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

Morone 2011.

Methods RCT conducted in Italy
Participants Patients referred to a rehabilitation centre with age 18‐80 years and NSLBP >3 months. 73 patients randomised, 64.3% female, average age 60.2 years, mean duration of pain not reported
Interventions MBR (Back School): 4 weeks, 10 sessions in groups (4‐5), each session 1 hour. Education (anatomy, pain, stress management, workplace, sporting activities, posture), exercise prescription (ergonomics, ADLs, HEP), stretching, strengthening, core stability
Usual (Control): medical care, mostly pharmacological
Outcomes Pain (VAS), Disability (ODI), General Health (SF‐36)
 Follow‐ups: ST (post‐treatment and 3 months), MT (6 months)
Notes Subgroup analyses: Low intensity intervention, Low baseline symptom intensity (<60% of maximum scale score)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear
Allocation concealment (selection bias) Low risk pg.535 last sentence. "The othet physiatrist was involved in patients' randomization and was unaware of clinical features"
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 Low risk pg.538 Results. 70/74 ranodmized patients followed up
Intention to treat analysis High risk pg.537 last sentence. "A per‐protocol analysis was performed on primary and secondary outcome measures"
Selective reporting (reporting bias) Unclear risk No protocol
Comparability of groups at baseline Low risk Tables 1/3/4. Groups comparable on relevant demographic and clinical variables
Compliance Unclear risk Not stated
Cointerventions Unclear risk Not stated
Timing of assessment Low risk pg.536 Outcome measures. Baseline, end of treatment, 3, 6 months