Evidence map›Paper›PMID 39979041›Full record

ArticleBMJ open2025

Effectiveness of pain neuroscience education, motivational interviewing and cognition targeted exercise therapy in patients with chronic neck pain: protocol for a multicentre randomised controlled trial (the COGMO-AP study).

David Morales Tejera, Jo Nijs, Anneleen Malfliet, María Adoración Prieto Aldana, María Isabel Gallardo Vidal, Elena Polentinos Castro, María Teresa Linares Fernández, J Fernández-Carnero

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05785455 (Efficacy Of Pain Neuroscience Communication, Motivational Interviewing And Cognitive Exercise Therapy In Patients With Chronic Neck Pain), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT05785455 naunknown statusnot on this map

Efficacy Of Pain Neuroscience Communication, Motivational Interviewing And Cognitive Exercise Therapy In Patients With Chronic Neck Pain

TypeinterventionalSponsorGerencia de Atención Primaria, MadridRan2023 to 2024Enrolled142ConditionsChronic Pain, Neck PainArmsCOGMO Intervention, Usual Care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

David Morales TejeraDepartment of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel - Brussels Health Campus, Brussel, Belgium.ORCID http://orcid.org/0000-0002-5757-6786
Jo NijsDepartment of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel - Brussels Health Campus, Brussel, Belgium.
Anneleen MalflietDepartment of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel - Brussels Health Campus, Brussel, Belgium.
María Adoración Prieto AldanaNorthern Primary Care Health Directorate of the Community of Madrid, Arroyo de la Vega Primary Care Health Center, Madrid, Spain.
María Isabel Gallardo VidalNorthern Primary Care Health Directorate of the Community of Madrid, Valdelasfuentes Primary Care Health Center, Madrid, Spain.
Elena Polentinos CastroMedical Specialties and Public Health, School of Health Sciences, Rey Juan Carlos University, Madrid, Spain.
María Teresa Linares FernándezDepartment of Physiotherapy, Faculty of Medicine, Universidad San Pablo CEU, Madrid, Spain.
J Fernández-CarneroDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain josue.fernandez@urjc.es.ORCID http://orcid.org/0000-0002-1314-624X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn primary care, the prevalence of neck pain has increased substantially. Evidence regarding treatment of chronic neck pain (CNP) is scarce, and its effectiveness is not entirely proven in different stages of chronicity, nor for different types of cervical disorders. The goal of this study is to evaluate the effectiveness of a complex intervention (COGMO intervention) compared with usual practice in primary care physiotherapy to improve neck pain intensity, severity and disability in patients with CNP. METHODS AND ANALYSIS: Design: a pragmatic cluster-randomised clinical trial design with a 12-month follow-up.

settingprimary care.

participantsphysiotherapists as randomisation unit, and patients as analysis unit. INCLUSION CRITERIA: individuals aged 18 to 65 years suffering from moderate to severe CNP. Sample size expected: 142 patients. Recruitment: patients referred from primary care physicians to physiotherapy.

interventionpain neuroscience education (PNE), motivational interviewing (MI) and cognition targeted exercise therapy (CTE) compared with the standard treatment in primary care. OUTCOMES: the main variable is reduction in pain intensity; secondary variables include pain severity, conditioned pain modulation, temporal summation, neck disability, fear/avoidance behaviour, kinesiophobia, catastrophising, therapeutic alliance and quality of life. Sociodemographic information and adherence to the intervention will be recorded. DATA COLLECTION: baseline, and follow-up at 3, 6 and 12 months. ANALYSIS: it will follow intention-to-treat principles, and difference in percentage of subjects achieving success on the primary endpoint at 12 months. A model with multilevel analysis will be adjusted through logistic regression (being the dependent variable pain intensity, and the independent, the intervention). ETHICS AND DISSEMINATION: Ethical approval has been awarded by the Regional Ethics Committee of Madrid (code: COGMO-AP) and the primary health care central commission of research (code: 20210011). The results of the study will be disseminated through international peer-reviewed journals, international conferences, press and social media. TRIAL REGISTRATION NUMBER: NCT05785455.

Indexed as

Chronic PainCognitive Behavioral TherapyExercise TherapyMotivational InterviewingNeck PainNeurosciencesPatient Education as TopicAdolescentAdultAgedFemaleHumansMaleMiddle AgedMulticenter Studies as TopicPain MeasurementChronic PainHealth EducationPhysical Therapy ModalitiesPrimary Health Care

Identifiers

PMID39979041
PMCPMC11842998

What OpenQuestion holds

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LicenceCC BY-NC
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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.