Evidence map›Paper›PMID 40484274›Full record

Trial reportContemporary clinical trials2025

Baseline sample characteristics for the BackInAction pragmatic trial of acupuncture for chronic low back pain in older adults.

Morgan Justice, Annie Piccorelli, Andrew L Avins, Andrea J Cook, Carolyn M Eng, Arya Nielsen, Alice Pressman, Katie L Stone, Raymond Y Teets, Robert Wellman and 1 more

Registry-linked trialAbstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04982315 (Pragmatic Trial of Acupuncture for Chronic Low Back Pain in Older Adults), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04982315 nacompletednot on this map

Pragmatic Trial of Acupuncture for Chronic Low Back Pain in Older Adults

TypeinterventionalSponsorKaiser PermanenteRan2021 to 2024Enrolled807ConditionsChronic Low-back PainArmsStandard Acupuncture, Enhanced Acupuncture
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

11 authors.

Morgan JusticeKaiser Permanente Washington Health Research Institute, Seattle, WA, United States of America. Electronic address: morgan.j.fuoco@kp.org.
Annie PiccorelliKaiser Permanente Washington Health Research Institute, Seattle, WA, United States of America.
Andrew L AvinsKaiser Permanente Northern California Division of Research, Oakland, CA, United States of America; University of California Department of Epidemiology and Biostatistics, San Francisco, CA.
Andrea J CookKaiser Permanente Washington Health Research Institute, Seattle, WA, United States of America.
Carolyn M EngKaiser Permanente Washington Health Research Institute, Seattle, WA, United States of America.
Arya NielsenIcahn School of Medicine at Mount Sinai, Department of Family Medicine & Community Health, New York, NY, United States of America.
Alice PressmanUniversity of California Department of Epidemiology and Biostatistics, San Francisco, CA; Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, United States of America; Sutter Health Center for Health Systems Research, Walnut Creek, CA, United States of America.
Katie L StoneUniversity of California Department of Epidemiology and Biostatistics, San Francisco, CA; Sutter Health California Pacific Medical Center Research Institute, San Francisco, CA, United States of America.
Raymond Y TeetsInstitute for Family Health, New York, NY, United States of America.
Robert WellmanKaiser Permanente Washington Health Research Institute, Seattle, WA, United States of America.
Lynn L DeBarKaiser Permanente Center for Health Research, Portland, OR, United States of America.

Funding

NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
Pragmatic Trial of Acupuncture for Chronic Low Back Pain in Older AdultsUH3AT010739 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI COOK, ANDREA JEAN, DEBAR, LYNN L. · 2020 to 2022
$9.1M
HEAL Collaboratory Resource Coordinating Center (PRISM) (U24): Bioethics SupplementU24AT010961 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2019 to 2021
$6.4M
Pragmatic Trial of Acupuncture for Chronic Low Back Pain in Older AdultsUG3AT010739 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L., SHERMAN, KAREN J · 2019 to 2019
$1.2M
NCCIH NIH HHS U24 AT009676NCCIH NIH HHS U24 AT010961NCCIH NIH HHS UG3 AT010739NCCIH NIH HHS UH3 AT010739
6 · The paper itself

Abstract

backgroundChronic low back pain (cLBP) is a leading cause of disability, particularly among older adults. Despite this, effective nonpharmacologic treatments such as acupuncture have not been adequately studied in older adults. The "BackInAction" pragmatic clinical trial aims to address this gap by evaluating the effectiveness of acupuncture in reducing back pain-related disability among adults aged ≥65. The purpose of this manuscript is to compare sample characteristics across sites and across waves of COVID-19.

methodsWe describe participant baseline characteristics for the BackInAction trial, a three-arm randomized trial conducted across four U.S. healthcare systems: two integrated care delivery, a fee-for-service (FFS) system, and an urban federally qualified health center (FQHC). Participants (N = 800) with cLBP were randomized to receive standard acupuncture, standard acupuncture plus maintenance sessions, or usual medical care. Baseline data were collected through self-reported measures and electronic health records. Recruitment trends are evaluated during COVID waves.

resultsThe sample was predominantly female (61.9 %) and non-Hispanic white (64.6 %), with an average age of 73.6 years. The FQHC enrolled a younger, more diverse and socioeconomically disadvantaged population with higher levels of back pain-related dysfunction. The FFS enrolled an older population but had similar rates of back pain-related dysfunction and pain intensity as in the integrated care delivery systems. There were no differences by site corresponding to the circulation of COVID-19 strains.

conclusionFindings suggest that FQHC populations have higher-than-average social and clinical risks, illustrating the complexity of delivering treatment for cLBP and the urgency to ensure such clinical environments are included in trials.

trial registrationClinicalTrials.gov Identifier: NCT04982315. Clinical trial registration date: July 29, 2021.

Indexed as

Acupuncture TherapyChronic PainCOVID-19Low Back PainAgedAged, 80 and overFemaleHumansMalePragmatic Clinical Trials as TopicSARS-CoV-2United StatesAcupunctureChronic low back painOlder adultsPragmatic clinical trial

Identifiers

PMID40484274
PMCPMC12303732

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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.