ArticlePain medicine (Malden, Mass.)2020
Comparative Effectiveness of Cognitive Behavioral Therapy for Chronic Pain and Chronic Pain Self-Management within the Context of Voluntary Patient-Centered Prescription Opioid Tapering: The EMPOWER Study Protocol.
Article in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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.
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.
Who cites it
24 citing papers in PubMed.
- Effect of Medication Optimization vs Cognitive Behavioral Therapy Among US Veterans With Chronic Low Back Pain Receiving Long-term Opioid Therapy: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Optimizing Opioid Use in Pain Management: A Comprehensive Review of Clinical Benefits, Risks, and Dependence.Healthcare (Basel, Switzerland) · 2026Review
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- Review
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- Integrating Telemedicine and Embodied Virtual Reality: A Novel Functional Training Intervention for Chronic Shoulder Pain.Journal of medical extended reality · 2025Article
- A digital health intervention to support patients with chronic pain during prescription opioid tapering: a pilot randomised controlled trial.Pain reports · 2024Article
- Telehealth and Virtual Reality Technologies in Chronic Pain Management: A Narrative Review.Current pain and headache reports · 2024Review
- Effects of Embodiment in Virtual Reality for Treatment of Chronic Pain: Pilot Open-Label Study.JMIR formative research · 2024Article
- Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis.Journal of rehabilitation medicine · 2024Article
- Psychological/behavioral interventions for emerging adults with chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2024Review
- Medication Use Evaluation of High-Dose Long-Term Opioid De-prescribing in Multiple Veterans Affairs Medical Centers.Journal of general internal medicine · 2022Article
- Article
- Engagement in Prescription Opioid Tapering Research: the EMPOWER Study and a Coproduction Model of Success.Journal of general internal medicine · 2022Article
- Emotional distress and pain catastrophizing predict cue-elicited opioid craving among chronic pain patients on long-term opioid therapy.Drug and alcohol dependence · 2022Article
- System-level policies on appropriate opioid use, a multi-stakeholder consensus.BMC health services research · 2022Article
- What is pain: Are cognitive and social features core components?Paediatric & neonatal pain · 2021Review
- mHealth Interventions to Support Prescription Opioid Tapering in Patients With Chronic Pain: Qualitative Study of Patients' Perspectives.JMIR formative research · 2021Article
- Effectiveness of a multidisciplinary rehabilitation program in real-world patients with chronic back pain: A pilot cohort data analysis.Journal of back and musculoskeletal rehabilitation · 2021Article
- A Brief Screening Tool for Opioid Use Disorder: EMPOWER Study Expert Consensus Protocol.Frontiers in medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors.
Funding
Abstract
objectiveEvidence to date, while sparse, suggests that patients taking long-term opioids require special considerations and protections to prevent potential iatrogenic harms from opioid de-prescribing, such as increased pain or suffering. Following this study protocol, the EMPOWER study seeks to address multiple unmet needs of patients with chronic pain who desire to reduce long-term opioid therapy, and provide the clinical evidence on effective methodology.
methodsEMPOWER applies patient-centered methods for voluntary prescription opioid reduction conducted within a comprehensive, multi-state, 3-arm randomized controlled comparative effectiveness study of three study arms (1) group cognitive behavioral therapy for chronic pain; (2) group chronic pain self-management; and (3) usual care (taper only). Specialized electronic data capture systems collect patient reported symptoms and satisfaction data weekly and monthly during the taper, with real-time clinical alerts and electronic feedback loops informing, documenting, and steering needed care actions.
conclusionThe EMPOWER study seeks to provide granular evidence on patient response to voluntary opioid tapering, and will provide evidence to inform clinical systems changes, clinical care, patient satisfaction, and patient outcomes for opioid reduction.
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Registered trials
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