{ "schema_version": "chamgap-public-evidence-check-1.0", "public_id": "v2944-s1", "verdict_number": "2944", "title": "Universal benefit of vocational rehabilitation: distinguishing specific vocational advice and delivery systems — an evidence checklist", "view_version": "1.0", "view_created_date": "2026-10-11", "criteria_version": "1.0", "criteria_date": "2026-10-06", "review_date": null, "legacy_evidence_date": "2026-08-26", "review_scope": { "materials_read": "Existing review summaries and stored records of methodological application", "clinical_papers_directly_read": false, "new_clinical_search": false, "limitation": "The complete existing review summary was read for production, linking existing URLs and identifiers. External abstracts, full texts, registration, protocols and SAP were not newly read or checked.", "date_meaning": "This is the date the stored materials were checked, not the date of a new search of the clinical literature." }, "claim_context": { "population": "Distinguish SWAP workers with musculoskeletal pain from MI-NAV populations, systems and delivery; no universal population is established", "intervention": "Early stepped physiotherapist vocational advice and case management in UK primary care and other programs delivered through NAV", "dose": "Detailed original service components, frequency and adherence have not been read; no treatment or support instructions for users", "comparator": "Detailed SWAP control management is unverified; MI-NAV stratified vocational advice or motivational interviewing versus usual case management", "endpoint": "The selected question is generalization across vocational rehabilitation; direct original outcomes are SWAP four-month self-reported absence days and MI-NAV absence at individual time points", "duration": "SWAP four-month original results and 12-month follow-up; distinguish MI-NAV six- and 12-month reports", "excluded_extensions": [ "Generalizing specific advice to all vocational rehabilitation", "Repurposing time-point-specific MI-NAV effects as sustained SWAP effects", "Mixing absence, pain, quality of life and economic benefit", "Treatment or vocational-support instructions for users" ] }, "requirements": [ { "item_id": "N01", "question_type": "Comparative efficacy", "question": "Are the general vocational-rehabilitation verdict and the specific SWAP parent verdict distinguished?", "needed": "Separate records of the subclaim, grade and note and the parent verdict", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Separate records of the subclaim, grade and note and the parent verdict", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "If additional material is provided, link direct evidence for each population, program and outcome.", "current_reports": [ "R01", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The subclaim is ‘Universal benefit of vocational rehabilitation’, with original grade D and a note about MI-NAV results at different time points and the lack of independent confirmation. The parent concerns the specific SWAP comparison: B, 72 points, safety Unknown.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Subclaim score, status and axes are absent; do not fill them with parent values. No new verdict that all vocational rehabilitation is ineffective is made.", "missingness": "Subclaim score, status and axes are absent; do not fill them with parent values. No new verdict that all vocational rehabilitation is ineffective is made.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Subclaim score, status and axes are absent; do not fill them with parent values. No new verdict that all vocational rehabilitation is ineffective is made." }, { "item_id": "N02", "question_type": "Comparative efficacy", "question": "Are SWAP workers with musculoskeletal pain and other vocational-rehabilitation populations the same?", "needed": "Original materials on occupation, baseline work status, condition, eligibility and denominators", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original materials on occupation, baseline work status, condition, eligibility and denominators", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original eligibility, baseline characteristics, work and absence status and direct comparisons for each population.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "SWAP included 338 workers with musculoskeletal pain in UK primary care.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Detailed eligibility by occupation, condition and baseline absence and direct effects in other populations have not been read. Do not automatically apply this to other rehabilitation populations.", "missingness": "Detailed eligibility by occupation, condition and baseline absence and direct effects in other populations have not been read. Do not automatically apply this to other rehabilitation populations.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Detailed eligibility by occupation, condition and baseline absence and direct effects in other populations have not been read. Do not automatically apply this to other rehabilitation populations." }, { "item_id": "N03", "question_type": "Comparative efficacy", "question": "What program was early stepped physiotherapist vocational advice and case management?", "needed": "Study records of providers, services, support, accompanying management and actual exposure", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Study records of providers, services, support, accompanying management and actual exposure", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original service components, providers, start time, actual exposure and accompanying management materials.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original intervention was vocational advice and case management by primary-care physiotherapists, an early stepped service in UK primary care.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not equate it with all vocational rehabilitation, employment support or other programs, or create treatment or support instructions for users. Components, frequency and adherence have not been read.", "missingness": "Do not equate it with all vocational rehabilitation, employment support or other programs, or create treatment or support instructions for users. Components, frequency and adherence have not been read.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not equate it with all vocational rehabilitation, employment support or other programs, or create treatment or support instructions for users. Components, frequency and adherence have not been read." }, { "item_id": "N04", "question_type": "Comparative efficacy", "question": "What were SWAP control management and the comparator for the generalization question?", "needed": "Original group records of usual management, contact, additional support and existing treatment", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original group records of usual management, contact, additional support and existing treatment", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original control and accompanying management, contact differences and direct comparisons for the generalization question.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "SWAP was a cluster-randomized trial comparing 158 intervention and 180 control participants.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Specific control management, contact and service exposure are not established by this summary. Do not recast it as the effects of all services versus no support.", "missingness": "Specific control management, contact and service exposure are not established by this summary. Do not recast it as the effects of all services versus no support.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Specific control management, contact and service exposure are not established by this summary. Do not recast it as the effects of all services versus no support." }, { "item_id": "N05", "question_type": "Comparative efficacy", "question": "Are cluster allocation across 6 practices and the denominator of 338 participants distinguished?", "needed": "Original materials on clusters, individuals, allocation and analysis denominators, cluster sizes and adjustment", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original materials on clusters, individuals, allocation and analysis denominators, cluster sizes and adjustment", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original cluster allocation, sizes, analysis adjustment and participant flow materials.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "SWAP randomized 6 general practices as clusters and compared 338 participants, 158/180.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not treat 338 people as independent allocation units or create cluster allocations, ICC or design effects absent from the original paper.", "missingness": "Do not treat 338 people as independent allocation units or create cluster allocations, ICC or design effects absent from the original paper.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not treat 338 people as independent allocation units or create cluster allocations, ICC or design effects absent from the original paper." }, { "item_id": "N06", "question_type": "Comparative efficacy", "question": "Are four-month self-reported absence days the same outcome for all vocational rehabilitation?", "needed": "Absence definitions, recall period, questionnaire, denominators and analysis units", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Absence definitions, recall period, questionnaire, denominators and analysis units", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original absence definitions, time points, questionnaire and denominators separately from direct material for other outcomes.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The direct endpoint was patient-questionnaire-reported absence days over 4 months.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not equate it with return to work, work participation, job retention, income or all work function. Detailed outcome definitions and questionnaire procedures have not been read.", "missingness": "Do not equate it with return to work, work participation, job retention, income or all work function. Detailed outcome definitions and questionnaire procedures have not been read.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not equate it with return to work, work participation, job retention, income or all work function. Detailed outcome definitions and questionnaire procedures have not been read." }, { "item_id": "N07", "question_type": "Comparative efficacy", "question": "Are mean absence days, mean difference and IRR different effect measures?", "needed": "Original group means, between-group mean difference, incidence rate ratio, CI and tests", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original group means, between-group mean difference, incidence rate ratio, CI and tests", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain the original absence-analysis model, cluster adjustment and separate estimation tables for mean difference and IRR.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original account gives 4-month means of 9.3 versus 14.4 days, mean difference −5.1 days, IRR 0.51 (95% CI 0.26–0.99), P=0.048.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not change IRR into a recurrence risk ratio or return-to-work proportion. No new differences, rates, denominators or CI are calculated. The mean-difference CI and analysis model have not been read.", "missingness": "Do not change IRR into a recurrence risk ratio or return-to-work proportion. No new differences, rates, denominators or CI are calculated. The mean-difference CI and analysis model have not been read.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not change IRR into a recurrence risk ratio or return-to-work proportion. No new differences, rates, denominators or CI are calculated. The mean-difference CI and analysis model have not been read." }, { "item_id": "N08", "question_type": "Comparative efficacy", "question": "Are borderline statistical results distinguished from certification of universal benefit?", "needed": "Original effects, precision, prespecified plans and scope of application", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original effects, precision, prespecified plans and scope of application", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Link populations, periods, effects, CI and scope of application for new direct comparisons separately.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original account notes only 6 practices and borderline CI and P results.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not extend significance into certification of benefit for every population, delivery system and duration. Do not replace the parent's unrecorded precision with a new value.", "missingness": "Do not extend significance into certification of benefit for every population, delivery system and duration. Do not replace the parent's unrecorded precision with a new value.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not extend significance into certification of benefit for every population, delivery system and duration. Do not replace the parent's unrecorded precision with a new value." }, { "item_id": "N09", "question_type": "Comparative efficacy", "question": "Do gaps remain in four-month response, attrition and analysis populations?", "needed": "Original group questionnaire returns, missingness, analysis populations and sensitivity analyses", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original group questionnaire returns, missingness, analysis populations and sensitivity analyses", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original questionnaire returns, group reasons for missingness, analysis populations and sensitivity-analysis materials.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original abstract did not provide 4-month questionnaire response, so the preserved account says attrition cannot be estimated.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not certify the randomized denominator of 338 as the questionnaire-analysis denominator or calculate attrition.", "missingness": "Do not certify the randomized denominator of 338 as the questionnaire-analysis denominator or calculate attrition.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not certify the randomized denominator of 338 as the questionnaire-analysis denominator or calculate attrition." }, { "item_id": "N10", "question_type": "Comparative efficacy", "question": "Are allocation concealment, blinding and self-report measurement procedures directly described?", "needed": "Cluster allocation, concealment, measurement and analysis procedures and original methods", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Cluster allocation, concealment, measurement and analysis procedures and original methods", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original trial methods and measurement and analysis procedures.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The information that SWAP was cluster randomized and used patient-questionnaire outcomes is preserved.", "condition_status": "Unverified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Detailed concealment and participant, assessor and analyst blinding are unverified in this summary. Do not use the B0 axis as certification of a current review.", "missingness": "Detailed concealment and participant, assessor and analyst blinding are unverified in this summary. Do not use the B0 axis as certification of a current review.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Detailed concealment and participant, assessor and analyst blinding are unverified in this summary. Do not use the B0 axis as certification of a current review." }, { "item_id": "N11", "question_type": "Comparative efficacy", "question": "What were the prespecified primary endpoint, registration and success threshold?", "needed": "Original registration, protocol, SAP, primary hierarchy and clinical-importance materials", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original registration, protocol, SAP, primary hierarchy and clinical-importance materials", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Link original registration, SAP, changes and importance plans separately.", "current_reports": [ "R01", "R02" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "4-month absence days were the prespecified primary endpoint, with follow-up to 12 months. A two-sided 5% level and 80% power were declared, but an important absence-day difference was not set as a success threshold.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not recast test level and power as a clinical success threshold. Registration, protocol and SAP have not been read in this work.", "missingness": "Do not recast test level and power as a clinical success threshold. Registration, protocol and SAP have not been read in this work.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not recast test level and power as a clinical success threshold. Registration, protocol and SAP have not been read in this work." }, { "item_id": "N12", "question_type": "Comparative efficacy", "question": "Are net societal benefit, absence costs and healthcare costs distinguished from generalized cost-effectiveness?", "needed": "Original setting, currency, perspective, period, costs and uncertainty materials", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original setting, currency, perspective, period, costs and uncertainty materials", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain the original economic analysis period, perspective, cost components and uncertainty and materials from other systems.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original account gives net societal benefit of £733 per person and preserves the original explanation of £748 lower absence costs and £15 higher healthcare costs.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not add new calculations or exchange rates or transfer these to cost-effectiveness in other countries or benefits of every rehabilitation program. Cost CI and detailed perspective have not been read.", "missingness": "Do not add new calculations or exchange rates or transfer these to cost-effectiveness in other countries or benefits of every rehabilitation program. Cost CI and detailed perspective have not been read.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not add new calculations or exchange rates or transfer these to cost-effectiveness in other countries or benefits of every rehabilitation program. Cost CI and detailed perspective have not been read." }, { "item_id": "N13", "question_type": "Comparative efficacy", "question": "Can pain, quality of life and other secondary outcomes replace absence effects?", "needed": "Outcome-specific definitions, hierarchy, denominators, effects and intervals", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Outcome-specific definitions, hierarchy, denominators, effects and intervals", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain secondary-outcome tables and prespecified hierarchy and multiplicity plans for each endpoint.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original account explicitly says pain and quality-of-life secondary outcomes should not be used to stand in for absence benefits.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not create secondary-outcome figures or superiority absent from this summary. Do not fill in universal vocational-rehabilitation function.", "missingness": "Do not create secondary-outcome figures or superiority absent from this summary. Do not fill in universal vocational-rehabilitation function.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not create secondary-outcome figures or superiority absent from this summary. Do not fill in universal vocational-rehabilitation function." }, { "item_id": "N14", "question_type": "Comparative efficacy", "question": "Are SWAP's 12-month follow-up and MI-NAV's 12-month results the same?", "needed": "Trial-specific follow-up periods, time points, effects and denominators", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Trial-specific follow-up periods, time points, effects and denominators", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Link original SWAP results at each time point and MI-NAV materials by trial.", "current_reports": [ "R01", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "SWAP is recorded as followed to 12 months, while its direct figures concern 4 months. MI-NAV has separate 12-month results.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not fill SWAP's sustained effects with MI-NAV's 12-month effects. SWAP follow-up figures are absent from this summary.", "missingness": "Do not fill SWAP's sustained effects with MI-NAV's 12-month effects. SWAP follow-up figures are absent from this summary.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not fill SWAP's sustained effects with MI-NAV's 12-month effects. SWAP follow-up figures are absent from this summary." }, { "item_id": "N15", "question_type": "Comparative efficacy", "question": "What were MI-NAV populations, NAV delivery and the three intervention comparisons?", "needed": "Distinguish original populations, delivery systems, motivational interviewing, stratified advice and usual management", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Distinguish original populations, delivery systems, motivational interviewing, stratified advice and usual management", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original MI-NAV eligibility, service components, group comparisons and delivery-system materials.", "current_reports": [ "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "MI-NAV compared motivational interviewing or stratified vocational advice delivered through NAV with usual case management. The original account says SWAP used advisers within UK primary care and had different populations and systems.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not merge different services and populations into the same program. Six-month group denominators and specific populations have not been read.", "missingness": "Do not merge different services and populations into the same program. Six-month group denominators and specific populations have not been read.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not merge different services and populations into the same program. Six-month group denominators and specific populations have not been read." }, { "item_id": "N16", "question_type": "Comparative efficacy", "question": "Which intervention and outcome does MI-NAV's six-month null result concern?", "needed": "Time-point-specific interventions, denominators, effects, CI and tests", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Time-point-specific interventions, denominators, effects, CI and tests", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain original six-month effects, denominators, models, CI and test materials.", "current_reports": [ "R03" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "At 6 months, the absence difference in the stratified-vocational-advice group is recorded as null. The evidence-list sample is ‘MI-NAV participants’.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not create six-month figures, CI, P or group analysis denominators. Do not add the same null result for motivational interviewing.", "missingness": "Do not create six-month figures, CI, P or group analysis denominators. Do not add the same null result for motivational interviewing.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not create six-month figures, CI, P or group analysis denominators. Do not add the same null result for motivational interviewing." }, { "item_id": "N17", "question_type": "Comparative efficacy", "question": "Are MI-NAV's two 12-month effects and denominator preserved separately?", "needed": "Time-point- and group-specific original effects, CI, denominators and analysis plans", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Time-point- and group-specific original effects, CI, denominators and analysis plans", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain 12-month group denominators, missingness, original models and direct intervention-comparison plans.", "current_reports": [ "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "In the 12-month trial of 509 people, stratified advice was −17.6 days (95% CI −33.0 to −2.2) and motivational interviewing −15.6 days (95% CI −31.0 to −0.2), each versus usual case management.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not repurpose 509 as group analysis counts or six-month denominators. Do not calculate direct superiority between the two interventions or new P values.", "missingness": "Do not repurpose 509 as group analysis counts or six-month denominators. Do not calculate direct superiority between the two interventions or new P values.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not repurpose 509 as group analysis counts or six-month denominators. Do not calculate direct superiority between the two interventions or new P values." }, { "item_id": "N18", "question_type": "Comparative efficacy", "question": "Are MI-NAV time-point reports and overlapping SWAP authors independent replication?", "needed": "Link reports, trials, time points, populations and author and funding relationships", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Link reports, trials, time points, populations and author and funding relationships", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Preserve original same-trial, time-point and participant mapping and funding and author connections.", "current_reports": [ "R01", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original account says MI-NAV authors overlap with SWAP and this is not independent confirmation by different research teams and funding sources; the parent R1 is retained.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not add two MI-NAV time-point reports as two new independent trials. Exact follow-up mapping of the same population has not been read externally.", "missingness": "Do not add two MI-NAV time-point reports as two new independent trials. Exact follow-up mapping of the same population has not been read externally.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not add two MI-NAV time-point reports as two new independent trials. Exact follow-up mapping of the same population has not been read externally." }, { "item_id": "N19", "question_type": "Comparative efficacy", "question": "Do direct gaps remain by population, service and system for vocational rehabilitation in general?", "needed": "Direct comparisons for different populations, programs, delivery systems and outcomes", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Direct comparisons for different populations, programs, delivery systems and outcomes", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Direct comparative evidence with clearly specified population, system, service, period and outcome is needed.", "current_reports": [ "R01", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original account explicitly limits the verified scope to the specific early stepped service in UK primary care, rather than universal benefit of all vocational rehabilitation.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not extend specific benefits and time-point results into effectiveness or ineffectiveness of every rehabilitation program.", "missingness": "Do not extend specific benefits and time-point results into effectiveness or ineffectiveness of every rehabilitation program.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not extend specific benefits and time-point results into effectiveness or ineffectiveness of every rehabilitation program." }, { "item_id": "N20", "question_type": "Comparative efficacy", "question": "Are SWAP public and nonprofit funding and four involvement gaps distinguished?", "needed": "Records of funding, free provision, affiliated authors and external analysis roles", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Records of funding, free provision, affiliated authors and external analysis roles", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain separate funding, provision, affiliation, analysis, design and manuscript disclosures.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "SWAP is preserved as supported by NIHR, Arthritis Research UK and the UK Department of Health.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Details of free product or service provision, organizational affiliation, contracted external analysis and sponsor manuscript roles are unverified in this summary. Do not newly certify independence from public support alone.", "missingness": "Details of free product or service provision, organizational affiliation, contracted external analysis and sponsor manuscript roles are unverified in this summary. Do not newly certify independence from public support alone.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Details of free product or service provision, organizational affiliation, contracted external analysis and sponsor manuscript roles are unverified in this summary. Do not newly certify independence from public support alone." }, { "item_id": "N21", "question_type": "Comparative efficacy", "question": "Are MI-NAV funding labels distinguished from service delivery systems?", "needed": "Separate materials on delivery, support, affiliation, analysis and author relationships", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Separate materials on delivery, support, affiliation, analysis and author relationships", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain separate original support, delivery, affiliation and research-role disclosures.", "current_reports": [ "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "MI-NAV's funding field describes NAV delivery and overlapping SWAP authors.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not turn the delivery organization into new certification of the exact research funding source, product provision or employee authors.", "missingness": "Do not turn the delivery organization into new certification of the exact research funding source, product provision or employee authors.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not turn the delivery organization into new certification of the exact research funding source, product provision or employee authors." }, { "item_id": "N22", "question_type": "Supplementary harm evidence", "question": "What is the scope of serious adverse events not assessed and harm signals not reported?", "needed": "Prespecified harms plans, collection, group events, exposure and denominators", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Prespecified harms plans, collection, group events, exposure and denominators", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Obtain trial-specific original harms plans, group events, denominators, exposure and discontinuation materials.", "current_reports": [ "R01" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original SWAP account records that serious adverse events were not assessed as a separate endpoint and no harm signal was reported. Parent safety is Unknown.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not extend this to zero events, safety of all vocational rehabilitation or absence of MI-NAV harms.", "missingness": "Do not extend this to zero events, safety of all vocational rehabilitation or absence of MI-NAV harms.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not extend this to zero events, safety of all vocational rehabilitation or absence of MI-NAV harms." }, { "item_id": "N23", "question_type": "Supplementary harm evidence", "question": "Do direct gaps remain in long-term and rare harms and service discontinuation?", "needed": "Time-point-specific exposure, discontinuation, severity, direct harms and follow-up", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Time-point-specific exposure, discontinuation, severity, direct harms and follow-up", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Actual service-specific exposure, discontinuation, long-term harms and rare-event materials are needed.", "current_reports": [ "R01", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The original parent materials record a limited harms summary and follow-up period.", "condition_status": "Unverified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not certify evaluation of rare harms from long-term follow-up alone. Do not create harm counts, rates or discontinuation reasons absent from the original paper.", "missingness": "Do not certify evaluation of rare harms from long-term follow-up alone. Do not create harm counts, rates or discontinuation reasons absent from the original paper.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not certify evaluation of rare harms from long-term follow-up alone. Do not create harm counts, rates or discontinuation reasons absent from the original paper." }, { "item_id": "N24", "question_type": "Supplementary harm evidence", "question": "Are application to other populations, repeated harm evidence and support instructions distinguished?", "needed": "Direct harms and application by population and program and same-population relationships", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Direct harms and application by population and program and same-population relationships", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Link direct comparisons and harms materials for new populations by service.", "current_reports": [ "R01", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "Compared with the universal vocational-rehabilitation question, current materials concern specific SWAP and MI-NAV services.", "condition_status": "Unverified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not newly establish effects or harms in other populations or instruct users on treatment or vocational-support actions.", "missingness": "Do not newly establish effects or harms in other populations or instruct users on treatment or vocational-support actions.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not newly establish effects or harms in other populations or instruct users on treatment or vocational-support actions." }, { "item_id": "N25", "question_type": "Comparative efficacy", "question": "Are registration reports and external access status shown for each material?", "needed": "Original links and actual access records for summaries, papers, registration, protocol and SAP", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Original links and actual access records for summaries, papers, registration, protocol and SAP", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Link original materials obtained by the user with their actual access status for each material.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "SWAP registration ISRCTN52269669 is linked through its actual citation URL; the three other papers retain their original PubMed URLs.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not label a registration URL as a paper's full text or abstract. Preserve unread status and Not applicable identifiers as originally recorded; link tests were not performed.", "missingness": "Do not label a registration URL as a paper's full text or abstract. Preserve unread status and Not applicable identifiers as originally recorded; link tests were not performed.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not label a registration URL as a paper's full text or abstract. Preserve unread status and Not applicable identifiers as originally recorded; link tests were not performed." }, { "item_id": "N26", "question_type": "Comparative efficacy", "question": "Are original dates, subclaim and parent values, Korean and English text, corrections and empty values retained?", "needed": "Preservation of the whole parent verdict summary and selected verdict record, languages and history", "role": "Required", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Preservation of the whole parent verdict summary and selected verdict record, languages and history", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Link new materials and decisions with preservation of the entire original text and separate change events.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "The date 2026-08-26, empty correction and deliberation records, Korean and English text, parent B72, safety Unknown, axes and subclaim D are preserved.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. Do not turn this generation date into a new clinical verification date. Past cross-checking is not completion of this review.", "missingness": "Do not turn this generation date into a new clinical verification date. Past cross-checking is not completion of this review.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Do not turn this generation date into a new clinical verification date. Past cross-checking is not completion of this review." }, { "item_id": "N27", "question_type": "Comparative efficacy", "question": "Are production completion and original-content review and independence certification distinguished?", "needed": "Separate records of original candidate history, production and review", "role": "Supplementary", "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question", "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.", "criterion": "Separate records of original candidate history, production and review", "basis": "Universal benefit of vocational rehabilitation", "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled", "proposed_research": "Proposal: Reflect only user-provided materials or decisions as separate events.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Material information recorded in the preserved summary", "acquired_read": "Summary read; external materials not read", "observation": "Original review-pending/production-eligible indicators and boundary-review requirements are preserved as history. The original content review remains incomplete; active-pending and completion flags for model, content and boundary reviews are false.", "condition_status": "Partly verified", "status_reason": "Only the relevant information from the stored summary is recorded. Detailed original materials have not been read, and the original content review remains incomplete. No new verdict, split or independence certification is made; added verdict units are 0 and the final independence count is not recorded.", "missingness": "No new verdict, split or independence certification is made; added verdict units are 0 and the final independence count is not recorded.", "uncertainty": "Unread or unverified materials do not mean zero effect, zero events, safety or new clinical certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "No new verdict, split or independence certification is made; added verdict units are 0 and the final independence count is not recorded." } ], "reports": [ { "report_id": "R01", "title": "Wynne-Jones G, Artus M, Bishop A, et al. Effectiveness and costs of a vocational advice service to improve work outcomes in patients with musculoskeletal pain in primary care: a cluster randomised trial (SWAP). Pain. 2018;159:128-138. PMID: 28976423.", "url": "https://pubmed.ncbi.nlm.nih.gov/28976423/", "report_type": "Trial report", "existence": "Materials preserved in original citation and evidence lists", "acquired_read": "Summary read; external materials not read", "study_family": "F01", "independent_replication": false, "observed_result": "9.3 versus 14.4 days; mean difference −5.1 days; IRR 0.51 (0.26–0.99), P=0.048", "result_level": "Stored review summary; not results from directly reading the original paper or review", "source_evidence_date": "2026-08-26", "materials": [ { "material_type": "local_summary", "public_status": "Original source link preserved", "access_status": "Summary read", "acquired": true, "actually_read": "Summary read", "as_of": "2026-08-26", "qualification": "Preserved parent verdict summary" }, { "material_type": "abstract", "public_status": "Original source link preserved", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "fulltext", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "registration", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "protocol_sap", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/28976423/" } ] }, { "report_id": "R02", "title": "ISRCTN52269669. SWAP - Study of Work And Pain.", "url": "https://www.isrctn.com/ISRCTN52269669", "report_type": "Registration report", "existence": "Materials preserved in original citation and evidence lists", "acquired_read": "Summary read; external materials not read", "study_family": "F01", "independent_replication": false, "observed_result": "9.3 versus 14.4 days; mean difference −5.1 days; IRR 0.51 (0.26–0.99), P=0.048", "result_level": "Linked context for the same original trial; no new certification as registration results", "source_evidence_date": "2026-08-26", "materials": [ { "material_type": "local_summary", "public_status": "Original source link preserved", "access_status": "Summary read", "acquired": true, "actually_read": "Summary read", "as_of": "2026-08-26", "qualification": "Preserved parent verdict summary" }, { "material_type": "abstract", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "fulltext", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "registration", "public_status": "Original source link preserved", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "protocol_sap", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" } ], "links": [ { "label": "Official source", "url": "https://www.isrctn.com/ISRCTN52269669" } ] }, { "report_id": "R03", "title": "Effectiveness of adding motivational interviewing or a stratified vocational advice intervention to usual case management…. PMID: 36428098.", "url": "https://pubmed.ncbi.nlm.nih.gov/36428098/", "report_type": "Trial report", "existence": "Materials preserved in original citation and evidence lists", "acquired_read": "Summary read; external materials not read", "study_family": "F02", "independent_replication": false, "observed_result": "Null absence difference in the stratified-vocational-advice group", "result_level": "Stored review summary; not results from directly reading the original paper or review", "source_evidence_date": "2026-08-26", "materials": [ { "material_type": "local_summary", "public_status": "Original source link preserved", "access_status": "Summary read", "acquired": true, "actually_read": "Summary read", "as_of": "2026-08-26", "qualification": "Preserved parent verdict summary" }, { "material_type": "abstract", "public_status": "Original source link preserved", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "fulltext", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "registration", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "protocol_sap", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/36428098/" } ] }, { "report_id": "R04", "title": "Effectiveness of two vocational interventions on sickness absence and costs for people with musculoskeletal disorders. PMID: 40927942.", "url": "https://pubmed.ncbi.nlm.nih.gov/40927942/", "report_type": "Follow-up report", "existence": "Materials preserved in original citation and evidence lists", "acquired_read": "Summary read; external materials not read", "study_family": "F02", "independent_replication": false, "observed_result": "Stratified vocational advice −17.6 days (95% CI −33.0 to −2.2) and motivational interviewing −15.6 days (95% CI −31.0 to −0.2), each versus usual case management", "result_level": "Stored review summary; not results from directly reading the original paper or review", "source_evidence_date": "2026-08-26", "materials": [ { "material_type": "local_summary", "public_status": "Original source link preserved", "access_status": "Summary read", "acquired": true, "actually_read": "Summary read", "as_of": "2026-08-26", "qualification": "Preserved parent verdict summary" }, { "material_type": "abstract", "public_status": "Original source link preserved", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "fulltext", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "registration", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" }, { "material_type": "protocol_sap", "public_status": "No separate URL in the original material", "access_status": "Not read", "acquired": false, "actually_read": "Not read", "as_of": "2026-08-26", "qualification": "External material unread; a URL does not mean acquisition, reading or completed review" } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/40927942/" } ] } ], "method_sources": [ { "id": "M03", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03", "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13", "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.", "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed." }, { "id": "M04", "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04", "section": "§4.5, §4.6.1–4.6.3, MECIR C42", "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.", "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed." }, { "id": "M08", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08", "section": "§8.1–8.2.3, Table 8.2.a", "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.", "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed." }, { "id": "M15", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15", "section": "§15.2.4, §15.3.1–15.3.3", "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.", "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed." }, { "id": "M19", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19", "section": "§19.1.2, §19.2.1–19.2.4", "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.", "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed." } ], "status_dictionary": { "Partly verified": "Some information exists in the preserved review summary; detailed original materials remain unverified. This does not certify a passed review or clinical efficacy.", "Unverified": "Detailed materials for the selected condition could not be established within the stored scope; this does not mean zero effect, zero studies or safety", "Review incomplete": "Review of existing content incomplete", "Met": "Use only within the relevant conditions after existing content review; no automatic designation in this preparation", "Not reported": "Distinguish only within materials actually read; do not turn unread external materials into unreported findings", "Inaccessible": "Not applied during this preparation because actual access was not tested", "Not applicable": "Use with a reason for non-applicability based on an explicit question boundary", "Conflicting data": "Judge after actual material comparison; review was not performed during this preparation", "Insufficient evidence for the conditions": "Do not use as a clinical grade encompassing currently unread materials" }, "study_overlap": { "state": "Unverified", "unique_trial_count": null, "unique_participant_count": null, "reason": "The original SWAP trial and its registration report; MI-NAV reports at different time points retain the same-program relationship described in the original text, while exact follow-up population mapping has not been read. Family IDs link relationships rather than certify unique trial counts; reports, time points, reviews, sibling sheets and the same participants are not newly added as independent evidence." }, "history": [ { "date": "2026-10-11", "kind": "Separation of public-facing pages and materials", "view_version": "1.0", "change": "Public pages and materials were prepared from the existing 27 items. No new clinical search, verification-status change or scoring was performed." } ], "language": "en", "translation_date": "2026-10-11" }