Evidence map›Paper›PMID 40578882›Full record

Trial reportBMJ open2025

Effectiveness of Choosing Wisely recommendations in reducing physiotherapists' intentions to refer for imaging and use electrotherapy for low back pain: a randomised controlled experiment.

Priti Kharel, Chris G Maher, Andrew R Gamble, Giovanni E Ferreira, Joshua R Zadro

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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

5 authors.

Priti KharelSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia priti.kharel@sydney.edu.au.ORCID http://orcid.org/0000-0002-5384-6515
Chris G MaherInstitute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1628-7857
Andrew R GambleInstitute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-5578-4779
Giovanni E FerreiraInstitute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-8534-195X
Joshua R ZadroInstitute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8981-2125

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

questionWhat is the effect of Choosing Wisely recommendations on physiotherapists' intentions to refer for imaging and use electrotherapy for low back pain?

designThree-arm parallel-group online randomised controlled trial.

participantsPhysiotherapists who treat people with low back pain.

interventionParticipants were randomised to receive: (a) two OUTCOME MEASURES: Primary outcomes were physiotherapists' intentions to refer for imaging and use electrotherapy for low back pain. Secondary outcomes were physiotherapists' intentions to use other treatments for low back pain, the influence of the recommendations on decision-making in the vignettes and familiarity with the recommendations.

results723 participants opened the survey and 473 (65%) provided complete responses. Across all vignettes, there were no statistically significant differences in intentions to refer for imaging or use electrotherapy between those who received

conclusionOur study suggests simply presenting Choosing Wisely recommendations to physiotherapists does not influence their intentions to refer for imaging or use electrotherapy for low back pain, even if the language of the recommendations is optimised.

Indexed as

Attitude of Health PersonnelElectric Stimulation TherapyIntentionLow Back PainPhysical TherapistsReferral and ConsultationAdultAustraliaFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBack painDiagnostic ImagingPhysical Therapy Modalities

Identifiers

PMID40578882
PMCPMC12207150

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.