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. 2017 May 21;19(5):e179. doi: 10.2196/jmir.7290

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.