Evidence map›Paper›PMID 29605691›Full record

Trial reportThe journal of pain2018

A Controlled Pilot Trial of PainTracker Self-Manager, a Web-Based Platform Combined With Patient Coaching, to Support Patients' Self-Management of Chronic Pain.

Mark Sullivan, Dale J Langford, Pamela Stitzlein Davies, Christine Tran, Roger Vilardaga, Gifford Cheung, Daisy Yoo, Justin McReynolds, William B Lober, David Tauben and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in The journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  6. Article
  7. Review
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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

11 authors.

Mark SullivanPsychiatry and Behavioral Sciences, University of Washington, Seattle, Washington. Electronic address: sullimar@uw.edu.
Dale J LangfordAnesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Pamela Stitzlein DaviesSchool of Nursing, University of Washington, Seattle, Washington.
Christine TranAnesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Roger VilardagaCenter for Addiction Science and Technology, Duke University, Durham, North Carolina.
Gifford CheungDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, Washington.
Daisy YooDepartment of Information Science, University of Washington, Seattle, Washington.
Justin McReynoldsDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, Washington.
William B LoberDepartments of Biobehavioral Nursing and Health Systems, Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington.
David TaubenDivision of Pain Medicine, Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Kevin E VowlesDepartment of Psychology, University of New Mexico, Albuquerque, New Mexico.

Funding

Innovative Smartphone Application for Quitting Smoking among Seriously Mentally IIIR00DA037276 · NIDA · DUKE UNIVERSITY · PI VILARDAGA, ROGER · 2016 to 2018
$747k
NIDA NIH HHS R00 DA037276
6 · The paper itself

Abstract

The objective of this study was to develop and pilot test a chronic pain empowerment and self-management platform, derived from acceptance and commitment therapy, in a pain specialty setting. A controlled, sequential, nonrandomized study design was used to accommodate intervention development and to test the efficacy of the PainTracker Self-Manager (PTSM) intervention (Web-based educational modules and outcome tracking combined with tailored patient coaching sessions and provider guidance). Generalized estimating equations evaluated changes over time (baseline, 3 months, 6 months) in pain self-efficacy (primary outcome), chronic pain acceptance (activity engagement and pain willingness), perceived efficacy in patient-provider interactions, pain intensity and interference, and overall satisfaction with pain treatment (secondary outcomes) between intervention (n = 48) and usual care control groups (n = 51). The full study sample (N = 99) showed greater improvements over time (significant Group × Time interactions) in pain self-efficacy and satisfaction with pain treatment. Among study completers (n = 82), greater improvement in activity engagement as well as pain intensity and interference were also observed. These preliminary findings support the efficacy of the PTSM intervention in a pain specialty setting. Further research is needed to refine and expand the PTSM intervention and to test it in a randomized trial in primary care settings. PERSPECTIVE: We developed a Web-based patient empowerment platform that combined acceptance and commitment therapy-based educational modules and tailored coaching sessions with longitudinal tracking of treatments and patient-reported outcomes, named PTSM. Pilot controlled trial results provide preliminary support for its efficacy in improving pain self-efficacy, activity engagement, pain intensity and interference, and satisfaction with pain treatment.

Indexed as

Chronic PainAcceptance and Commitment TherapyAdolescentAdultAgedFemaleHumansInternetMaleMiddle AgedPain ManagementPatient Education as TopicPatient Reported Outcome MeasuresPilot ProjectsSelf-ManagementYoung AdultAcceptance and commitment therapyhealth coachingpatient empowermentpatient-reported outcomes

Identifiers

PMID29605691
PMCPMC6119625

What OpenQuestion holds

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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.