Evidence map›Paper›PMID 31849515›Full record

ArticleJournal of pain research2019

Development And Early Feasibility Testing Of A Mind-Body Physical Activity Program For Patients With Heterogeneous Chronic Pain; The GetActive Study.

Jonathan Greenberg, Ann Lin, Emily L Zale, Ronald J Kulich, Peter James, Rachel A Millstein, Hannah Shapiro, Michael E Schatman, Robert R Edwards, Ana-Maria Vranceanu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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.

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

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

  1. A Systematic Review of the Adherence to Home-Practice Meditation Exercises in Patients with Chronic Pain.International journal of environmental research and public health · 2023
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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

10 authors.

Jonathan GreenbergIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.
Ann LinIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.
Emily L ZaleIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.
Ronald J KulichHarvard Medical School, Boston, MA, USA.ORCID 0000-0003-3282-3952
Peter JamesHarvard Medical School, Boston, MA, USA.
Rachel A MillsteinIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-2196-4557
Hannah ShapiroDepartment of Biology, Tufts University, Medford, MA, USA.ORCID 0000-0002-4722-9158
Michael E SchatmanResearch and Network Development, Boston Pain Care, Waltham, MA, USA.ORCID 0000-0002-1019-0413
Robert R EdwardsHarvard Medical School, Boston, MA, USA.
Ana-Maria VranceanuIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.

Funding

Integrating Mind Body Skills with Physical Activity to Improve Pain Outcomes in Patients with Heterogeneous Chronic Pain ConditionsR34AT009356 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI VRANCEANU, ANA-MARIA · 2017 to 2019
$1.2M
NCCIH NIH HHS R34 AT009356
6 · The paper itself

Abstract

backgroundIncreasing physical function is a challenging, yet imperative goal of pain management programs. Physical activity can improve physical function, but uptake is low due to chronic pain misconceptions, poor pain management skills, and doing too much too soon. PURPOSE: To increase physical function by 1) adapting an evidence-based, group, mind-body program to address the needs of patients with heterogeneous chronic pain and to facilitate individually tailored quota-based pacing with a Fitbit (GetActive with Fitbit) or without it (GetActive) (phase 1), and 2) assessing preliminary feasibility benchmarks (phase 2).

methodsWe followed evidence based frameworks for developing interventions and for early feasibility testing. In phase 1 we conducted 4 focus groups with 22 patients with heterogeneous chronic pain and adapted the mind-body program. In phase 2 we conducted a nonrandomized pilot trial of the 2 programs (N=7 and 6) with qualitative exit interviews.

resultsFocus groups showed high interest in increasing activity, a preference for walking linked to pleasurable activities, using a Fitbit to track number of steps, and learning skills to manage pain and aid with increased activity. Both programs had good to excellent feasibility markers. Participation in both programs was associated with signal of improvements in physical and emotional function, as well as intervention targets. Exit interviews confirmed high satisfaction and suggested modification.

conclusionResults informed subsequent adaptations of the 2 programs and methodology for an ongoing pilot randomized controlled trial (RCT) of the 2 programs, necessary before an efficacy RCT of the 2 programs against an education control.

Indexed as

chronic painfeasibilityfitbitfocus groupsmind-bodyphysical activityphysical function

Identifiers

PMID31849515
PMCPMC6912090

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.