Evidence map›Paper›PMID 29044408›Full record

Trial reportPain medicine (Malden, Mass.)2017

Testing a Positive Psychological Intervention for Osteoarthritis.

Leslie R M Hausmann, Ada Youk, C Kent Kwoh, Said A Ibrahim, Michael J Hannon, Debra K Weiner, Rollin M Gallagher, Acacia Parks

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02223858 (Staying Positive), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 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.

NCT02223858 nacompletednot on this map

Staying Positive: An Intervention to Reduce Osteoarthritis Pain Disparities

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2015 to 2017Enrolled360ConditionsArthritisArmsPositive Activities (PA) Program, Attention Control (AC) Program
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  8. Psychosocial Interventions for Chronic Non-Cancer Pain Among Older Adults: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Leslie R M HausmannCenter for Health Equity Research and Promotion.
Ada YoukCenter for Health Equity Research and Promotion.
C Kent KwohCollege of Medicine and University of Arizona Arthritis Center, University of Arizona, Tucson, Arizona.
Said A IbrahimCenter for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Michael J HannonCenter for Health Equity Research and Promotion.
Debra K WeinerGeriatric Research, Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
Rollin M GallagherCenter for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Acacia ParksDepartment of Psychology, Hiram College, Hiram, Ohio.

Funding

Racial Disparity in the Utilization of Joint Replacement for OsteoarthritisK24AR055259 · NIAMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IBRAHIM, SAID A · 2007 to 2019
$1.2M
NIAMS NIH HHS K24 AR055259
6 · The paper itself

Abstract

objectiveOsteoarthritis is a leading cause of disability for which there is no cure. Psychosocial-oriented treatments are underexplored. We developed and tested an intervention to build positive psychological skills (e.g., gratitude) to reduce osteoarthritis symptom severity, including pain and functioning, and to improve psychosocial well-being in patients with knee or hip osteoarthritis.

designTwo-arm randomized design with six-month follow-up.

settingAn academic Veterans Affairs Medical Center. SUBJECTS: Patients aged 50 years or older with knee or hip osteoarthritis and pain ratings of 4 or higher.

methodsPatients (N = 42) were randomized to a six-week program containing positive skill-building activities or neutral control activities tailored to the patient population. Adherence was assessed by telephone each week. We assessed osteoarthritis symptom severity (WOMAC Osteoarthritis Index) and measures of well-being (positive affect, negative affect, and life satisfaction) at baseline and by telephone one, three, and six months after the program ended. We used linear mixed models to examine changes over time.

resultsThe majority (64%) of patients completed more than 80% of their weekly activities. Patients in the positive (vs neutral) program reported significantly more improvement over time in osteoarthritis symptom severity (P = 0.02, Cohen's d = 0.86), negative affect (P = 0.03, Cohen's d = 0.50), and life satisfaction (P = 0.02, Cohen's d = 0.36).

conclusionsThe study successfully engaged patients with knee or hip osteoarthritis in a six-week intervention to build positive psychological skills. Improving osteoarthritis symptom severity and measures of psychosocial well-being, the intervention shows promise as a tool for chronic pain management.

Indexed as

AgedCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedOsteoarthritisPain ManagementChronic PainMind-Body TherapiesOsteoarthritisPsychologyPsychosocial factorsVeterans

Identifiers

PMID29044408
PMCPMC5914366

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.