Evidence map›Paper›PMID 34698869›Full record

Trial reportPain medicine (Malden, Mass.)2022

Changes in Pain Self-Efficacy, Coping Skills, and Fear-Avoidance Beliefs in a Randomized Controlled Trial of Yoga, Physical Therapy, and Education for Chronic Low Back Pain.

Allison Marshall, Christopher T Joyce, Bryan Tseng, Hanna Gerlovin, Gloria Y Yeh, 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.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01343927 (Yoga vs. Physical Therapy vs. Education for Chronic Low Back Pain in Minority Populations), which is not on this map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT01343927 nacompletednot on this map

Yoga vs. Physical Therapy vs. Education for Chronic Low Back Pain in Minority Populations (Back to Health)

TypeinterventionalSponsorBoston Medical CenterRan2012 to 2014Enrolled320ConditionsBack Pain Lower Back ChronicArmsWeekly yoga classes, Individual physical therapy treatment, Education
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. Yoga for chronic non-specific low back pain.The Cochrane database of systematic reviews · 2022
    Pooled it
  7. Trial
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  9. Yoga and meditation for menopausal symptoms in breast cancer survivors: a qualitative study exploring participants' experiences.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
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  13. Article
  14. Is therapeutic exercise as a standalone intervention effective in reducing kinesiophobia in adults with nonspecific chronic low back pain? A systematic review and meta-analysis with meta-regression.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  15. Cognitive-behavioural treatment for neck pain.The Cochrane database of systematic reviews · 2026
    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

8 authors at 5 institutions in 1 country.

Allison MarshallTufts University School of Medicine, Boston, Massachusetts.
Christopher T JoyceSchool of Physical Therapy, Massachusetts College of Pharmacy and Health Sciences, Worcester, Massachusetts.
Bryan TsengDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts.
Hanna GerlovinMassachusetts Veterans Epidemiology, Research and Information Center (MAVERIC), US Department of Veterans Affairs, VA Boston Healthcare System, Boston, Massachusetts.
Gloria Y YehDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
Karen J ShermanKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Robert B SaperDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts.
Eric J RoseenDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts.ORCID 0000-0002-3240-6756
Boston University · USBeth Israel Deaconess Medical Center · USKaiser Permanente Washington Health Research Institute · USMassachusetts College of Pharmacy and Health Sciences · USUnited States Department of Veterans Affairs · 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
Mentoring and Patient-Oriented Research in Mind-Body ExerciseK24AT009465 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GLORIA Y YEH · 2017 to 2026
$1.3M
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
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 AT010487NCCIH NIH HHS K24 AT009465NCCIH NIH HHS R01 AT005956
6 · The paper itself

Abstract

objectiveWe evaluated exercise interventions for cognitive appraisal of chronic low back pain (cLBP) in an underserved population.

methodsWe conducted a secondary analysis of the Back to Health Trial, showing yoga to be noninferior to physical therapy (PT) for pain and function outcomes among adults with cLBP (n = 320) recruited from primary care clinics with predominantly low-income patients. Participants were randomized to 12 weeks of yoga, PT, or education. Cognitive appraisal was assessed with the Pain Self-Efficacy Questionnaire (PSEQ), Coping Strategies Questionnaire (CSQ), and Fear-Avoidance Beliefs Questionnaire (FABQ). Using multiple imputation and linear regression, we estimated within- and between-group changes in cognitive appraisal at 12 and 52 weeks, with baseline and the education group as references.

resultsParticipants (mean age = 46 years) were majority female (64%) and majority Black (57%), and 54% had an annual household income <$30,000. All three groups showed improvements in PSEQ (range 0-60) at 12 weeks (yoga, mean difference [MD] = 7.0, 95% confidence interval [CI]: 4.9, 9.0; PT, MD = 6.9, 95% CI: 4.7 to 9.1; and education, MD = 3.4, 95% CI: 0.54 to 6.3), with yoga and PT improvements being clinically meaningful. At 12 weeks, improvements in catastrophizing (CSQ, range 0-36) were largest in the yoga and PT groups (MD = -3.0, 95% CI: -4.4 to -1.6; MD = -2.7, 95% CI: -4.2 to -1.2, respectively). Changes in FABQ were small. No statistically significant between-group differences were observed on PSEQ, CSQ, or FABQ at either time point. Many of the changes observed at 12 weeks were sustained at 52 weeks.

conclusionAll three interventions were associated with improvements in self-efficacy and catastrophizing among low-income, racially diverse adults with cLBP.

trial registrationClinicalTrials.gov identifier NCT01343927.

Indexed as

Chronic PainLow Back PainYogaAdaptation, PsychologicalAdultFearFemaleHumansMiddle AgedPhysical Therapy ModalitiesSelf EfficacyTreatment OutcomeBack PainChronic PainCoping SkillsPhysical TherapySelf-EfficacyYoga

Identifiers

PMID34698869
PMCPMC8992579
OpenAlexW3210061961

What OpenQuestion holds

Textmetadata
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.