Skip to main content
. 2019 Nov 25;2019(11):CD011284. doi: 10.1002/14651858.CD011284.pub2

5. Reported associations for studies measuring functional limitations.

Study Sample size Expectation measure Outcome measure Outcome follow‐up period Study reported effect; variance measure Common effect size (lnOR)a Standard error Reported direction of associationb
Bishop 2015 420 Self‐efficacy: Chronic Pain Self‐Efficacy for Pain Management subscale (0 ‐ 100, higher = better) RMDQ (0 ‐ 24, higher = worse) 6 months B; SE 0.07 0.02 +
Casey 2008 84 General: Pain Behaviour and Perception Inventory, pain permanence subscale (−2 to +2, higher = worse) Pain‐Disability Index (0 ‐ 70, higher = worse) 3 months B; SE 5.64 1.43 +
Demmelmaier 2010 256 General: Pain expectations (sum of 2 7‐pt rating scales; 1 adapted from OMPQ; 0 ‐ 12, higher = worse) Disability score from Graded Chronic Pain Scale (0 ‐ 30, higher = worse) 12 months B; SE 1.04 0.39 +
Dionne 1997 490 General: Expectation of continued pain (4‐pt) RMDQ (16‐item, higher = worse) 24 months Pc N/Ad N/A Ø
Goldstein 2002 650 Treatment: Treatment confidence, NRS (0 ‐ 10, higher = better) RMDQ (0 ‐ 24, higher = worse) 6 months B; 95% CI 0.65 0.43 Ø
Karjalainen 2003 161 General: Perceived risk of not recovering (0 – 10, 2‐unit change required, 5‐pt, higher = worse) ODI (0 ‐ 100, higher = worse) 12 months B; 95% CI 2.21 0.34 +
Kongsted 2014 928 General: Likelihood of recovery (0 ‐ 10, higher = better) RMDQ (0 ‐ 24, higher = worse) 12 months R2; P N/Ad N/A +
Macedo 2014 172 Self‐efficacy: Pain Self‐Efficacy Questionnaire (0 ‐ 100), dichotomised at median as high vs low for analyses Patient‐Specific Functional Scale (0 ‐ 10, higher = better) 12 months B; 95% CI 1.11d 0.50 +
Morlock 2002 111 Treatment: Expected benefit from treatment (5 items, each 1 ‐ 5; 0 ‐ 100 reported, higher = better) NASS scale (0 ‐ 100, higher = worse) 12 months B; P 14.20 5.51 +
Myers 2007 365 General: How much improvement do you expect in 6 weeks? (0 ‐ 10, higher = better) Improvement in RMDQ (0 ‐ 23, higher = better) 3 months B; 95% CI 0.59 0.20 +
Sherman 2009 638 Self‐efficacy: Likelihood of self‐managing future back pain (unclear scale, higher = better), dichotomised as top tertile vs low two tertiles RMDQ (0 ‐ 23, higher = worse) 12 months B; SE 0.20 1.00 Ø
Tran 2015ae 63 Treatment: How helpful do you expect yoga to be for your back problems? (0 ‐ 10, higher = better) Change in RMDQ (0 ‐ 24, higher = better) 3 months MD; P −0.43d 0.55 Ø
Tran 2015be 30 Treatment: How helpful do you expect yoga to be for your back problems? (0 ‐ 10, higher = better) Change in RMDQ (0 ‐ 24, higher = better) 3 months MD; P −0.28d 0.5 Ø
Underwood 2007 700 Treatment: Treatment helpfulness (3‐pt, not helpful, helpful, very helpful), very helpful vs not helpful compared here RMDQ (0 ‐ 24) 12 months B; 95% CI 0.60 0.54 Ø

Table 5. Description of the reported associations between the primary expectations measure and function outcomes, including presentation as common natural log odds effect size and standard error. Results presented are from the best adjusted multivariate model, when available, selecting the available study time period in study closest to 12 months (positive association in 9 studies; no association in 5 studies (6 groups)).

aAll reported associations have been converted to the natural log odds (lnOR) scale and the same direction when possible; lnOR > 1 indicates a positive direction of association between expectations and outcome.
 bDirection of association: + = positive, associated with better outcome; Ø = neutral, no association with outcome; ‐ = negative, associated with worse outcome
 cStatistical significance only reported for this study.
 dStudy where results are from unadjusted models.
 eTran 2015a received twice‐weekly yoga; Tran 2015b received once‐weekly yoga.
 lnOR = natural log of the odds ratio; RMDQ = Roland Morris Disability Questionnaire; B = beta coefficient; SE = standard error; OMPQ = Orebro Musculoskeletal Pain Questionnaire; P = p‐value; N/A = data not available or data conversions were not appropriate, but direction of association is reported; NRS = pain numeric rating scale; ODI = Oswestry Disability Index; NASS = North American Spine Society scale; MD = mean difference.