Evidence map›Paper›PMID 28877139›Full record

Trial reportThe Clinical journal of pain2018

Randomized Controlled Trial of Telephone-delivered Cognitive Behavioral Therapy Versus Supportive Care for Chronic Back Pain.

Thomas Rutledge, J Hampton Atkinson, Tatiana Chircop-Rollick, John D'Andrea, Steven Garfin, Shetal Patel, Donald B Penzien, Mark Wallace, Anne L Weickgenant, Mark Slater

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Clinical journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 5 pooled it
2.3field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Thomas RutledgeVA San Diego Healthcare System.
J Hampton AtkinsonVA San Diego Healthcare System.
Tatiana Chircop-RollickUniversity of California, San Diego, CA.
John D'AndreaVA San Diego Healthcare System.
Steven GarfinUniversity of California, San Diego, CA.
Shetal PatelVA San Diego Healthcare System.
Donald B PenzienThe University of Mississippi Medical Center Jackson, MS.
Mark WallaceUniversity of California, San Diego, CA.
Anne L WeickgenantVA San Diego Healthcare System.
Mark SlaterScottsdale Clinical Research Institute at Scottsdale Healthcare, Scottsdale, AZ.
University of California, San Diego · USVA San Diego Healthcare System · USScottsdale Research Institute (United States) · USUniversity of Mississippi Medical Center · US

Funding

Telehealth Outreach for Chronic Back PainI01RX000542 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI ATKINSON, JOSEPH H · 2012 to 2014
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RRD VA I01 RX000542
6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate the efficacy of a telephone-delivered, home-based cognitive-behavioral intervention for chronic low back pain in comparison to a matched supportive care (SC) treatment.

methodsParticipants (N=66) were patients with chronic back pain that were randomized to either an 8-week Cognitive-Behavioral Therapy (CBT) or a SC condition matched for contact frequency, format, and time. Participants completed validated measures of improvement in back pain disability, pain severity, and overall improvement.

resultsIntent-to-treat analyses at posttreatment showed that the treatment groups not show significantly different improvements in back pain disability (mean changes, -2.4 and -2.6 for CBT and SC, respectively; Cohen d, 0.49 and 0.55, respectively) or reductions in pain severity (mean changes, -0.9 and -1.4 for CBT and SC respectively; Cohen d, 0.50, and 0.90, respectively). Participants rated their overall improvement levels at 31% (CBT) versus 18.5% (SC). DISCUSSION: Results from this clinical trial suggest that home-based, telephone-delivered CBT and SC treatments did not significantly differ in their benefits for back pain severity and disability, and may warrant further research for applications to hospital settings. Major limitations included recruitment difficulties that underpowered primary analyses, the lack of objective improvement measures, and the absence of a usual care/untreated control group for comparisons.

Indexed as

TelephoneActivities of Daily LivingAdultAgedBack PainChronic PainCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPain MeasurementPatient SatisfactionPsychotherapySeverity of Illness IndexSingle-Blind Method

Identifiers

PMID28877139
PMCPMC5832497
OpenAlexW2755207576

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.