Evidence map›Paper›PMID 36166279›Full record

ArticleJMIR research protocols2022

Mindfulness-Based Stress Reduction, Cognitive Behavioral Therapy, and Acupuncture in Chronic Low Back Pain: Protocol for Two Linked Randomized Controlled Trials.

Sean Mackey, Gadi Gilam, Beth Darnall, Philippe Goldin, Jiang-Ti Kong, Christine Law, Marissa Heirich, Nicholas Karayannis, Ming-Chih Kao, Lu Tian and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02503475 (Stanford Center for Back Pain), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT02503475 naactive not recruitingnot on this map

Stanford Center for Back Pain

TypeinterventionalSponsorStanford UniversityRan2015 to 2026Enrolled300ConditionsChronic Low Back PainArmsReal-Time fMRI, CBT or MBSR, Acupuncture
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. 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

12 authors at 4 institutions in 2 countries.

Sean MackeyDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0001-7744-5348
Gadi GilamThe Institute of Biomedical and Oral Research, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID https://orcid.org/0000-0003-3925-5273
Beth DarnallDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-3590-511X
Philippe GoldinBetty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States.ORCID https://orcid.org/0000-0002-6695-6617
Jiang-Ti KongDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0002-5435-6059
Christine LawDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-0524-6029
Marissa HeirichDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-0266-5471
Nicholas KarayannisDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-1215-750X
Ming-Chih KaoDivision of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0001-7274-9430
Lu TianDepartment of Biomedical Data Science, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0002-5893-0169
Rachel ManberDepartment of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-2829-8892
James GrossDepartment of Psychology, Stanford University, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-3624-3090
Stanford University · USHebrew University of Jerusalem · ILPalo Alto University · USUC Davis Health · US

Funding

Stanford CAM Center for Chronic Back PainP01AT006651 · NCCIH · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2011 to 2018
$8.2M
Interdisciplinary Research Training in Pain and Substance Use DisordersT32DA035165 · NIDA · STANFORD UNIVERSITY · PI SEAN C MACKEY · 2013 to 2026
$7.2M
Single Session Pain Catastrophizing Treatment: Comparative Efficacy & MechanismsR01AT008561 · NCCIH · STANFORD UNIVERSITY · PI DARNALL, BETH DENISE, MACKEY, SEAN C · 2015 to 2019
$3.9M
Neuroimaging and Mentoring in Translational Pain ResearchK24DA029262 · NIDA · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2010 to 2019
$1.9M
Research and Mentoring in Innovative Patient Oriented Pain and Opioid ScienceK24DA053564 · NIDA · STANFORD UNIVERSITY · PI Beth Denise Darnall · 2021 to 2026
$1.0M
Predicting Analgesic Response to Acupuncture - A Practical ApproachK23AT008477 · NCCIH · STANFORD UNIVERSITY · PI KONG, JIANG-TI · 2015 to 2019
$739k
Mentoring in Discovery and Validation of Clinical Chronic Pain BiomarkersK24NS126781 · NINDS · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2021 to 2021
$324k
NCCIH NIH HHS K23 AT008477NCCIH NIH HHS P01 AT006651NCCIH NIH HHS R01 AT008561NIDA NIH HHS K24 DA029262NIDA NIH HHS K24 DA053564NIDA NIH HHS T32 DA035165NINDS NIH HHS K24 NS126781
6 · The paper itself

Abstract

backgroundNonpharmacologic mind-body therapies have demonstrated efficacy in low back pain. However, the mechanisms underlying these therapies remain to be fully elucidated.

objectiveIn response to these knowledge gaps, the Stanford Center for Low Back Pain-a collaborative, National Institutes of Health P01-funded, multidisciplinary research center-was established to investigate the common and distinct biobehavioral mechanisms of three mind-body therapies for chronic low back pain: cognitive behavioral therapy (CBT) that is used to treat pain, mindfulness-based stress reduction (MBSR), and electroacupuncture. Here, we describe the design and implementation of the center structure and the associated randomized controlled trials for characterizing the mechanisms of chronic low back pain treatments.

methodsThe multidisciplinary center is running two randomized controlled trials that share common resources for recruitment, enrollment, study execution, and data acquisition. We expect to recruit over 300 chronic low back pain participants across two projects and across different treatment arms within each project. The first project will examine pain-CBT compared with MBSR and a wait-list control group. The second project will examine real versus sham electroacupuncture. We will use behavioral, psychophysical, physical measure, and neuroimaging techniques to characterize the central pain modulatory and emotion regulatory systems in chronic low back pain at baseline and longitudinally. We will characterize how these interventions impact these systems, characterize the longitudinal treatment effects, and identify predictors of treatment efficacy.

resultsParticipant recruitment began on March 17, 2015, and will end in March 2023. Recruitment was halted in March 2020 due to COVID-19 and resumed in December 2021.

conclusionsThis center uses a comprehensive approach to study chronic low back pain. Findings are expected to significantly advance our understanding in (1) the baseline and longitudinal mechanisms of chronic low back pain, (2) the common and distinctive mechanisms of three mind-body therapies, and (3) predictors of treatment response, thereby informing future delivery of nonpharmacologic chronic low back pain treatments.

trial registrationClinicalTrials.gov NCT02503475; https://clinicaltrials.gov/ct2/show/NCT02503475. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/37823.

Indexed as

chronic low back painmind-body therapiesneuroimagingnonpharmacologic treatments

Identifiers

PMID36166279
PMCPMC9555327
OpenAlexW4297264805

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.