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. 2014 Sep 2;2014(9):CD000963. doi: 10.1002/14651858.CD000963.pub3

Mitchell 1994.

Methods RCT conducted in Canada
Participants Workers on Worker's Compensation Board list referred to 2 work rehabilitation clinics. Injured workers who had not recovered and returned to work after 3 months, with inappropriate illness behaviour. 542 patients randomised, 28.5% female, average age not reported, mean duration of pain not reported
Interventions MBR (FR): 8 weeks, 7 hours/day, 5 days/week (total 280 hours), group sessions (n=10‐12). Physical exercise; mobility, strengthening, flexibility, endurance, stretching, ice, circuit training, work simulation exercises (lifting). Behavioural and cognitive treatment, correction of unhelpful beliefs, education, relaxation, biofeedback, personal responsibility
Usual (Control): Usual care, variable including; physio, medication, manipulation, acupuncture, work hardening, back schools, active exercise
Outcomes Work (% full‐time work, days of sick leave)
 Follow‐ups: LT (1 year)
Notes Subgroup analyses: High intensity intervention, Baseline symptom intensity unclear. Included in Guzman 2006
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear
Allocation concealment (selection bias) Unclear risk Unclear
Blinding of participants High risk Not possible
Blinding of clinicians High risk Not possible
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not possible; patient reported outcome
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Unclear
Intention to treat analysis Unclear risk Not stated
Selective reporting (reporting bias) Unclear risk No protocol
Comparability of groups at baseline Unclear risk Not reported
Compliance Unclear risk Not stated
Cointerventions Unclear risk Not stated
Timing of assessment Low risk pg. 635 Results. 12‐month follow‐up