Evidence map›Paper›PMID 31539601›Full record

Trial reportJournal of pain and symptom management2020

A Feasibility Study to Develop and Test a Cognitive Behavioral Stress Management Mobile Health Application for HIV-Related Fatigue.

Julie Barroso, Mohan Madisetti, Martina Mueller

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Leveraging mHealth for the Treatment and Management of PLHIV.Risk management and healthcare policy · 2023
    Article
  10. A Critical Review of Symptom Management Nursing Science on HIV-Related Fatigue and Sleep Disturbance.International journal of environmental research and public health · 2021
    Review
  11. Article
  12. Article
  13. Article
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

3 authors.

Julie BarrosoCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: barroso@musc.edu.
Mohan MadisettiCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
Martina MuellerCollege of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.

Funding

SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Technology Enhanced Self-Management Interventions for Fatigue and Pain: The Symptoms Self Management Center (Pilot Project Core)P20NR016575 · NINR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KELECHI, TERESA J · 2016 to 2020
$2.0M
NCATS NIH HHS UL1 TR000062NCRR NIH HHS UL1 RR029882NINR NIH HHS P20 NR016575
6 · The paper itself

Abstract

contextExacerbated by life stressors, fatigue is the most common symptom for people living with HIV.

objectiveTo adapt, develop, and assess the feasibility of a Cognitive Behavioral Stress Management Mobile Health (CBSM mHealth) application (app) for HIV-related fatigue.

methodsThis study had two phases: app development with key informants (N = 5) and a randomized controlled trial (N = 30). Patients randomized to the intervention group completed 10 weekly CBSM modules; those in the control group received a generic healthy lifestyle app. Measures included HIV-related fatigue, depression, anxiety, stressful life events, CD4 count, HIV viral load, credibility and acceptability of the intervention, and barriers to treatment participation.

resultsWe were able to recruit participants for this study, and they were able to complete the required measures. They found the intervention to be credible and acceptable and reported few barriers to treatment participation. The direction of change in the primary outcome, a decrease in fatigue, is in the expected direction and provides evidence of the promise of the intervention, which still needs to be tested in an adequately powered trial. For completers (randomized to the intervention group and completed at least 80% of the modules), there were significant changes (95% CI; lower scores indicate improvement) in fatigue intensity (from 64.2 to 59.7) and overall fatigue-related functioning (from 6.6 to 4.2).

conclusionWe have proof of concept as to the feasibility, acceptability, and initial signals of efficacy for an mHealth intervention to help people with HIV-related fatigue better cope with stress and reduce their fatigue.

Indexed as

HIV InfectionsMobile ApplicationsTelemedicineCognitionFatigueFeasibility StudiesHumansCognitive Behavioral Stress ManagementfatigueHIVmHealth technology

Identifiers

PMID31539601
PMCPMC6989380

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.