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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 for 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.

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