Evidence map›Paper›PMID 29759957›Full record

ArticleJMIR research protocols2018

A Mobile Health Intervention to Reduce Pain and Improve Health (MORPH) in Older Adults With Obesity: Protocol for the MORPH Trial.

Jason Fanning, Amber K Brooks, Edward Ip, Barbara J Nicklas, W Jack Rejeski

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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.

NCT03377634 nacompletednot on this map

A Mobile Intervention to Reduce Pain and Improve Health (MORPH) in Obese Older Adults

TypeinterventionalSponsorWake Forest University Health SciencesRan2018 to 2020Enrolled33ConditionsChronic Pain, Obesity, Sedentary LifestyleArmsMORPH
NCT04655001 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

MORPH II: Revisiting A Mobile Intervention to Reduce Pain and Improve Health (MORPH)

TypeinterventionalSponsorWake Forest UniversityRan2021 to 2025Enrolled44ConditionsPain, Obesity, Sedentary BehaviorArmsMORPH
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 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

5 authors at 1 institution in 1 country.

Jason FanningDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0002-5527-1698
Amber K BrooksDepartment of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0001-9568-1336
Edward IpDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0002-4811-4205
Barbara J NicklasSection on Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0002-7726-6670
W Jack RejeskiDepartment of Health and Exercise Science, Wake Forest University, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0003-2281-4649
Wake Forest University · US

Funding

Wake Forest Clinical and Translational Science AwardKL2TR001421 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2015 to 2023
$5.8M
Intervening on sedentary behavior to prevent weight regain in older adultsR01AG051624 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NICKLAS, BARBARA J, REJESKI, WALTER JOHN · 2016 to 2020
$3.8M
Translational Training in Aging and Alzheimer’s Disease Related DisordersT32AG033534 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI STEPHEN B. KRITCHEVSKY · 2009 to 2026
$3.6M
Mobile Intervention to Reduce Pain and Improve Health (MORPH) in Obese Older AdultsR21AG058249 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BROOKS, AMBER KELLER, FANNING, JASON · 2018 to 2019
$432k
NCATS NIH HHS KL2 TR001421NIA NIH HHS R01 AG051624NIA NIH HHS R21 AG058249NIA NIH HHS T32 AG033534
6 · The paper itself

Abstract

backgroundChronic pain is a complex, age-related health issue that affects both physical functioning and quality of life. Because the impact of chronic pain is worsened by obesity and inactivity, nonpharmacological interventions that promote movement, reduce sitting, and aid in weight loss are needed to help manage pain symptoms among older adults with chronic pain.

objectiveThe Mobile Intervention to Reduce Pain and Improve Health (MORPH) pilot trial aims to develop and test the feasibility and acceptability of a novel, patient-centered intervention to reduce chronic pain and improve physical functioning in older adults, leveraging the combination of telecoaching and individually adaptive mHealth tools to decrease both body mass and sedentary behavior.

methodsMORPH comprises 2 phases, including a 1-year iterative development phase, and a 1-year pilot randomized controlled trial (RCT). During the development phase, representative participants will engage in one-on-one structured interviews and a 1-week field test. The resulting feedback will be used to guide the development of the finalized MORPH intervention package. During the second phase, the finalized intervention will be tested in a pilot RCT (N=30) in which older adult participants with chronic pain and obesity will be assigned to receive the 12-week MORPH intervention or to a waitlist control. Primary outcomes include self-reported pain symptoms and physical function.

resultsPhase 1 recruitment is ongoing as of December 2017.

conclusionsThe MORPH intervention brings together a strong body of evidence using group-based behavioral intervention designs with contemporary mHealth principles, allowing for intervention when and where it matters the most. Given the ubiquity of smartphone devices and the popularity of consumer activity and weight monitors, the results of this study may serve to inform the development of scalable, socially driven behavioral pain management interventions.

trial registrationClinicalTrials.gov NCT03377634; https://clinicaltrials.gov/ct2/show/NCT03377634 (Archived by WebCite at http://www.webcitation.org/6yj0J5Pan). REGISTERED REPORT IDENTIFIER: RR1-10.2196/9712.

Indexed as

chronic painmindfulnesssedentary lifestyletechnologyweight loss

Identifiers

PMID29759957
PMCPMC5972205
OpenAlexW2800686791

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.