Evidence map›Paper›PMID 24846620›Full record

Trial reportContemporary clinical trials2014

Development and implementation of a telehealth-enhanced intervention for pain and symptom management.

Linda H Eaton, Debra B Gordon, Sheryl Wyant, Brian R Theodore, Alexa R Meins, Tessa Rue, Cara Towle, David Tauben, Ardith Z Doorenbos

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02070874 (Palliative Care Symptom Management in Rural Communities), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% 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.

NCT02070874 nacompletednot on this map

Palliative Care Symptom Management in Rural Communities

TypeinterventionalSponsorUniversity of WashingtonRan2012 to 2017Enrolled259ConditionsChronic Pain, Palliative CareArmstelehealth enhanced pain management
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Tele-yoga for Chronic Pain: Current Status and Future Directions.Global advances in health and medicine · 2018
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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

9 authors at 1 institution in 1 country.

Linda H EatonSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA. Electronic address: lineaton@uw.edu.
Debra B GordonSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA; School of Medicine, University of Washington, Box 356340, Seattle, WA, USA. Electronic address: debrag3@uw.edu.
Sheryl WyantSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA. Electronic address: swyant@uw.edu.
Brian R TheodoreSchool of Medicine, University of Washington, Box 356340, Seattle, WA, USA. Electronic address: brianrt@uw.edu.
Alexa R MeinsSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA. Electronic address: ameins@uw.edu.
Tessa RueSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA. Electronic address: ruet@uw.edu.
Cara TowleSchool of Medicine, University of Washington, Box 356340, Seattle, WA, USA. Electronic address: ctowle@uw.edu.
David TaubenSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA. Electronic address: tauben@uw.edu.
Ardith Z DoorenbosSchool of Nursing, University of Washington, Box 357266, Seattle, WA 98195, USA; School of Medicine, University of Washington, Box 356340, Seattle, WA, USA. Electronic address: doorenbo@uw.edu.
University of Washington · US

Funding

Palliative Care Symptom Management in Rural CommunitiesR01NR012450 · NINR · UNIVERSITY OF WASHINGTON · PI DOORENBOS, ARDITH Z · 2011 to 2015
$2.2M
PATINA: Pain Management Training in Native American CommunitiesR42CA141875 · NCI · TALARIA, INC. · PI DOORENBOS, ARDITH Z, STONER, SUSAN A · 2010 to 2012
$1.6M
NCI NIH HHS R42 CA141875NINR NIH HHS R01 NR012450NINR NIH HHS R01NR012450
6 · The paper itself

Abstract

Managing chronic pain effectively is often challenging for health care providers and patients. Telehealth technologies can bridge geographic distance and improve patients' quality of care in communities where access to pain specialists has previously been unavailable. This paper describes the development and evaluation of a telehealth intervention (TelePain) designed to address the need for pain specialist consultation regarding pain and symptom management issues in non-academic medical centers. We describe the theoretical foundation and development of a multifaceted intervention using a cluster randomized clinical trial design. Health care providers and their patients with chronic pain are enrolled in the study. Patient participants receive the intervention (report of symptoms and receipt of a pain graph) weekly for 8 weeks and are contacted at 12 weeks for completion of post-intervention follow-up measures. Their providers attend TelePain sessions which involve a didactic presentation on an evidence-based topic related to pain management followed by patient case presentations and discussion by community clinicians. Symptom management recommendations for each patient case are made by a panel of pain specialists representing internal medicine, addiction medicine, rehabilitation medicine, anesthesiology, psychiatry, and nursing. The outcomes assessed in this randomized trial focus on pain intensity, pain's interference on function and sleep, and anxiety, depression, and cost-effectiveness. Some of the challenges and lessons that we have learned early in implementing the TelePain intervention are also reported.

Indexed as

Research DesignChronic PainCost-Benefit AnalysisHumansPain ManagementPain MeasurementPatient Care TeamQuality-Adjusted Life YearsQuality of LifeRural Health ServicesTelemedicineVideoconferencingPainRandomized trialSymptom managementTelehealth

Identifiers

PMID24846620
PMCPMC4106145
OpenAlexW2032558331

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.