Evidence map›Paper›PMID 30898325›Full record

Trial reportJournal of substance abuse treatment2019

Establishing the feasibility, acceptability and preliminary efficacy of a multi-component behavioral intervention to reduce pain and substance use and improve physical performance in older persons living with HIV.

Alison A Moore, Jordan E Lake, Suzette Glasner, Arun Karlamangla, Alexis Kuerbis, Diane Preciado, Jessica Jenkins, Blanca X Dominguez, Jury Candelario, Diana H Liao and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  7. Engagement and Outcomes Associated With Message-Based Psychotherapy Among Older and Younger Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    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

12 authors at 5 institutions in 1 country.

Alison A MooreDivision of Geriatrics, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America. Electronic address: alisonmoore@ucsd.edu.
Jordan E LakeDivision of Infectious Diseases, Department of Medicine, University of California, Los Angeles, CA, United States of America.
Suzette GlasnerIntegrated Substance Abuse Programs, Department of Psychiatry and Biobehavioral Sciences and School of Nursing, University of California, Los Angeles, CA, United States of America.
Arun KarlamanglaDivision of Geriatrics, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America.
Alexis KuerbisSilberman School of Social Work, Hunter College at City University of New York, New York, NY, United States of America.
Diane PreciadoDivision of Geriatrics, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America.
Jessica JenkinsDivision of Geriatrics, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America.
Blanca X DominguezDivision of Geriatrics, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America.
Jury CandelarioAPAIT, A Division of Special Services for Groups, Los Angeles, CA, United States of America.
Diana H LiaoDivision of Geriatrics, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States of America.
Lingqi TangCenter for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, United States of America; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, United States of America.
M Carrington ReidDivision of Geriatrics and Palliative Care, Joan and Sanford I. Weill Department of Medicine, Weill Cornell Medical College, New York, NY, United States of America.
University of California, Los Angeles · USAsian Pacific AIDS Intervention Team · USCity University of New York · USCornell University · USNeurobehavioral Systems · US

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GREENDALE, GAIL A · 2006 to 2017
$9.8M
Reid Aging and Pain Research Training ProgramK24AG053462 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI REID, MANNEY CARRINGTON · 2016 to 2025
$1.8M
Health Effects of Alcohol and Comorbidity in Older AdultsK24AA015957 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MOORE, ALISON AHERN · 2007 to 2017
$1.8M
Inflammation, Fibrosis and End-Organ Disease in HIV-Infected AdultsK23AI110532 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LAKE, JORDAN E · 2014 to 2018
$937k
CBT and Exercise to Reduce Pain and Substance Use in Older Adults with HIVR21DA038163 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KARLAMANGLA, ARUN S, LAKE, JORDAN E · 2014 to 2015
$608k
NIAAA NIH HHS K24 AA015957NIAID NIH HHS K23 AI110532NIA NIH HHS K24 AG053462NIA NIH HHS P30 AG021684NIA NIH HHS P30 AG022845NIA NIH HHS P30 AG028748NIDA NIH HHS R21 DA038163
6 · The paper itself

Abstract

Older persons living with HIV (PLWH), often defined as age 50 years and older, are a rapidly growing population, with high rates of chronic pain, substance use, and decreased physical functioning. No interventions currently exist that address all three of these health outcomes simultaneously. An 8-week behavioral intervention combining cognitive-behavioral therapy and tai chi reinforced with text messaging (CBT/TC/TXT) was developed and pilot tested in a community-based AIDS service organization with substance using PLWH aged 50 years and older who experienced chronic pain. Fifty-five participants were enrolled in a three arm randomized controlled trial that compared the CBT/TC/TXT intervention (N = 18) to routine Support Group (SG) (N = 19) and Assessment Only (AO) (N = 18) to assess the intervention's feasibility, acceptability and preliminary efficacy to reduce pain and substance use and improve physical performance. Participants were assessed at baseline, treatment-end (week 8) and week 12. Feasibility and acceptability indicators showed moderate levels of participant enrollment (62% of those eligible), excellent 12-week assessment completion (84%) and high attendance at CBT and tai chi sessions (>60% attended at least 6 of 8 sessions). Efficacy indicators showed within-group improvements from baseline to week 12 in the CBT/TC/TXT group, including all four substance use outcomes, percent pain relief in the past 24 h, and in two physical performance measures. Observed between-group changes included greater reductions in days of heavy drinking in the past 30 days for both CBT/TC/TXT (19%) and SG (13%) compared to the AO group. Percent pain relief in the past 24 h improved in the CBT/TC/TXT group relative to SG, and the CBT/TC/TXT's physical performance score improved relative to both the SG and AO groups. Findings demonstrate that the CBT/TC/TXT intervention is feasible to implement, acceptable and has preliminary efficacy for reducing substance use and pain and improving physical performance among a vulnerable population of older PLWH.

Indexed as

HIV InfectionsOutcome Assessment, Health CarePatient Acceptance of Health CareAgedChronic PainCognitive Behavioral TherapyComorbidityFeasibility StudiesFemaleHumansMaleMiddle AgedReminder SystemsSelf-Help GroupsSubstance-Related DisordersTai JiHIVOlderPainPhysical performanceRandomized clinical trialSubstance use

Identifiers

PMID30898325
PMCPMC6432935
OpenAlexW2913711098

What OpenQuestion holds

Textmetadata
LicenceTDM
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.