Evidence map›Paper›PMID 31162756›Full record

Trial reportPsycho-oncology2019

A behavioral cancer pain intervention: A randomized noninferiority trial comparing in-person with videoconference delivery.

Sarah A Kelleher, Joseph G Winger, Caroline S Dorfman, Krista K Ingle, Ashley A Moskovich, Amy P Abernethy, Francis J Keefe, Greg P Samsa, Gretchen G Kimmick, Tamara J Somers

Erratum issued Registry-linked trialAbstract readComparative StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Psycho-oncology, 2019. 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 NCT05425797 (Building on Existing Tools To Improve Chronic Disease Prevention and Screening in Primary Care Virtually), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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.

NCT05425797 nacompletednot on this mapstarted 2023, after this paper: background citation

Building on Existing Tools To Improve Chronic Disease Prevention and Screening in Primary Care Virtually: the Virtual BETTER Study

TypeinterventionalSponsorMemorial University of NewfoundlandRan2023 to 2024Enrolled92ConditionsDelivery Modality of BETTER InterventionArmsIn-Person Prevention Practitioner Visit, Video-Call Prevention Practitioner Visit, Phone Prevention Practitioner Visit
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The efficacy of web or mobile-based interventions to alleviate emotional symptoms in people with advanced cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  2. Virtual Care in Patients with Cancer: A Systematic Review.Current oncology (Toronto, Ont.) · 2021
    Pooled it
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  17. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Sarah A KelleherDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.ORCID 0000-0002-0668-6803
Joseph G WingerDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.ORCID 0000-0001-6278-2560
Caroline S DorfmanDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Krista K IngleDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Ashley A MoskovichDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Amy P AbernethyDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina.
Francis J KeefeDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Greg P SamsaDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina.
Gretchen G KimmickDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina.
Tamara J SomersDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

objectiveBehavioral cancer pain interventions are efficacious for improving important pain outcomes; yet, traditional in-person delivery limits patient access. This study compared videoconference-delivered mobile health pain coping skills training (mPCST) to in-person pain coping skills training (PCST-traditional).

methodsThis study was a randomized, noninferiority trial with cancer patients. Participants (N = 178) were randomly assigned to four, 45-minute sessions of mPCST or PCST-traditional. Session content focused on evidence-based cognitive and behavioral pain management skills. Assessments were completed at baseline, posttreatment, and 3-month posttreatment, and included measures of primary intervention outcomes (ie, pain severity and pain interference) and secondary intervention outcomes (ie, physical symptoms, psychological distress, physical well-being, and self-efficacy). The main study aim tested whether mPCST was more accessible (defined as feasibility, acceptability, patient burden, and engagement) than PCST-traditional. The second aim tested whether mPCST was noninferior to PCST-traditional.

resultsmPCST demonstrated significantly greater feasibility (ie, attrition, adherence, and time to completion) than PCST-traditional. Both groups reported similar patient burden and engagement as well as a high degree of acceptability. All intervention outcomes demonstrated noninferiority at posttreatment and, with the exception of physical symptoms, 3-month posttreatment. Concerning the primary intervention outcomes, 95% CIs for the mean differences (d) were below the noninferiority margin of 1 for pain severity (posttreatment d = 0.09, 95% CI, -0.63-0.81; 3 months d = -0.43 95% CI, -1.22-0.36) and pain interference (posttreatment d = -0.11, 95% CI, -0.99-0.76; 3 months d = -0.26 95% CI, -1.14-0.62).

conclusionmPCST is highly accessible and noninferior to PCST-traditional.

Indexed as

Adaptation, PsychologicalOutcome and Process Assessment, Health CareTelemedicineVideoconferencingAdultAgedBehavior TherapyCancer PainFemaleHumansMaleMiddle Agedbehavioral pain interventioncancermobile healthoncologypainpain coping skills training

Identifiers

PMID31162756
PMCPMC10141528

What OpenQuestion holds

Textmetadata
LicenceTDM
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.