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Table 3 Medication and utilization of healthcare

From: The effects of telehealth-delivered mindfulness meditation, cognitive therapy, and behavioral activation for chronic low back pain: a randomized clinical trial

Outcomes

Treatment group

χ2(df),

P-value

group**

Between-group difference in proportion of decreased medication/healthcare usage***

BA

CT

MM

N (%)

Proportion (95% CI)

N (%)

Proportion (95% CI)

N (%)

Proportion (95% CI)

Change in average daily morphine milligram equivalent (MME) in past week

 From pre- to post-treatment

  No prescription at pre- or post

58 (65.2)

.65 (.55, .75)

58 (68.2)

.68 (.58, .78)

61 (70.1)

.70 (.60, .79)

χ2 (6) = 10.33

P = .11

BA–CT: .06 (− .04, .17)

BA–MM: − .01 (− .13, .10)

MM–CT: .08 (− .03, .18)

  Increase in dose from pre- to post

6 (6.7)

.07 (.02, .13)

9 (10.6)

.11 (.05, .18)

10 (11.5)

.12 (.06, .19)

  Decrease in dose from pre- to post

12 (13.5)

.14 (.08, .22)

6 (7.1)

.07 (.03, .15)

13 (14.9)

.15 (.09, .24)

  No change in dose from pre- to post

13 (14.6)

.15 (.08, .22)

12 (14.1)

.15 (.07, .22)

3 (3.4)

.04 (.01, .08)

 From pre- to 3 months

  No prescription at pre- or 3 months

49 (62.0)

.62 (.51, .72)

53 (65.4)

.65 (.55, .75)

53 (67.9)

.68 (.57, .78)

χ2 (6) = 4.55

P = .60

BA–CT: .08 (− .04, .20)

BA–MM: .05 (− .08, .17)

MM–CT: .03 (− .08, .14)

  Increase in dose from pre- to 3 months

9 (11.4)

.12 (.05, .19)

13 (16.0)

.16 (.09, .25)

12 (15.4)

.16 (.08, .23)

  Decrease in dose from pre- to 3 months

14 (17.7)

.18 (.11, .28)

8 (9.9)

.10 (.05, .19)

10 (12.8)

.13 (.07, .22)

  No change in dose from pre- to 3 months

7 (8.9)

.09 (.04, .16)

7 (8.6)

.09 (.03, .15)

3 (3.8)

.04 (.01, .09)

 From pre- to 6 months

  No prescription at pre- or 6 months

51 (63.7)

.64 (.53, .74)

50 (64.1)

.64 (.53, .74)

48 (66.7)

.66 (.56, .77)

χ2 (6) = 6.33

P = .39

BA–CT: − .003 (− .11, .10)

BA–MM: − .01 (− .13, .11)

MM–CT: .01 (− .11, .13)

  Increase in dose from pre- to 6 months

10 (12.5)

.13 (.06, .20)

11 (14.1)

.15 (.07, .22)

13 (18.1)

.18 (.10, .27)

  Decrease in dose from pre- to 6 months

10 (12.5)

.12 (.07, .22)

10 (12.8)

.13 (.07, .22)

10 (13.9)

.14 (.08, .24)

  No change in dose from pre- to 6 months

9 (11.3)

.12 (.05, .19)

7 (9.0)

.09 (.04,.16)

1 (1.4)

.02 (.00, .05)

Change in number of healthcare visits in past month

 From pre- to post-treatment

  Decreased number from pre-treatment

39 (45.3)

.45 (.35, .56)

43 (50.0)

.50 (.40, .60)

38 (43.2)

.43 (.33, .54)

χ2 (4) = 2.65

P = .62

BA–CT: − .05 (− .21, .11)

BA–MM: .02 (− .14, .18)

MM–CT: − .07 (− .23, .09)

  Same number as pre-treatment

24 (27.9)

.28 (.19, .38)

16 (18.6)

.19 (.11, .27)

21 (23.9)

.24 (.16, .33)

  Increased number from pre-treatment

23 (26.7)

.27 (.18, .36)

27 (31.4)

.32 (.22,.41)

29 (33.0)

.33 (.24, .43)

 From pre-treatment to 3 months

  Decreased number from pre-treatment

35 (44.3)

.44 (.34, .55)

28 (34.6)

.35 (.25, .45)

30 (36.6)

.37 (.30, .47)

χ2 (4) = 2.91

P = .57

BA–CT: .10 (− .07, .26)

BA–MM: .08 (− .09, .24)

MM–CT: .02 (− .14, .18)

  Same number as pre-treatment

21 (26.6)

.27 (.17, .37)

20 (24.7)

.25 (.16, .34)

20 (24.4)

.25 (.16, .34)

  Increased number from pre-treatment

23 (29.1)

.29 (.20, .39)

33 (40.7)

.41 (.30, .51)

32 (39.0)

.39 (.29, .50)

 From pre-treatment to 6 months

  Decreased number from pre-treatment

32 (41.0)

.41 (.31, .52)

39 (47.0)

.47 (.37, .58)

32 (42.7)

.43 (.32, .54)

χ2 (4) = 1.66

P = .80

BA–CT: − .06 (− .23, .11)

BA–MM: − .02 (− .19, .15)

MM–CT: − .04 (− .21, .12)

  Same number as pre-treatment

17 (21.8)

.22 (.13, .31)

19 (22.9)

.23 (.14, .32)

14 (18.7)

.19 (.11, .28)

  Increased number from pre-treatment

29 (37.2)

.37 (.27, .48)

25 (30.1)

.30 (.21, .40)

29 (38.7)

.39 (.28, .50)

  1. *Proportion of individuals who decreased medication dose or healthcare utilization and 95% confidence interval as estimated by Jeffrey’s method (Bayesian approach)
  2. **χ2 statistics (degrees of freedom) and P-value from Pearson chi-square test of homogeneity (equality of distributions among categories) comparing proportion of decrease in medication or decrease in healthcare usage
  3. ***Difference in proportion of decrease in medication or decrease in healthcare usage (first treatment minus second treatment) and 95% confidence interval