Evidence map›Paper›PMID 32590959›Full record

ArticleBMC musculoskeletal disorders2020

Evaluation of the efficacy of an internet-based pain education and exercise program for chronic musculoskeletal pain in comparison with online self-management booklet: a protocol of a randomised controlled trial with assessor-blinded, 12-month follow-up, and economic evaluation.

Iuri Fioratti, Bruno T Saragiotto, Felipe J J Reis, Gisela C Miyamoto, Hopin Lee, Tiê P Yamato, Junior V Fandim, Blake Dear, Chris G Maher, Leonardo O P Costa

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04274439 (Effectiveness and Cost-Effectiveness of a Tele-Rehabilitation Program in the Treatment of Chronic Musculoskeletal Pain), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

NCT04274439 naunknown statusnot on this map

Effectiveness and Cost-Effectiveness of a Tele-Rehabilitation Program in the Treatment of Chronic Musculoskeletal Pain

TypeinterventionalSponsorUniversidade Cidade de Sao PauloRan2020 to 2022Enrolled160ConditionsChronic PainArmsInternet-Based Pain Education and Exercise, Online Booklet
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Can you be a manual therapist without using your hands?Chiropractic & manual therapies · 2022
    Article
  5. 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

10 authors at 5 institutions in 3 countries.

Iuri FiorattiMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuape, São Paulo, 03071-000, Brazil.
Bruno T SaragiottoMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuape, São Paulo, 03071-000, Brazil. bruno.saragiotto@unicid.edu.br.ORCID http://orcid.org/0000-0003-4409-8057
Felipe J J ReisDepartment of Physical Therapy, Instituto Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Gisela C MiyamotoMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuape, São Paulo, 03071-000, Brazil.
Hopin LeeCentre for Statistics in Medicine, Rehabilitation Research in Oxford, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.
Tiê P YamatoMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuape, São Paulo, 03071-000, Brazil.
Junior V FandimMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuape, São Paulo, 03071-000, Brazil.
Blake DearDepartment of Psychology, Macquarie University, Sydney, Australia.
Chris G MaherInstitute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia.
Leonardo O P CostaMasters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuape, São Paulo, 03071-000, Brazil.
Universidade Cidade de São Paulo · BRThe University of Sydney · AUInstituto Federal do Rio de Janeiro · BRMacquarie University · AUNuffield Orthopaedic Centre · GB

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2016/24217-7
6 · The paper itself

Abstract

backgroundChronic musculoskeletal pain is one of the main causes of years lived with disability and generates the highest cost of health care among chronic pain conditions. Internet-based treatments have been shown to be an alternative for the treatment of musculoskeletal conditions, in addition to reducing barriers such as travel, high demands on the public health system, lack of time, lack of insurance coverage for private care, and high costs for long-term treatment. The aim of this clinical trial is to develop and test the effectiveness and cost-effectiveness of, an internet-based self-management program based on pain education and exercise for people with chronic musculoskeletal pain.

methodsThis is a prospectively registered, assessor-blinded, two-arm randomised controlled trial with economic evaluation comparing the Internet-based pain education and exercise intervention with a control group that will receive an online booklet. One hundred and sixty patients will be recruited from Sao Paulo, Brazil. Follow-ups will be conducted in post-treatment, 6 and 12 months after randomisation. The conduct of the study, as well as the evaluations and follow-ups will be carried out entirely remotely, through online platforms and telephone calls. The primary outcome will be pain intensity at post-treatment (8 weeks) measured using the 11-item Pain Numerical Rating Scale. Secondary outcomes will be biopsychosocial factors presents in the chronic musculoskeletal pain condition. Costs due to chronic musculoskeletal pain will be also measured, and cost-effectiveness analysis from a societal perspective will performed. DISCUSSION: Our hypothesis is that internet-based pain education and exercise will be better than an online booklet in reducing pain and improving biopsychosocial outcomes in patients with chronic musculoskeletal pain. In addition, we believe that there will be good acceptance of patients for the internet-based intervention and that internet-based intervention will be more cost effective than the online booklet.

trial registrationThe study was prospectively registered at ClinicalTrials.gov ( NCT04274439 , registered 18 February 2020).

Indexed as

InternetPamphletsBrazilChronic PainCost-Benefit AnalysisExercise TherapyFollow-Up StudiesHumansMusculoskeletal PainPain MeasurementProspective StudiesQuality of LifeRandomized Controlled Trials as TopicSelf-ManagementTreatment OutcomeChronic musculoskeletal painChronic painCost-effectiveness analysisInternet-basedStudy protocol

Identifiers

PMID32590959
PMCPMC7320555
OpenAlexW3037339088

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.