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Background: The Coping with Persistent Pain, Effectiveness Research into Self-management (COPERS) trial assessed whether a group-based self-management course is effective in reducing pain-related disability in participants with chronic musculoskeletal pain. This article describes the statistical analysis plan for the COPERS trial.
Methods And Design: COPERS was a pragmatic, multicentre, unmasked, parallel group, randomised controlled trial. This article describes (a) the overall analysis principles (including which participants will be included in each analysis, how results will be presented, which covariates will be adjusted for, and how we will account for clustering in the intervention group); (b) the primary and secondary outcomes, and how each outcome will be analysed; (c) sensitivity analyses; (d) subgroup analyses; and (e) adherence-adjusted analyses.
Trial Registration: ISRCTN24426731.
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http://dx.doi.org/10.1186/1745-6215-15-59 | DOI Listing |
Int J Womens Health
August 2025
Doctoral Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Background: Breast cancer remains the most prevalent malignancy among women worldwide and represents a significant global health burden. Advances in treatment have increased survivorship, but many patients continue to experience persistent physical and psychosocial challenges. Telehealth has emerged as a promising approach to delivering continuous, patient-centered care, particularly during the treatment and survivorship phases.
View Article and Find Full Text PDFJ Adolesc Young Adult Oncol
September 2025
School of Communication Studies, University of Tennessee, Knoxville, Tennessee, USA.
Communication is a salient aspect of coping with cancer. Research suggests that young adult cancer survivors may experience unique challenges, including social isolation, fertility and family planning concerns, dating and marriage, and financial challenges. Little is known, however, about the types of communicative work young breast cancer survivors face.
View Article and Find Full Text PDFBioresour Bioprocess
September 2025
Department of Agrochemistry and Soil Science, Faculty of Agronomy, Agricultural University, Plovdiv, Bulgaria.
Heavy metal (HM) contamination is an increasing environmental and agricultural concern due to the persistence, toxicity, and bioaccumulative nature of metals such as cadmium (Cd), lead (Pb), mercury (Hg), and arsenic (As). These pollutants are primarily introduced through industrial effluents, mining, and agrochemicals, negatively impacting soil health, crop productivity, and food safety, ultimately posing serious risks to both ecosystems and human health. Conventional remediation methods can be costly, labor-intensive, and environmentally disruptive.
View Article and Find Full Text PDFHealthcare (Basel)
August 2025
Administration, Government College University, Government College University Rd, Anarkali Bazaar, Lahore 54000, Pakistan.
: The COVID-19 pandemic caused lasting disruption to healthcare systems and the mental health of frontline workers. Though the acute crisis has passed, many healthcare workers (HCWs) continue to experience long-term psychological effects, including anxiety, grief, and burnout. This mixed-methods study investigates the enduring effects of the COVID-19 pandemic on the mental health of physicians in a low-resource country.
View Article and Find Full Text PDFBrain Sci
July 2025
U.O.C. Neurorehabilitation Unit, Parkinson's Disease and Movement Disorders Center, Moriggia Pelascini Hospital, Via Moriggia Pelascini, 3, 22015 Gravedona ed Uniti, Italy.
Background/objectives: Depression, anxiety and apathy are often associated with subjective cognitive complaints (SCCs) in people with Parkinson's disease (PwPD) without cognitive impairment. Cognitive reserve (CR) enhances emotional resilience, allowing people to better cope with stress and emotional challenges, factors affecting quality of life. We aimed to explore the relationship between CR and mood/anxiety in cognitively intact PwPD with and without SCCs.
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