Evidence map›Paper›PMID 34493525›Full record

ArticleBMJ open2021

Single session compared with multiple sessions of education and exercise for older adults with spinal pain in an advanced practice physiotherapy model of care: protocol for a randomised controlled trial.

Simon Lafrance, Carlo Santaguida, Kadija Perreault, Brenna Bath, Kednapa Thavorn, Debbie Feldman, Luc J Hébert, Julio Fernandes, François Desmeules

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

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04868591 (Clinical and Economic Effectiveness of a Single Session Compared to Multiple Sessions of Education and Exercise for Older Adults With Spinal Pain in an Advanced Practice Physiotherapy Model of Care), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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.

NCT04868591 nacompletednot on this map

Clinical and Economic Effectiveness of a Single Session Compared to Multiple Sessions of Education and Exercise for Older Adults With Spinal Pain in an Advanced Practice Physiotherapy Model of Care: Protocol for a Randomized Controlled Trial.

TypeinterventionalSponsorCiusss de L'Est de l'Île de MontréalRan2021 to 2023Enrolled109ConditionsMusculoskeletal Pain Disorder, Spinal PainArmsSingle session of education and exercise provided by an advanced practice physiotherapist., Multiple session of education and exercise provided by an advanced practice physiotherapist.
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

9 authors at 7 institutions in 1 country.

Simon LafranceSchool of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada simon.lafrance.1@umontreal.ca.ORCID 0000-0001-9933-4526
Carlo SantaguidaDepartment of Neurology and Neurosurgery, Faculty of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Kadija PerreaultCenter for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada.
Brenna BathSchool of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Kednapa ThavornOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Debbie FeldmanSchool of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
Luc J HébertDepartment of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada.
Julio FernandesUniversité de Montréal Affiliated Research Center, Hôpital du Sacré-Cœur de Montréal Research Center, Montreal, Quebec, Canada.
François DesmeulesSchool of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
Centre for Interdisciplinary Research in Rehabilitation · CAHôpital Maisonneuve-Rosemont · CAHôpital du Sacré-Cœur de Montréal · CAMcGill University Health Centre · CAUniversité Laval · CAUniversity of Ottawa · CAUniversity of Saskatchewan · CA

Funding

OLFACTORY RECEPTORSF32DC000190 · NIDCD · CALIFORNIA INSTITUTE OF TECHNOLOGY · PI ZHANG, YINONG · 1995 to 1998
–
NIDCD NIH HHS F32 DC000190
6 · The paper itself

Abstract

objectivesTo assess the effectiveness and cost-effectiveness of a single session compared with multiple sessions of education and exercise for older adults with spinal pain treated conservatively in an advanced practice physiotherapy model of care. METHODS AND ANALYSIS: In this pragmatic randomised controlled trial, 152 older adults (≥65 years old) with neck or back pain initially referred for a consultation in neurosurgery, but treated conservatively, will be recruited through the advanced practice physiotherapy neurosurgery CareAxis programme in the Montreal region (Quebec, Canada). In the CareAxis programme, older patients with spinal pain are triaged by an advance practice physiotherapist and are offered conservative care and only potential surgical candidates are referred to a neurosurgeon. Participants will be randomised into one of two arms: 1-a single session or 2-multiple sessions (6 sessions over 12 weeks) of education and exercise with the advance practice physiotherapist (1:1 ratio). The primary outcome measure will be the Brief Pain Inventory (pain severity and interference subscales). Secondary measures will include self-reported disability (the Neck Disability Index or Oswestry Disability Index), the Pain Catastrophizing Scale, satisfaction with care questionnaires (9-item Visit-specific Satisfaction Questionnaire and MedRisk), and the EQ-5D-5L. Participants' healthcare resources use and related costs will be measured. Outcomes will be collected at baseline and at 6, 12 and 26 weeks after enrolment. Intention-to-treat analyses will be performed, and repeated mixed-model analysis of variance will assess differences between treatment arms. Cost-utility analyses will be conducted from the perspective of the healthcare system. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the PROTOCOL VERSION: V.4 August 2021. TRIAL REGISTRATION NUMBER: NCT04868591; Pre-results.

Indexed as

Physical TherapistsPhysical Therapy ModalitiesAgedCost-Benefit AnalysisExerciseHumansPainPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicSurveys and Questionnaireshealth economicsmusculoskeletal disordersorganisation of health servicesrehabilitation medicine

Identifiers

PMID34493525
PMCPMC8424421
OpenAlexW3198426923

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.