Evidence map›Paper›PMID 25105072›Full record

ArticleGlobal advances in health and medicine2014

Medical group visits: a feasibility study to manage patients with chronic pain in an underserved urban clinic.

Paula Gardiner, Danielle Dresner, Katherine Gergen Barnett, Ekaterina Sadikova, Robert Saper

4 registry-linked trialsAbstract read
In one paragraph

Article in Global advances in health and medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT02262377 nacompletednot on this mapstarted 2015, after this paper: background citation

Integrative Medicine Group Visits: A Patient-Centered Approach to Reducing Chronic Pain and Depression in a Disparate Urban Population

TypeinterventionalSponsorBoston Medical CenterRan2015 to 2016Enrolled159ConditionsChronic Pain, DepressionArmsIntegrative Medicine Group Visits
NCT02788539 nacompletednot on this mapstarted 2016, after this paper: background citation

Reducing Disparities in the Treatment of Chronic Pain Using an Innovative mHealth Tool

TypeinterventionalSponsorBoston Medical CenterRan2016 to 2018Enrolled43ConditionsChronic PainArmsOur Whole Lives Website
NCT03974334 nacompletednot on this mapstarted 2019, after this paper: background citation

Reducing Disparities in the Treatment of Hypertension Using the OWL mHealth Tool

TypeinterventionalSponsorPaula GardinerRan2019 to 2019Enrolled25ConditionsHypertensionArmsOWL-Hypertension 8 Wk Trial
NCT04340739 completednot on this mapstarted 2021, after this paper: background citation

GEMINI: Virtual Integrative Medicine Group Visits (IMGV) for Managing Chronic Pain

TypeobservationalSponsorUniversity of Massachusetts, WorcesterRan2021 to 2021Enrolled35ConditionsPain, ChronicArmsonline patient education teach mindfulness based stress reduction
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Feasibility of Implementation Mapping for Integrative Medical Group Visits.Journal of alternative and complementary medicine (New York, N.Y.) · 2021
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  20. The Quadruple Aim as a Framework for Integrative Group Medical Visits.Journal of alternative and complementary medicine (New York, N.Y.) · 2020
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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

5 authors.

Paula GardinerProgram for Integrative Medicine and Health Disparities, Department of Family Medicine, Boston Medical Center, Massachusetts, United States.
Danielle DresnerProgram for Integrative Medicine and Health Disparities, Department of Family Medicine, Boston Medical Center, Massachusetts, United States.
Katherine Gergen BarnettProgram for Integrative Medicine and Health Disparities, Department of Family Medicine, Boston Medical Center, Massachusetts, United States.
Ekaterina SadikovaProgram for Integrative Medicine and Health Disparities, Department of Family Medicine, Boston Medical Center, Massachusetts, United States.
Robert SaperProgram for Integrative Medicine and Health Disparities, Department of Family Medicine, Boston Medical Center, Massachusetts, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain affects millions of racially diverse Americans. Evidence suggests that group medical visits are effective for treating chronic pain; similarly, a number of studies demonstrate the effectiveness of certain evidence-based complementary therapies in managing pain.

objectivesThe primary goal of this study is to evaluate the feasibility of the integrative medical group visit (IMGV) care model in an inner-city racially diverse outpatient clinic. IMGV combines patient-centered, non-pharmacologic strategies and principles of mindfulness-based stress-reduction with a group medical visit to reduce pain and associated symptoms.

methodsWe surveyed patients pre and post an 8-session IMGV program to evaluate changes in pain in the last week (0-10 point scale) and comorbid symptoms including depression (Patient Health Questionaire-8 [PHQ-8]), perceived stress, and sleep quality. We also recorded referrals to the program, patients screened for eligibility, total enrollment, loss to follow-up, and attendance.

resultsSeventy patients joined IMGV, and of these, 65 (93%) enrolled in the study. Over the course of 12 months, 7 groups met (median 9 patients/group; range 8-13 participants). Mean difference in pain level for all patients between baseline and 8 weeks was 0.7 (SD=2.0, P=.005). Mean difference in PHQ-8 depression score for patients with baseline score ≥5 was 2.6 (SD=4.6, P<.001). Statistically significant improvements were also seen in sleep quality and perceived stress.

conclusionA group visits program combining conventional and integrative medicine for predominantly racially diverse patients is feasible.

Indexed as

chronic painGroup medical visitintegrative medical group visitsmindfulness-based stress reductionpatient-centered non-pharmacologic strategies

Identifiers

PMID25105072
PMCPMC4104558

What OpenQuestion holds

Textmetadata
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.