{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T19:43:35Z","timestamp":1784144615629,"version":"3.55.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T00:00:00Z","timestamp":1640822400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008368","name":"Gigtforeningen","doi-asserted-by":"publisher","award":["20-17-0314"],"award-info":[{"award-number":["20-17-0314"]}],"id":[{"id":"10.13039\/100008368","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005860","name":"Helsefonden","doi-asserted-by":"publisher","award":["17-8-0049"],"award-info":[{"award-number":["17-8-0049"]}],"id":[{"id":"10.13039\/501100005860","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the effects of a group-based cognitive behavioural intervention for patients with persistent low back pain (LBP) and psychological risk factors referred to secondary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Silkeborg Regional Hospital, Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>A total of 136 participants with chronic LBP and psychological risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Participants were randomised to the standard care group, including examination by a rheumatologist and\/or a physiotherapist, or the intervention group, including standard care plus a multidisciplinary group-based pain management programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Patient-reported outcomes were collected at baseline and after 6 and 12 months. The primary outcome was disability (Roland Morris Disability Questionnaire). Secondary outcomes included low back pain intensity, pain catastrophising, health-related quality of life, and sick leave.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 136 participants, 68 (mean age: 41.7 years (SD 11.8)) were randomised to standard care and 68 (mean age: 46.0 years (SD 10.8)) were randomised to the intervention group. Except for age, baseline characteristics were comparable between groups. 12-month follow-up was completed by 92.6% in the intervention group and 80.9% in the standard care group. Both groups achieved significant improvements on disability, with a reduction of \u22124.8 points (SD 6.1) in the intervention group compared to \u22123.7 points (SD 5.2), resulting in an insignificant difference between groups. No significant differences were found in the secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A group-based pain management programme was no more effective than standard care for patients with persistent LBP and psychological risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155211056202","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T07:07:48Z","timestamp":1640848068000},"page":"317-330","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Does group-based cognitive therapy improve functional ability, pain, catastrophic thoughts and quality of life in patients with persistent low back pain and psychological risk factors? A randomised controlled trial in a secondary care setting"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9195-7278","authenticated-orcid":false,"given":"Nanna","family":"Rolving","sequence":"first","affiliation":[{"name":"DEFACTUM, Corporate Quality, Central Denmark Region, Aarhus, Denmark"},{"name":"Spine Center, Diagnostic Center, Silkeborg Regional Hospital, Silkeborg, Denmark"},{"name":"Department of Public Health, Aarhus University, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Agerbo","sequence":"additional","affiliation":[{"name":"Spine Center, Diagnostic Center, Silkeborg Regional Hospital, Silkeborg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stine","family":"Aalkj\u00e6r Clausen","sequence":"additional","affiliation":[{"name":"Spine Center, Diagnostic Center, Silkeborg Regional Hospital, Silkeborg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate Ane Rauff","family":"Denby","sequence":"additional","affiliation":[{"name":"Spine Center, Diagnostic Center, Silkeborg Regional Hospital, Silkeborg, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Puk","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Department of Social Affairs and Employment, Aarhus Municipality, Aarhus, Denmark"},{"name":"Department of Clinical Social Medicine & Rehabilitation, G\u00f8dstrup Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1138-7592","authenticated-orcid":false,"given":"Vivian","family":"Langagergaard","sequence":"additional","affiliation":[{"name":"Spine Center, Diagnostic Center, Silkeborg Regional Hospital, Silkeborg, Denmark"},{"name":"Department of Clinical Social Medicine & Rehabilitation, G\u00f8dstrup Hospital, Aarhus, 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