Table 2

Results of the causal effects (efficacy) analyses

DHECGCrudeITTCACE
TimenMeanSDMinQ1MedianQ3MaxnMeanSDMinQ1MedianQ3MaxUnadjusted MD* or RoM† (95% CI)Adjusted MD* or RoM† (95% CI)Adjusted MD* or RoM† (95% CI)
WHO-5* Baseline38613.15.10.09.013.017.025.037712.65.30.09.013.017.025.00.43 (−0.31 to 1.17)ReferenceReference
Week 124614.65.30.010.015.019.025.022714.05.62.09.014.018.525.00.60 (−0.38 to 1.58)0.42 (−0.43 to 1.27)0.11 (−1.15 to 1.37)
Week 221915.05.51.011.015.020.025.020614.15.31.011.014.518.825.00.91 (−0.13 to 1.94)0.73 (−0.10 to 1.56)0.28 (−1.03 to 1.58)
Week 319815.45.70.011.016.020.025.017614.75.51.011.015.019.025.00.68 (−0.46 to 1.81)0.68 (−0.17 to 1.52)0.81 (−0.61 to 2.22)
Week 418616.25.50.012.017.020.025.015715.15.52.011.016.020.025.01.02 (−0.16 to 2.19)0.99 (0.13 to 1.86)‡0.07 (−1.43 to 1.56)
Week 515613.65.65.010.013.017.030.014514.45.35.010.014.019.026.0−0.75 (−1.98 to 0.48)−0.66 (−1.59 to 0.27)−0.04 (−1.75 to 1.67)
Week 614013.85.65.010.013.016.329.012614.15.25.010.013.017.828.0−0.29 (−1.60 to 1.01)−0.22 (−1.24 to 0.81)−0.24 (−2.20 to 1.71)
Week 712913.55.85.010.012.016.029.011513.75.45.010.013.017.027.0−0.20 (−1.62 to 1.22)−0.14 (−1.27 to 0.99)−0.23 (−2.40 to 1.93)
Week 812013.15.45.010.011.516.029.010813.55.75.010.012.517.327.0−0.49 (−1.95 to 0.97)−0.24 (−1.49 to 1.01)−0.34 (−2.75 to 2.06)
GAD-7†Baseline3867.25.40.03.06.011.021.03776.94.90.03.06.010.021.01.05 (0.94 to 1.16)ReferenceReference
Week 12496.45.30.02.05.09.022.02306.75.20.03.06.09.027.00.95 (0.82 to 1.10)0.93 (0.83 to 1.04)0.99 (0.84 to 1.17)
Week 22215.65.20.02.04.08.021.02086.34.50.03.06.09.020.00.88 (0.75 to 1.03)0.87 (0.77 to 0.98)‡0.90 (0.74 to 1.09)
Week 32015.45.00.02.04.08.021.01775.54.70.02.05.08.021.00.98 (0.82 to 1.17)0.95 (0.83 to 1.08)0.96 (0.77 to 1.20)
Week 41895.55.50.01.04.08.021.01615.24.40.02.04.07.021.01.05 (0.86 to 1.27)0.96 (0.84 to 1.11)0.87 (0.68 to 1.11)
Week 51585.25.40.01.04.07.021.01464.84.30.02.04.06.021.01.08 (0.86 to 1.34)0.98 (0.84 to 1.15)1.00 (0.75 to 1.32)
Week 61414.85.20.01.03.07.021.01274.74.20.01.04.07.020.01.03 (0.81 to 1.30)0.98 (0.82 to 1.16)0.88 (0.64 to 1.22)
Week 71294.64.90.01.03.07.020.01164.64.50.01.03.06.021.01.01 (0.78 to 1.31)0.93 (0.77 to 1.13)0.97 (0.68 to 1.38)
Week 81184.65.10.00.03.07.021.01104.94.40.02.04.07.020.00.94 (0.72 to 1.22)0.87 (0.71 to 1.07)0.86 (0.58 to 1.28)
SKK*Baseline3864.22.7−8.32.34.36.010.03774.52.7−5.33.04.76.310.0−0.27 (−0.65 to 0.12)ReferenceReference
Week 12494.32.6−3.72.74.76.010.02294.52.6−4.73.04.76.310.0−0.17 (−0.64 to 0.30)−0.06 (−0.51 to 0.39)−0.33 (−0.98 to 0.33)
Week 22205.95.5−4.33.05.07.030.02085.54.9−4.02.74.76.730.00.44 (−0.55 to 1.43)0.50 (0.02 to 0.97)‡0.80 (0.06 to 1.54)‡
Week 32004.43.1−10.02.74.76.321.01774.32.8−4.02.34.36.010.00.09 (−0.51 to 0.70)0.01 (−0.49 to 0.51)0.29 (−0.54 to 1.12)
Week 41884.52.8−3.32.74.76.310.01604.42.9−4.32.64.36.011.00.13 (−0.47 to 0.73)0.02 (−0.50 to 0.55)0.42 (−0.46 to 1.31)
Week 51584.62.8−4.72.84.76.310.01464.22.8−4.72.44.06.010.00.39 (−0.24 to 1.02)0.12 (−0.44 to 0.67)0.21 (−0.78 to 1.20)
Week 61414.53.1−10.02.34.76.310.01274.12.9−4.72.24.76.010.00.34 (−0.38 to 1.07)0.06 (−0.53 to 0.64)0.09 (−0.98 to 1.17)
Week 71294.52.8−2.32.34.76.010.01164.33.0−4.72.34.56.110.00.23 (−0.49 to 0.95)0.05 (−0.56 to 0.66)0.12 (−1.02 to 1.25)
Week 81184.72.7−3.73.05.06.310.01104.13.3−10.02.34.76.010.00.55 (−0.24 to 1.34)0.30 (−0.34 to 0.93)0.56 (−0.63 to 1.75)
NPAQ
(moderate)†
Baseline386179.3275.30.00.090.0240.02880.0377171.7229.80.00.090.0230.01440.01.04 (0.85 to 1.28)ReferenceReference
Week 1249290.0354.20.060.0200.0400.03325.0228170.7235.50.00.075.0242.51440.01.70 (1.34 to 2.15)‡1.65 (1.40 to 1.94)‡1.38 (1.08 to 1.76)‡
Week 2220232.1452.40.00.095.0300.04550.0206127.5315.00.00.00.0163.83780.01.82 (1.19 to 2.79)‡1.54 (1.26 to 1.87)‡1.03 (0.72 to 1.46)
Week 3197322.4622.00.060.0180.0375.06450.0177187.1453.10.00.0110.0240.05280.01.72 (1.10 to 2.70)‡1.29 (1.08 to 1.54)‡1.01 (0.74 to 1.37)
Week 4187247.7276.30.060.0180.0347.51680.0156193.7277.20.00.0120.0242.52400.01.28 (0.97 to 1.69)1.25 (1.04 to 1.51)‡1.07 (0.77 to 1.48)
Week 5158304.2499.00.060.0190.0395.04530.0146192.1308.10.022.5120.0240.03000.01.58 (1.10 to 2.28)‡1.17 (0.96 to 1.42)1.05 (0.73 to 1.50)
Week 6140310.1377.50.080.0200.0400.02520.0126205.9313.00.030.0120.0270.02760.01.51 (1.08 to 2.11)‡1.19 (0.96 to 1.47)1.10 (0.73 to 1.66)
Week 7129311.4362.50.060.0200.0380.02140.0114210.9379.50.040.0125.0240.03600.01.48 (1.00 to 2.18)‡1.37 (1.09 to 1.72)‡1.14 (0.73 to 1.76)
Week 8118336.1433.40.060.0200.0390.02790.0109234.2383.10.030.0120.0250.03000.01.44 (0.97 to 2.12)1.23 (0.96 to 1.57)1.30 (0.81 to 2.08)
NPAQ
(vigorous)†
Baseline38691.3231.30.00.00.090.02880.037771.1133.60.00.00.080.0960.01.28 (0.94 to 1.76)ReferenceReference
Week 1249131.1245.20.00.050.0165.02200.022863.5134.20.00.00.060.01200.02.06 (1.44 to 2.96)‡1.31 (1.08 to 1.61)‡1.09 (0.81 to 1.46)
Week 222091.7202.70.00.00.0120.01920.020642.597.30.00.00.050.0840.02.15 (1.40 to 3.31)‡1.23 (0.97 to 1.54)1.24 (0.82 to 1.88)
Week 3197160.7518.30.00.060.0160.05000.017751.990.50.00.010.060.0600.03.09 (1.84 to 5.21)‡1.30 (1.04 to 1.61)‡1.18 (0.82 to 1.70)
Week 4187127.2216.20.00.060.0160.01680.015671.4115.60.00.017.5105.0700.01.78 (1.25 to 2.54)‡1.19 (0.95 to 1.50)1.01 (0.68 to 1.49)
Week 5158143.2280.90.00.055.0180.02670.014666.3107.60.00.020.097.5750.02.16 (1.44 to 3.24)‡1.17 (0.92 to 1.49)1.23 (0.80 to 1.92)
Week 6140162.8299.40.07.560.0200.02520.012660.287.20.00.022.094.5420.02.71 (1.82 to 4.03)‡1.14 (0.87 to 1.48)1.25 (0.77 to 2.04)
Week 7129147.2229.40.00.050.0200.01320.011481.2130.40.00.030.0120.0800.01.81 (1.21 to 2.70)‡1.11 (0.84 to 1.48)1.33 (0.79 to 2.26)
Week 8118167.0283.10.00.060.0200.01860.010980.1156.10.00.020.0120.01300.02.09 (1.29 to 3.37)‡1.11 (0.81 to 1.50)1.42 (0.80 to 2.50)
MOS Sleep Scale*Baseline38669.718.313.356.770.083.3100.037769.117.810.056.770.083.3100.00.63 (−1.94 to 3.19)ReferenceReference
Week 124866.812.016.760.066.773.396.723068.512.26.760.870.076.7100.0−1.69 (−3.88 to 0.49)−2.30 (−4.43 to −0.17)‡−3.66 (−6.77 to −0.56)‡
Week 222169.310.536.763.370.076.7100.020868.311.023.360.070.073.3100.00.97 (−1.06 to 3.01)0.14 (−2.05 to 2.33)0.23 (−3.18 to 3.63)
Week 320168.111.126.763.366.773.3100.017768.111.920.063.366.776.7100.00.03 (−2.31 to 2.36)−0.42 (−2.72 to 1.89)−0.79 (−4.60 to 3.03)
Week 418968.710.133.363.370.073.3100.016168.810.220.063.366.773.393.3−0.08 (−2.22 to 2.06)−0.26 (−2.67 to 2.14)−0.13 (−4.23 to 3.98)
Week 515867.412.60.063.366.773.3100.014668.59.930.063.370.073.390.0−1.09 (−3.66 to 1.48)−1.01 (−3.62 to 1.60)−1.37 (−6.11 to 3.37)
Week 614166.113.120.063.366.773.396.712767.311.913.361.766.773.3100.0−1.17 (−4.19 to 1.85)−1.13 (−3.98 to 1.72)−0.55 (−5.89 to 4.80)
Week 712968.911.420.063.370.073.3100.011669.19.750.063.366.776.793.3−0.19 (−2.87 to 2.49)−0.04 (−3.13 to 3.05)−1.11 (−6.97 to 4.75)
Week 811870.011.230.063.370.073.3100.011068.011.126.763.366.773.393.32.06 (−0.86 to 4.97)2.26 (−1.07 to 5.60)7.69 (1.30 to 14.08)‡
CPGS (pain)†Baseline38618.918.50.03.313.330.093.337716.218.00.00.010.026.780.01.17 (1.01 to 1.36)‡ReferenceReference
Week 124922.620.40.06.720.036.793.323018.420.80.00.010.030.090.01.23 (1.02 to 1.48)‡1.02 (0.89 to 1.17)1.03 (0.85 to 1.26)
Week 222119.520.40.00.013.330.093.320815.719.00.00.010.026.780.01.24 (1.00 to 1.54)‡1.06 (0.91 to 1.23)1.27 (1.01 to 1.60)‡
Week 320117.520.40.00.010.026.793.317715.218.40.00.010.026.776.71.15 (0.90 to 1.46)1.05 (0.89 to 1.23)1.31 (1.00 to 1.71)‡
Week 418915.018.90.00.06.723.386.716114.218.40.00.06.723.380.01.06 (0.81 to 1.39)1.18 (0.98 to 1.41)1.48 (1.10 to 2.01)‡
Week 515815.819.80.00.06.730.090.014612.817.30.00.06.720.080.01.24 (0.92 to 1.66)1.18 (0.97 to 1.44)1.32 (0.92 to 1.88)
Week 614113.918.20.00.06.723.386.712713.517.30.00.010.023.393.31.03 (0.75 to 1.40)1.04 (0.83 to 1.30)1.03 (0.68 to 1.54)
Week 712912.817.10.00.06.720.090.011613.217.40.00.06.720.080.00.97 (0.69 to 1.36)1.05 (0.82 to 1.34)1.23 (0.78 to 1.95)
Week 811812.616.30.00.08.320.093.311010.414.20.00.03.316.770.01.21 (0.85 to 1.71)1.18 (0.90 to 1.54)1.39 (0.83 to 2.31)
CPGS (disability)†Baseline3869.016.10.00.00.010.090.03777.313.70.00.00.010.083.31.23 (0.95 to 1.59)ReferenceReference
Week 12498.915.00.00.00.010.080.02308.715.70.00.00.010.086.71.03 (0.75 to 1.41)1.00 (0.81 to 1.24)1.11 (0.82 to 1.50)
Week 22218.115.60.00.00.010.083.32086.514.30.00.00.06.780.01.24 (0.84 to 1.83)1.00 (0.78 to 1.28)0.97 (0.66 to 1.43)
Week 32018.015.60.00.00.010.083.31775.011.30.00.00.03.356.71.58 (1.03 to 2.43)‡1.15 (0.87 to 1.53)1.24 (0.80 to 1.95)
Week 41895.814.10.00.00.06.776.71615.011.00.00.00.03.363.31.17 (0.72 to 1.89)0.96 (0.70 to 1.30)0.78 (0.46 to 1.32)
Week 51587.316.50.00.00.06.7100.01465.612.80.00.00.03.360.01.29 (0.77 to 2.16)1.12 (0.81 to 1.56)1.51 (0.79 to 2.86)
Week 61415.213.60.00.00.00.080.01275.913.30.00.00.03.366.70.88 (0.49 to 1.58)0.98 (0.67 to 1.43)0.99 (0.46 to 2.11)
Week 71296.717.40.00.00.03.3100.01165.613.20.00.00.03.370.01.20 (0.65 to 2.24)1.30 (0.87 to 1.95)1.31 (0.60 to 2.88)
Week 81184.09.60.00.00.03.373.31103.68.90.00.00.00.056.71.11 (0.59 to 2.09)0.88 (0.57 to 1.37)0.76 (0.33 to 1.76)
  • Adjusted values were estimated with mixed models corrected for differences between groups at baseline, repeated measurements, centres (ie, countries), and the following prognostic variables at baseline that could possibly affect missing outcome data in our data set: age, sex, living environment, employment and university degree. Estimates for each time point were obtained from mixed models by including dummy variables indicating the follow-up time points 1–8 and the interaction terms composed of group and time (ie, ‘group × time’, where 0 is for CG and 1 is for DHE, and weeks 1–8) as fixed effects.

  • *Estimates reported as MD from the results of the linear models.

  • †Estimates reported as RoM from exponentiating the results of the exponential (log-linear) models.

  • ‡CI not containing the null value.

  • CACE, complier average causal effect; CG, control group; CPGS, Chronic Pain Grade Scale; DHE, digital home exercise; GAD-7, Generalized Anxiety Disorder Scale-7; ITT, intention-to-treat effect; MD, mean difference; MOS, Medical Outcome Study; NPAQ, Nordic Physical Activity Questionnaire; RoM, ratio of means; SKK, Self-Concordance Scale.