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 |