Evidence map›Paper›PMID 32631400›Full record

ArticleTrials2020

Brief educational video plus telecare to enhance recovery for older emergency department patients with acute musculoskeletal pain: study protocol for the BETTER randomized controlled trial.

Timothy F Platts-Mills, Samuel A McLean, Morris Weinberger, Sally C Stearns, Montika Bush, Brittni B Teresi, Karen Hurka-Richardson, Kurt Kroenke, Robert D Kerns, Mark A Weaver and 1 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% 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.

NCT04118595 nacompletednot on this map

Reducing the Transition From Acute to Chronic Musculoskeletal Pain Among Older Adults

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2020 to 2023Enrolled330ConditionsAcute Musculoskeletal Pain, Chronic PainArmsEducational Video, Telecare, Correspondence with Primary Care Provider
NCT06360341 nacompletednot on this mapstarted 2024, after this paper: background citation

Feasibility and Acceptability of an Emergency Department Digital Pain Self-Management Intervention to Improve Acute Low Back Pain Outcomes: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of FloridaRan2024 to 2024Enrolled30ConditionsLow Back Pain, Mechanical, Acute PainArmsEmergency Department Digital Pain Self-Management Intervention (EDPSI), Routine Discharge Care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Scoping Review of Adult Emergency Department Discharge Interventions.The western journal of emergency medicine · 2025
    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

11 authors at 6 institutions in 1 country.

Timothy F Platts-MillsDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Houpt Bldg, 170 Manning Dr, Chapel Hill, NC, 27599, USA. tim_platts-mills@med.unc.edu.ORCID http://orcid.org/0000-0002-9881-3194
Samuel A McLeanDepartment of Anesthesiology, University of North Carolina Hospitals, Chapel Hill, NC, USA.
Morris WeinbergerDepartment of Health Policy and Management, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Sally C StearnsDepartment of Health Policy and Management, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Montika BushDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Houpt Bldg, 170 Manning Dr, Chapel Hill, NC, 27599, USA.
Brittni B TeresiDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Houpt Bldg, 170 Manning Dr, Chapel Hill, NC, 27599, USA.
Karen Hurka-RichardsonDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Houpt Bldg, 170 Manning Dr, Chapel Hill, NC, 27599, USA.
Kurt KroenkeRegenstrief Institute and Department of Medicine, Indiana University, Indianapolis, IN, USA.
Robert D KernsSchool of Medicine, Yale University, New Haven, CT, USA.
Mark A WeaverDepartment of Mathematics and Statistics, Elon University, Elon, NC, USA.
Francis J KeefeDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.
University of North Carolina at Chapel Hill · USDuke University · USElon University · USRegenstrief Institute · USUniversity of North Carolina Hospitals · USYale University · US

Funding

Reducing the Transition from Acute to Chronic Musculoskeletal Pain among Older AdultsR01AG058702 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MEYER, MICHELLE · 2019 to 2023
$2.6M
NIA NIH HHS 1R01AG058702-01A1NIA NIH HHS R01 AG058702
6 · The paper itself

Abstract

backgroundChronic musculoskeletal pain (MSP) affects more than 40% of adults aged 50 years and older and is the leading cause of disability in the USA. Older adults with chronic MSP are at risk for analgesic-related side effects, long-term opioid use, and functional decline. Recognizing the burden of chronic MSP, reducing the transition from acute to chronic pain is a public health priority. In this paper, we report the protocol for the Brief EducaTional Tool to Enhance Recovery (BETTER) trial. This trial compares two versions of an intervention to usual care for preventing the transition from acute to chronic MSP among older adults in the emergency department (ED).

methodsThree hundred sixty patients from the ED will be randomized to one of three arms: full intervention (an interactive educational video about pain medications and recovery-promoting behaviors, a telecare phone call from a nurse 48 to 72 h after discharge from the ED, and an electronic communication containing clinical information to the patient's primary care provider); video-only intervention (the interactive educational video but no telecare or primary care provider communication); or usual care. Data collection will occur at baseline and at 1 week and 1, 3, 6, and 12 months after study enrollment. The primary outcome is a composite measure of pain severity and interference. Secondary outcomes include physical function, overall health, opioid use, healthcare utilization, and an assessment of the economic value of the intervention. DISCUSSION: This trial is the first patient-facing ED-based intervention aimed at helping older adults to better manage their MSP and reduce their risk of developing chronic pain. If effective, future studies will examine the effectiveness of implementation strategies.

trial registrationClinicalTrials.gov NCT04118595 . Registered on 8 October 2019.

Indexed as

Emergency Service, HospitalVideo RecordingAgedAmbulatory CareAnalgesicsHumansMiddle AgedMulticenter Studies as TopicMusculoskeletal PainPain MeasurementPatient Education as TopicRandomized Controlled Trials as TopicTelemedicineTelephoneTime FactorsTreatment OutcomeAnalgesicsEmergency medicineGeriatricsMusculoskeletal painShared decision making

Identifiers

PMID32631400
PMCPMC7336469
OpenAlexW3038932235

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.