Evidence map›Paper›PMID 29633139›Full record

Trial reportJournal of general internal medicine2018

Automating Collection of Pain-Related Patient-Reported Outcomes to Enhance Clinical Care and Research.

Ashli Owen-Smith, Meghan Mayhew, Michael C Leo, Alexandra Varga, Lindsay Benes, Allison Bonifay, Lynn DeBar

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02113592 (Collaborative Care for Chronic Pain in Primary Care), which is not on this 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.

NCT02113592 nacompletednot on this map

Collaborative Care for Chronic Pain in Primary Care

TypeinterventionalSponsorKaiser PermanenteRan2014 to 2018Enrolled850ConditionsChronic Non-malignant PainArmsInterdisciplinary pain program
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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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

7 authors.

Ashli Owen-SmithDivision of Health Management and Policy, School of Public Health, Georgia State University, Atlanta, GA, USA. aowensmith@gsu.edu.
Meghan MayhewKaiser Permanente Center for Health Research, Portland, OR, USA.
Michael C LeoKaiser Permanente Center for Health Research, Portland, OR, USA.
Alexandra VargaKaiser Permanente Center for Health Research, Portland, OR, USA.
Lindsay BenesKaiser Permanente Center for Health Research, Portland, OR, USA.
Allison BonifayKaiser Permanente Center for Health Research, Portland, OR, USA.
Lynn DeBarKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.

Funding

PPACT Administrative Supplement for Research on Sleep Disturbances and Impact on Chronic PainUH3NS088731 · NINDS · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L. · 2014 to 2017
$7.7M
Collaborative Care for Chronic Pain in Primary CareUH2AT007788 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L. · 2012 to 2012
$818k
NCCIH NIH HHS UH2 AT007788NINDS NIH HHS UH3 NS088731
6 · The paper itself

Abstract

introductionChronic pain is highly prevalent, and the ability to routinely measure patients' pain and treatment response using validated patient-reported outcome (PRO) assessments is important to clinical care. Despite this recognition, systematic use in everyday clinical care is rare.

aimsThe aims of this study were to (1) describe infrastructure designed to automate PRO data collection, (2) compare study-enhanced PRO completion rates to those in clinical care, and (3) evaluate patient response rates by method of PRO administration and sociodemographic and/or clinical characteristics.

settingThe Pain Program for Active Coping and Training (PPACT) is a pragmatic clinical trial conducted within three regions of the Kaiser Permanente health care system. PROGRAM DESCRIPTION: PPACT evaluates the effect of integrative primary care-based pain management services on outcomes for chronic pain patients on long-term opioid treatment. We implemented a tiered process for quarterly assessment of PROs to supplement clinical collection and ensure adequate trial data using three methods: web-based personal health records (PHR), automated interactive voice response (IVR) calls, and live outreach. PROGRAM EVALUATION: Among a subset of PPACT participants examined (n = 632), the tiered study-enhanced PRO completion rates were higher than in clinical care: 96% completed ≥ 1 study-administered PRO with mean of 3.46 (SD = 0.85) vs. 74% completed in clinical care with a mean of 2.43 (SD = 2.08). Among all PPACT participants at 3 months (n = 831), PRO completion was 86% and analyses of response by key characteristics found only that participant age predicted an increased likelihood of responding to PHR and IVR outreach. DISCUSSION: Adherence to pain-related PRO data collection using our enhanced tiered approach was high. No demographic or clinical identifiers other than age were associated with differential response by modality. Successful ancillary support should employ multimodal electronic health record functionalities for PRO administration. Using automated modalities is feasible and may facilitate better sustainability for regular PRO administration within health care systems. Clinical Trials Registration Number: NCT02113592.

Indexed as

Patient Reported Outcome MeasuresChronic PainData CollectionFemaleHumansMalePain ManagementPain MeasurementPrimary Health CareProgram Evaluationchronic painclinical trialselectronic health recordspatient-centered outcomes researchprimary care

Identifiers

PMID29633139
PMCPMC5902345

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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.