Table 4.
Study aim, available outcomes, and main results.
| Study | Aim | Primary analysis | Secondary outcomes | Main result | Control condition | |
| Outcomes | Measurement Times | |||||
| Chiauzzi et al [29] | Compare interactive self-management website for chronic LBP to standard text-based materials; hypothesized improved emotional management, coping, self-efficacy to manage pain, pain levels, and physical functioning | BPI (Brief Pain Inventory) ODQ (Oswestry Disability Questionnaire) DASS (Depression/Anxiety and Stress Scale) PGIC (Patient Global Impression of Change scale) |
Baseline, post-intervention (4 weeks), 3 months, 6 months | PCS (Pain Catastrophizing Scale) FABQ (Fear Avoidance Belief Questionnaire) |
Hypothesis not supported |
Educational material: “A back pain guide” No reminder emails |
| Simon et al [35] | Whether insurees with depression or LBP experienced more favorable decision-related outcomes after using a Web-based tailored decision aid compared with non-tailored, static patient information | DCS (Decisional Conflict Scale) | Baseline, post-intervention, 3 months | Preparation for decision-making scale Preference for participation, knowledge Doctor facilitation Information exchange Decision regret Treatment adherence |
Intervention effective in short term Follow-up data of >3 months did not suggest further effects of intervention |
Same information as intervention, website, but no tailoring to the individual user |
| Carpenter et al [28] | Efficacy of a pilot version of a Web-based CBT (cognitive behavioral therapy) intervention for chronic LBP | SOPA (Survey of Pain Attitudes) | Baseline, 3 weeks, 6 weeks | FABQ NMR (Negative Mood Regulation scale) PCS RMDQ PSES (Pain Self-Efficacy Scale) Demographics and pain assessment questionnaire |
Difference in favor of the intervention group on all SOPA subscales in the SOPA questionnaire except “medical cure” |
Wait list, received no care for 3 weeks, then access to website |
| Krein et al [33] Krein et al [34]a |
Whether a pedometer-based, Internet-mediated intervention would reduce pain-related disability and functional interference in chronic LBP | RMDQ (Roland-Morris Disability Questionnaire) SF-36 function scale |
Baseline, 6 months, 12 months | Pain intensity (NRS, numerical rating scale) Walking (steps/day) FABQ PA (physical activity) subscale Self-efficacy 6-min walking testb CES-D 100b(Centre for Epidemiologic Studies Depression Scale) |
No between-group difference reported at any time-points |
Usual care (attending Back Class) and uploading pedometer data after receiving monthly email reminders to upload; no goal-setting or feedback received; no access to website |
| Irvine et al [32] | Test FitBack for adults at increased risk for chronic LBP due to a recent episode of NLBP |
No primary outcome stated
ODQ stated as primary outcome in trial registration |
Baseline, 8 weeks, 16 weeks | Pain: level, frequency, intensity and duration MPI (Multidimensional Pain Inventory Interference Scale) Dartmouth CO-OP Prevention-helping behaviors (self-developed) WLQ (Work Limitations Questionnaire) SPS (Stanford Presenteeism Scale) PAM (Patient Activation Measures) Knowledge Behavioral intensions Self-efficacy SOPA (modified) TSK (Tampa Scale of Kinesiophobia; modified) |
No data available for primary outcome analysis
|
Usual care, emails to request completion of questionnaire |
| Weymann et al [37] Dirmaier et al [30]a |
Investigate effectiveness of a Web-based, tailored, fully automated intervention for patients with type-2 diabetes or chronic LBP against a standard website with identical content without tailoring | Knowledge (post-intervention) Patient empowerment (heiQ, Health Education Impact Questionnaire; 3 months) |
Baseline, post-intervention, 3 months | DCS PDMS (Preparation for Decision Making Scale) |
The tailored intervention had no effect on the total study population |
Same website material as intervention but not tailored; not presented in a dialogue format; no guidance through the content |
| Geraghty et al [31]a | Explore feasibility of providing an Internet intervention for patients with LBP in primary care, with and without physiotherapist telephone support (in addition to usual care), compared with usual care alone | Feasibility outcome Number need to screen Recruitment rates Login and usage information |
Baseline, 3 months | Pain: days, duration, intensity RMDQ StartBack Screen Tool TSK PCS IPAQ (International Physical Activity Questionnaire) PEI (Patient Enablement Instrument) EQ-5D (Euro-Qol 5D) LBP related health care use Time off work CEQ (Credibility and Expectancy Questionnaire) SESE (Self-Efficacy for Exercise Scale) PETS (Problematic Experiences of Therapy Scale) |
- | Usual care from their general practitioner; this may consist of education and self-management advice, including advice to stay active |
| Valenzuela-Pascual et al [36]a | Evaluate effect of a biopsychosocial Web-based, educational intervention for chronic LBP based on pain intensity compared with normal care | Pain intensity (100-mm VAS [visual analogue scale] scale) | Baseline, 2 weeks | FABQ TSK PCS RMDQ SF-36 |
- | No intervention; asked to return to webpage to complete questionnaire at 2 weeks |
| Amorim et al [27]a | Investigate effect of a patient-centered PA intervention supported by health coaching and technology in chronic LBP | Care-seeking Pain levels (NRS) RMDQ |
Baseline, weekly during intervention, 6 months, 12 months | IPAQ Actigraph accelerometer GAS (Goal Attainment Scale) |
- | Educational material same as intervention: “Make your move—Sit less, be active for life!”; advice to work toward increasing PA and achieving long-term goals |
aProtocol paper, no data available.
bDifference between the protocol paper and RCT report.