Evidence mapPaperPMID 40016644Full record

Trial reportBMC primary care2025

Digitally supported physical activity counselling for people with chronic back pain: a randomised controlled parallel feasibility study.

Nicole Lindner, Nele Kornder, Julia Heisig, Annette Becker, Veronika van der Wardt, Annika Viniol

Abstract readRandomized Controlled Trial
In one paragraph

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

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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Nicole Lindner *Department of Primary Care, University of Marburg, Marburg, Germany. nicole.lindner@uni-marburg.de.
Nele Kornder *Department of Primary Care, University of Marburg, Marburg, Germany.
Julia HeisigDepartment of Primary Care, University of Marburg, Marburg, Germany.
Annette BeckerDepartment of Primary Care, University of Marburg, Marburg, Germany.
Veronika van der WardtDepartment of Primary Care, University of Marburg, Marburg, Germany.
Annika ViniolDepartment of Primary Care, University of Marburg, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuiding individuals with chronic back pain (CBP) to initiate and adhere to physical activity (PA) remains challenging. The study rationale is based on the need for innovative strategies, like digital tools, to better promote PA. The aim of this study was to evaluate the feasibility and acceptability of using the digital consultation app ExPa (Exercise against Pain) to support PA consultations for CBP and its potential for a future effectiveness trial. The ExPa app shows the effect of PA on pain and provides individually tailored support to increase PA.

methodsIn a 2-arm randomised controlled feasibility study, we recruited 9 physicians and 37 CBP patients in Hesse (Germany). Using computer assisted cluster randomisation, 14 patients received ExPa counselling from their physician, while 17 patients received standard treatment. Main outcomes focused on study procedures and software use, with secondary outcome including pre- and post-intervention measurements of PA (International Physical Activity Questionnaire (IPAQ), pain and mood (Short Form-12 (SF-12), Von Korff pain intensity and disability score and Hospital Anxiety and Depression Scale (HADS)). Additionally, project-tailored questionnaires and qualitative interviews assessed study procedures and software performance.

resultsStudy procedures were generally feasible. However, they took more time and dropouts as well as missing data presented challenges. This provided valuable insights for planning an effectiveness trial. Quantitative and qualitative data indicated that ExPa could have benefits for increasing PA and reducing pain.

conclusionsResults from the feasibility study indicate that improved procedures are necessary for a larger RCT. ExPa shows potential for positively impacting pain and PA.

Indexed as

Back PainChronic PainCounselingExerciseExercise TherapyMobile ApplicationsAdultAgedFeasibility StudiesFemaleGermanyHumansMaleMiddle AgedPain MeasurementSurveys and QuestionnairesExercisePain managementPatient-centred carePrimary health careTreatment adherence and compliance

Identifiers

PMID40016644
PMCPMC11866899

What Socratic holds

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Registered trials

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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 Socratic graph.