Evidence map›Paper›PMID 35788240›Full record

ArticleTrials2022

Efficacy of the cognitive functional therapy (CFT) in patients with chronic nonspecific low back pain: a study protocol for a randomized sham-controlled trial.

Mariana Romano de Lira, Ney Armando de Mello Meziat-Filho, Gabriela Zuelli Martins Silva, Thaís Cristina Chaves

3 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are 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
1.2field-weighted citation impact, top 23% 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.

NCT04518891 naunknown statusnot on this map

Efficacy of the Cognitive Functional Therapy (CFT) in Patients With Chronic Nonspecific Low Back Pain: a Study Protocol for a Randomized Sham-controlled Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2021 to 2023Enrolled152ConditionsChronic Low-back PainArmsCognitive Functional Therapy (CFT), Sham intervention
NCT06812338 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Different Positions During Traction on Pain, Function, and Range of Motion in Adults with Non-specific Low Back Pain

TypeinterventionalSponsorPrince Sattam Bin Abdulaziz UniversityRan2025 to 2025Enrolled30ConditionsNon-specific Low Back Pain, Lumbar TractionArmsmechanical traction
NCT07576062 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Cognitive Functional Therapy in Individuals With Chronic Low Back Pain After Spinal Surgery: A Randomized, Sham-Controlled Trial

TypeinterventionalSponsorCentro Universitário Augusto MottaRan2026 to 2027Enrolled90ConditionsChronic Low Back Pain, After Lumbar Spine Surgery, Failed Back Surgery Syndrome (FBSS)ArmsCFT, Sham Detuned Photobiomodulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 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

4 authors at 3 institutions in 1 country.

Mariana Romano de LiraPostgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes 3900, Ribeirão Preto - SP, CEP:14049-900, Brazil.
Ney Armando de Mello Meziat-FilhoPostgraduate Program in Rehabilitation Sciences, Augusto Motta University Center - UNISUAM, Rio de Janeiro, Brazil.
Gabriela Zuelli Martins SilvaPostgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes 3900, Ribeirão Preto - SP, CEP:14049-900, Brazil.
Thaís Cristina ChavesPostgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Avenida Bandeirantes 3900, Ribeirão Preto - SP, CEP:14049-900, Brazil. chavestc@fmrp.usp.br.
Universidade de São Paulo · BRUniversidade Federal de São Carlos · BRUniversity Center Augusto Motta · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic low back pain is a public health problem, and there is strong evidence that it is associated with a complex interaction of biopsychosocial factors. Cognitive functional therapy (CFT) is a promising new intervention that deals with potentially modifiable multidimensional aspects of pain (e.g., provocative cognitive, movement, and lifestyle behaviors).

methodsTo investigate the efficacy of CFT compared with a sham intervention for pain intensity and disability post-intervention (immediately after the last session) in patients with non-specific chronic low back pain (CLBP). This study is a randomized controlled trial in which 152 (18-60 years old) patients with CLBP will be enrolled. The patients will be randomly allocated to receive (1) CFT intervention or (2) sham intervention. The experimental group will receive individualized CFT in a pragmatic manner (5 to 7 sessions) based on the clinical progression of the participants. The sham group will attend six sessions: consisting of 30 min of photobiomodulation using a detuned device and more than 15 min of talking about neutral topics. Patients from both groups also will receive an educational booklet (for ethical reasons). Participants will be assessed pre and post-intervention, 3 months, and 6 months after randomization. The primary outcomes will be pain intensity and disability post-intervention. The secondary outcomes will be: pain intensity and disability at 3- and 6-month follow-up, as well as self-efficacy, global perceived effect of improvement, and functioning post-intervention, 3-, and 6-month follow-up. The patients and the assessor will be blinded to the treatment administered (active vs. sham). STATISTICAL ANALYSIS: The between-group differences (effects of treatment), as well as the treatment effect for the primary and secondary outcomes, and their respective 95% confidence intervals will be calculated by constructing linear mixed models. DISCUSSION: To the best of our knowledge, the current study will be the first to compare CFT vs. sham intervention. Sham-controlled RCTs may help to understand the influence of non-specific factors on treatment outcomes. Considering complex interventions as CFT, it is imperative to understand the impact of contextual factors on outcomes.

trial registrationClinicalTrials.gov NCT04518891 . First Posted: August 19, 2020.

Indexed as

Cognitive Behavioral TherapyLow Back PainAdolescentAdultChronic PainCognitionHumansMiddle AgedPain MeasurementPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicTreatment OutcomeYoung AdultCognitive functional therapyLow back painPain managementPlacebo effect and protocols

Identifiers

PMID35788240
PMCPMC9252077
OpenAlexW4283796235

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.