Evidence map›Paper›PMID 23711168›Full record

Trial reportJournal of the American Geriatrics Society2013

Cognitive-behavioral treatment for comorbid insomnia and osteoarthritis pain in primary care: the lifestyles randomized controlled trial.

Michael V Vitiello, Susan M McCurry, Susan M Shortreed, Benjamin H Balderson, Laura D Baker, Francis J Keefe, Bruce D Rybarczyk, Michael Von Korff

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03954210 (SIESTA), which is not on this map. Cited by 80 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 13 pooled it
14.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03954210 nacompletednot on this mapstarted 2019, after this paper: background citation

SIESTA: Sleep Intervention to Enhance Cognitive Status and Reduce Beta Amyloid

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2019 to 2025Enrolled200ConditionsInsomniaArmsCognitive Behavioral Therapy for Insomnia (CBT-I), Sleep and Lifestyle Education
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 13 syntheses or guidelines pooled it, 162 citations in OpenAlex.

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  11. Cognitive behavioural treatment for insomnia in primary care: a systematic review of sleep outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Michael V VitielloDepartment ofPsychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington.
Susan M McCurryDepartment ofPsychosocial and Community Health, School of Medicine, University of Washington, Seattle, Washington.
Susan M ShortreedGroup Health Research Institute, Seattle, Washington.
Benjamin H BaldersonGroup Health Research Institute, Seattle, Washington.
Laura D BakerDepartment ofPsychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington.
Francis J KeefeDepartment of Psychology, Duke University Medical Center, Durham, North Carolina.
Bruce D RybarczykDepartment of Psychology, Virginia Commonwealth University, Richmond, Virginia.
Michael Von KorffGroup Health Research Institute, Seattle, Washington.
Kaiser Permanente Washington Health Research Institute · USUniversity of Washington · USDuke Medical Center · USVirginia Commonwealth University · US

Funding

Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older AdultsR01AG031126 · NIA · UNIVERSITY OF WASHINGTON · PI MCCURRY, SUSAN M, VITIELLO, MICHAEL V. · 2008 to 2012
$3.6M
NIA NIH HHS R01 AG031126NIA NIH HHS R01-AG031126
6 · The paper itself

Abstract

objectivesTo assess whether older persons with osteoarthritis (OA) pain and insomnia receiving cognitive-behavioral therapy for pain and insomnia (CBT-PI), a cognitive-behavioral pain coping skills intervention (CBT-P), and an education-only control (EOC) differed in sleep and pain outcomes.

designDouble-blind, cluster-randomized controlled trial with 9-month follow-up.

settingGroup Health and University of Washington, 2009 to 2011.

participantsThree hundred sixty-seven older adults with OA pain and insomnia.

interventionsSix weekly group sessions of CBT-PI, CBT-P, or EOC delivered in participants' primary care clinics. MEASUREMENTS: Primary outcomes were insomnia severity and pain severity. Secondary outcomes were actigraphically measured sleep efficiency and arthritis symptoms.

resultsCBT-PI reduced insomnia severity (score range 0-28) more than EOC (adjusted mean difference = -1.89, 95% confidence interval = -2.83 to -0.96; P < .001) and CBT-P (adjusted mean difference = -2.03, 95% CI = -3.01 to -1.04; P < .001) and improved sleep efficiency (score range 0-100) more than EOC (adjusted mean difference = 2.64, 95% CI = 0.44-4.84; P = .02). CBT-P did not improve insomnia severity more than EOC, but improved sleep efficiency (adjusted mean difference = 2.91, 95% CI = 0.85-4.97; P = .006). Pain severity and arthritis symptoms did not differ between the three arms. A planned analysis in participants with severe baseline pain revealed similar results.

conclusionOver 9 months, CBT of insomnia was effective for older adults with OA pain and insomnia. The addition of CBT for insomnia to CBT for pain alone improved outcomes.

Indexed as

Life StyleAgedArthralgiaCluster AnalysisCognitive Behavioral TherapyDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteoarthritisPain MeasurementRetrospective StudiesSleepSleep Initiation and Maintenance Disorders

Identifiers

PMID23711168
PMCPMC3772673
OpenAlexW2111832163

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.