatment OutcomeChronic Low Back PainPhysical TherapyStressUnderserved PopulationsYoga

Identifiers

PMID32500130
PMCPMC7778331
OpenAlexW3033959765

What OpenQuestion holds

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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.