A

Recommendations for the development, implementation, and reporting of control interventions in efficacy and mechanistic trials of physical, psychological, and self-management therapies: the CoPPS Statement

BMJ, vol. 381, pp. e072108

Abstract

Control interventions (often called “sham,” “placebo,” or “attention controls”) are essential for studying the efficacy or mechanism of physical, psychological, and self-management interventions in clinical trials. This article presents core recommendations for designing, conducting, and reporting control interventions to establish a quality standard in non-pharmacological intervention research. A framework of additional considerations supports researchers’ decision making in this context. We also provide a reporting checklist for control interventions to enhance research transparency, usefulness, and rigour.

Authors 54

  1. University College of Osteopathy · Imperial College London

    Affiliation as printed

    Pain Research, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK

    Research Department, University College of Osteopathy, London, UK

  2. Aarhus University

    Affiliation as printed

    Department of Psychology and Behavioural Sciences, School of Business and Social Sciences, Aarhus University, Denmark

  3. St Thomas' Hospital · King's College London · Guy's and St Thomas' NHS Foundation Trust

    Affiliation as printed

    Health Psychology Section, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King’s College London; INPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Health Psychology Section, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London

    INPUT Pain Management Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK

  4. National Research Council

    Affiliation as printed

    Italian National Research Council, Interdepartmental Centre for Research Ethics and Integrity, Rome, Italy

  5. University of South Africa

    Affiliation as printed

    Department of Arts and Music, College of Human Sciences, University of South Africa, Pretoria, South Africa

  6. University of Zurich · University Hospital Zurich

    Affiliation as printed

    Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Switzerland

  7. The University of Melbourne

    Affiliation as printed

    Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, VIC, Australia

  8. Centre Hospitalier Universitaire Vaudois · University of Lausanne

    Affiliation as printed

    Centrer for Integrative and Complementary Medicine, Pain Center, Division of Anesthesiology, Sense Institute, Lausanne University Hospital, Lausanne University, Lausanne, Switzerland

  9. University of Florida Health · University of Florida

    Affiliation as printed

    Department of Physical Therapy, University of Florida, Gainesville FL, USA; Brooks-PHHP Research Collaboration, Jacksonville, FL, USA

    Brooks-PHHP Research Collaboration, Jacksonville, FL, USA

    Department of Physical Therapy, University of Florida, Gainesville FL, USA

  10. University of South Australia

    Affiliation as printed

    IIMPACT in Health, University of South Australia, Adelaide, SA, Australia

  11. Aarhus University · Danish Pain Research Center

    Affiliation as printed

    Danish Pain Research Centre, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark

  12. University College London

    Affiliation as printed

    Research Department of Clinical, Educational & Health Psychology, University College London, London, UK

  13. University of Turin

    Affiliation as printed

    Department of Neuroscience Rita Levi Montalcini, University of Turin, Turin, Italy

  14. University of Chieti-Pescara

    Affiliation as printed

    Foundation COME Collaboration, University of Chieti-Pescara, Italy

  15. University of Oslo

    Affiliation as printed

    Department for Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway

  16. University of Washington

    Affiliation as printed

    Osher Center for Integrative Health, Department of Family Medicine, University of Washington, Seattle, WA, USA

  17. University of Maryland, Baltimore

    Affiliation as printed

    Department of Pain and Translational Symptom Science, School of Nursing; Department of Anesthesiology, School of Medicine; University of Maryland, Baltimore, MD, USA

    Department of Anesthesiology, School of Medicine

    Department of Pain and Translational Symptom Science, School of Nursing

    University of Maryland, Baltimore, MD, USA

  18. Ontario Tech University

    Affiliation as printed

    Faculty of Health Sciences, Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada

  19. Stanford Medicine · Stanford University

    Affiliation as printed

    Stanford Pain Relief Innovations Lab; Stanford University School of Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford, CA, USA

    Stanford Pain Relief Innovations Lab

    Stanford University School of Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford, CA, USA

  20. University of Minnesota

    Affiliation as printed

    Integrative Health & Wellbeing Research Program; Center for Spirituality and Healing, University of Minnesota, Minneapolis, MN, USA

    Center for Spirituality and Healing, University of Minnesota, Minneapolis, MN, USA

    Integrative Health & Wellbeing Research Program

  21. Uppsala University · Boston Children's Hospital · Harvard University · Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde · Technische Universität Dresden

    Affiliation as printed

    Department of Psychology, Uppsala University, Uppsala, Sweden; Smell & Taste Clinic, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany; Brain and Eye Pain Imaging Lab, Pain and Affective Neuroscience Center, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA; Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Brain and Eye Pain Imaging Lab, Pain and Affective Neuroscience Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA

    Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA

    Department of Psychology, Uppsala University, Uppsala, Sweden

    Smell & Taste Clinic, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany

  22. Macquarie University

    Affiliation as printed

    Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, NSW, Australia

  23. Erasmus MC · Maastricht University · Care and Public Health Research Institute

    Affiliation as printed

    Erasmus MC, University Medical Centre Rotterdam, Department of General Practice, Rotterdam, the Netherlands; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands

    Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands

    Erasmus MC, University Medical Centre Rotterdam, Department of General Practice, Rotterdam, the Netherlands

  24. Technical University of Munich

    Affiliation as printed

    Department Psychosomatic Medicine and Psychotherapy, Technische Universität München, Munich, Germany

  25. The University of Melbourne

    Affiliation as printed

    Centre for Health, Exercise & Sports Medicine, University of Melbourne, Melbourne, VIC, Australia

  26. Dien Ho corresponding

    Massachusetts College of Pharmacy and Health Sciences

    Affiliation as printed

    Center for Health Humanities, School of Arts and Sciences, Massachusetts College of Pharmacy and Health Sciences, Boston MA, USA

  27. KU Leuven

    Affiliation as printed

    Health Psychology, KU Leuven; Ebpracticenet, Leuven, Belgium

    Ebpracticenet, Leuven, Belgium

    Health Psychology, KU Leuven

  28. Karolinska Institutet

    Affiliation as printed

    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

  29. Aarhus University

    Affiliation as printed

    Department of Psychology and Behavioural Sciences, School of Business and Social Sciences, Aarhus University, Denmark

  30. Duke University

    Affiliation as printed

    Duke University, School of Medicine, Durham, NC, USA

  31. Yale University

    Affiliation as printed

    Departments of Psychiatry, Neurology, and Psychology, Yale University, New Haven, CT, USA

  32. Boston Children's Hospital · Harvard University · University of Zurich · University Children's Hospital Zurich

    Affiliation as printed

    Division of Psychosomatics and Psychiatry, University Children’s Hospital Zurich; Division of Child and Adolescent Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland; Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA

    Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA

    Division of Child and Adolescent Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland

    Division of Psychosomatics and Psychiatry, University Children's Hospital Zurich

  33. University of Southern Denmark

    Affiliation as printed

    Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Chiropractic Knowledge Hub, Odense, Denmark

    Chiropractic Knowledge Hub, Odense, Denmark

    Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark

  34. University of Southern California

    Affiliation as printed

    Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles CA, USA

  35. University of Michigan–Dearborn

    Affiliation as printed

    College of Arts, Sciences, and Letters, Behavioral Sciences, University of Michigan, Dearborn, MI, USA

  36. UiT The Arctic University of Norway

    Affiliation as printed

    National Research Centre in Complementary and Alternative Medicine, Department of Community Medicine, Faculty of Health Science UiT, Arctic University of Norway, Tromsø, Norway

  37. Health Sciences University

    Affiliation as printed

    AECC University College, Bournemouth, UK

  38. The University of Sydney · Royal North Shore Hospital

    Affiliation as printed

    Pain Management Research Institute, University of Sydney Medical School (Northern) and Kolling Institute of Medical Research at Royal North Shore Hospital, Sydney, Australia

  39. University of Washington

    Affiliation as printed

    Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA

  40. Fondazione IRCCS Istituto Neurologico Carlo Besta · University of Turin

    Affiliation as printed

    Diagnostic and Technology Department, Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy; Department of Psychology, University of Turin, Turin, Italy

    Department of Psychology, University of Turin, Turin, Italy

    Diagnostic and Technology Department, Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy

  41. Leiden University

    Affiliation as printed

    Unit Health, Medical and Neuropsychology, Leiden University, Leiden, the Netherlands

  42. University of Münster · University Hospital Münster

    Affiliation as printed

    Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany

  43. Affiliation as printed

    Able Body Health Clinic, Lethbridge, AB, Canada

  44. University Hospital Southampton NHS Foundation Trust · University of Southampton

    Affiliation as printed

    University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK

  45. University of Verona · University of Genoa

    Affiliation as printed

    Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Campus of Savona, Savona, Italy; School of Physiotherapy, University of Verona, Verona, Italy

    Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Campus of Savona, Savona, Italy

    School of Physiotherapy, University of Verona, Verona, Italy

  46. Aarhus University

    Affiliation as printed

    Department of Psychology and Behavioural Sciences, School of Business and Social Sciences, Aarhus University, Denmark

  47. University Hospitals Coventry and Warwickshire NHS Trust · University of Warwick

    Affiliation as printed

    Warwick Clinical Trials Unit; University of Warwick, Coventry, UK; University Hospitals Coventry and Warwickshire, Coventry, UK

    University Hospitals Coventry and Warwickshire, Coventry, UK

    University of Warwick, Coventry, UK

    Warwick Clinical Trials Unit

  48. HES-SO University of Applied Sciences and Arts Western Switzerland · HES-SO Fribourg

    Affiliation as printed

    School of Health Sciences Fribourg, HES-SO University of Applied Sciences and Arts Western Switzerland, Switzerland

  49. Heidelberg University · University of Münster · University Hospital Münster · University Hospital Schleswig-Holstein · Medizinische Fakultät Mannheim · Imperial College London

    Affiliation as printed

    Pain Research, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK; Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig-Holstein, Campus Kiel, Germany; Neurophysiology, Mannheim Centre of Translational Neuroscience, Medical Faculty Mannheim, Heidelberg University, Germany; Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Germany

    Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Germany

    Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig-Holstein, Campus Kiel, Germany

    Neurophysiology, Mannheim Centre of Translational Neuroscience, Medical Faculty Mannheim, Heidelberg University, Germany

    Pain Research, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK

  50. John Radcliffe Hospital · University of Oxford

    Affiliation as printed

    Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, UK

  51. Universität Ulm

    Affiliation as printed

    Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Centre, Ulm, Germany

  52. The University of Sydney · University Hospital of Basel

    Affiliation as printed

    School of Psychology, Faculty of Science, University of Sydney, Australia; Department of Clinical Research, University Hospital Basel, Switzerland

    Department of Clinical Research, University Hospital Basel, Switzerland

    School of Psychology, Faculty of Science, University of Sydney, Australia

  53. Imperial College London

    Affiliation as printed

    Pain Research, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK

  54. University College of Osteopathy

    Affiliation as printed

    National Council for Osteopathic Research, London, UK

    Research Department, University College of Osteopathy, London, UK

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References 86