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A total of 517 patients were recruited with a mean duration of pain of 6 years. Average attendance was 10 acupuncture sessions and 14 Alexander classes. Between groups, reductions in NPQ score at 12 months compared with usual care were 3. 92 percentage points for complementary therapy 95 CI, 0. 97 to 6. 87 P 0. 009 and 3. 79 percentage points for the Alexander technique sessions CI 0. 91 to 6. 66 P 0. 010. Decreases in NPQ score from baseline were 32 for the alternative practice and 31 bactoprim the technique. Participants self-efficacy improved for both interventions versus usual care at 6 months P 0. 001 and was significantly associated P 0. 001 with score reductions on NPQ acupuncture, 3. 34 percentage points CI 2. 31 to 4. 38; Alexander method, 3.

33 percentage points CI 2. 22 to 4.