Evidence map›Paper›PMID 33194188›Full record

ArticleBritish journal of pain2020

An evaluation of a digital pain management programme: clinical effectiveness and cost savings.

Theo John Pimm, Laura Juliette Williams, Megan Reay, Stephen Pickering, Ranjeeta Lota, Laura Coote, Ciara Maloney, David Hancock, Firas Sarhan

Abstract read
In one paragraph

Article in British journal of pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
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

9 authors.

Theo John PimmChronic Pain and Fatigue Management, Buckinghamshire Healthcare NHS Trust, Rayners Hedge, Aylesbury, UK.
Laura Juliette WilliamsChronic Pain and Fatigue Management, Buckinghamshire Healthcare NHS Trust, Rayners Hedge, Aylesbury, UK.ORCID https://orcid.org/0000-0003-3028-3980
Megan ReayChronic Pain and Fatigue Management, Buckinghamshire Healthcare NHS Trust, Rayners Hedge, Aylesbury, UK.
Stephen PickeringNHS South, Central and West Commissioning Support Unit, High Wycombe, UK.
Ranjeeta LotaChronic Pain and Fatigue Management, Buckinghamshire Healthcare NHS Trust, Rayners Hedge, Aylesbury, UK.
Laura CooteChronic Pain and Fatigue Management, Buckinghamshire Healthcare NHS Trust, Rayners Hedge, Aylesbury, UK.
Ciara MaloneyChronic Pain and Fatigue Management, Buckinghamshire Healthcare NHS Trust, Rayners Hedge, Aylesbury, UK.
David HancockBuckinghamshire New University, High Wycombe, UK.
Firas SarhanCETEC, Barnet and Southgate College, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic pain is one of the most prevalent causes of disability worldwide, and digital interventions may be one of the ways to meet this need. Randomised controlled trials have demonstrated that digital interventions can be effective in treating chronic pain. This study aimed to establish the clinical effectiveness of a web-based pain management programme (PMP), specifically whether it would lead to improved clinical outcomes and reduced health care costs in a real-world clinical setting.

methodsOf 738 participants, 438 engaged with the programme and 300 did not. Two analyses were conducted: a within-subjects pre-post comparison of clinical outcomes for participants who completed the programme and a between-groups comparison of health care usage for those who engaged and those who did not.

resultsParticipants who completed the programme made significant improvements with regard to their perceived health status, level of disability, mood, confidence managing pain, problems in life due to pain and level of pain. Around one-third of participants made reliable changes in their levels of disability, depression and anxiety. There was no relationship between gender or age and engagement with the programme. Those who engaged with the programme demonstrated reduced health care costs in the year following referral, whereas health care costs of non-engagers increased. Limitations of the study include a high drop-out rate and a non-randomised comparison group. Results must therefore be interpreted with some caution.

conclusionA web-based pain management programme can be clinically effective and may be a useful addition to the treatments offered by pain management services.

Indexed as

Chronic painclinical effectivenesscognitive behaviour therapycost savingdigital interventionsevaluationonlinepain management programmepsychoeducationweb-based

Identifiers

PMID33194188
PMCPMC7605062

What OpenQuestion holds

Textmetadata
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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.