Maintaining musculoskeletal health using a behavioural therapy approach: a population-based randomised controlled trial (the MAmMOTH Study)
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  • Published on:
    Correspondence on “Maintaining musculoskeletal health using a behavioural therapy approach: a population-based randomised controlled trial (the MAmMOTH Study)” by Macfarlane et al.
    • Chung-Chin Yao, General Surgeon Department of Surgery, Chung Shan Medical University Hospital
    • Other Contributors:
      • Ya-Hui Lin, Pharmacologist
      • Gwo-Ping Jong, Physician

    We read with great interest the article by Macfarlane et al.,1 comparison of the telephone Cognitive–behavioral therapy (CBT) and usual care (UC) in the treatment of chronic widespread pain (CWP). Their reported that a short course of telephone CBT did not prevent onset of CWP in adults at high risk, but improved quality of life and was cost-effective. Although the findings of this study are relevant for clinicians, there are several limitations that prevent the study results from being generalizable and ultimately applicable to clinical practice.
    First, identifying patients who respond best to certain interventions has the potential to improve outcomes for physical therapy interventions. This is particularly the case in chronic pain, which are considered heterogeneous.2 It is unlikely that any one intervention for heterogeneous conditions will be highly effective for all patients. Some researchers have reported that interventions previously shown to have little effect when provided to heterogeneous populations can be more effective when provided to selected subgroups of patients.2 3 The baseline characteristics of both comparative groups is key that identify subgroups of patients who respond differently to a specific intervention.2 However, there is no description of the baseline characteristics between two groups in this study. Without this information, it is difficult to evaluate the prevention onset of CWP, improve quality of life, and cost-effective undergoing t...

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    Conflict of Interest:
    None declared.