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. 2017 Aug 3;2017(8):CD011674. doi: 10.1002/14651858.CD011674.pub2

Andrade 2008.

Methods RCT
Participants 57 participants.
1. Back School group n = 29.
2. Waiting‐list group n = 28.
Inclusion criteria: non‐specific chronic low back pain for over 3 months, pain present during the study, and cognitive ability to sign the consent form.
Exclusion criteria: pregnancy, disc herniation, infectious or inflammatory spondylitis, tumours, fractures, thoracic, shoulder, or neck pain, and fibromyalgia.
Interventions 1. Back School group: 4 sessions x 60 minutes in 4 weeks. Information on anatomy, causes of LBP, ergonomics, exercises, and advice on physical activity.
2. Waiting‐list group.
Outcomes 1. Pain: visual analogue scale.
2. Disability: Roland‐Morris Disability Questionnaire.
Notes Secondary care setting.
Funding: N/A.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were randomised using a system developed in Visual Basic into 2 groups: experimental (34 participants) and control (36 participants).
Allocation concealment (selection bias) Unclear risk The sequence generation procedure or the method of allocation were not mentioned. The title, abstract, and flowchart indicate that it is an RCT.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No mention of any attempts to blind the participants
Blinding (performance bias and detection bias) 
 All outcomes High risk No mention of any attempts to blind the care providers
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk All participants were evaluated by the same examiner, who was blind to group allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk The percentage of withdrawals and dropouts was within the acceptable rate (less than 20%).
Intention‐to‐treat Analysis Unclear risk No information about intention‐to‐treat analysis
Selective reporting (reporting bias) Unclear risk It was unclear if the published report included all expected outcomes.
Similarity of baseline characteristics? Low risk Table I presents the data at baseline of the experimental and control groups, with no statistically significant difference between groups.
Co‐interventions avoided or similar? Unclear risk Not mentioned
Compliance acceptable? Low risk Compliance was acceptable based on the reported intensity/dosage, duration, number, and frequency for both the intervention and control groups.
Timing outcome assessments similar? Low risk All important outcomes assessments for both groups were measured at the same time.