Evidence map›Paper›PMID 33497833›Full record

ArticleContemporary clinical trials2021

Behavioral cancer pain intervention using videoconferencing and a mobile application for medically underserved patients: Rationale, design, and methods of a prospective multisite randomized controlled trial.

Sarah A Kelleher, Joseph G Winger, Hannah M Fisher, Shannon N Miller, Shelby D Reed, Beverly E Thorn, Bonnie Spring, Gregory P Samsa, Catherine M Majestic, Rebecca A Shelby and 3 more

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

13 authors at 5 institutions in 1 country.

Sarah A KelleherDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Joseph G WingerDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Hannah M FisherDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Shannon N MillerDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Shelby D ReedPopulation Health Sciences, Duke University Medical Center, Durham, NC, USA; Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Beverly E ThornThe Department of Psychology, The University of Alabama, Tuscaloosa, AL, USA.
Bonnie SpringDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Gregory P SamsaDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC, USA; Duke Cancer Institute, Duke University, Durham, NC, USA.
Catherine M MajesticDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Rebecca A ShelbyDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Linda M SuttonDuke Cancer Network, Duke University, Durham, NC, USA.
Francis J KeefeDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Tamara J SomersDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA. Electronic address: tamara.somers@duke.edu.
Duke University Hospital · USDuke Medical Center · USDuke University · USNorthwestern University · USUniversity of Alabama · US

Funding

A Mobile Health Behavioral Pain Intervention Protocol for Breast Cancer Patients with Pain in Medically Underserved Communities: A Randomized Controlled TrialR01CA237892 · NCI · DUKE UNIVERSITY · PI SOMERS, TAMARA J · 2020 to 2024
$3.1M
Optimizing Delivery of a Behavioral Cancer Pain Intervention Using a SMARTR01CA202779 · NCI · DUKE UNIVERSITY · PI SOMERS, TAMARA J · 2016 to 2020
$2.8M
NCI NIH HHS R01 CA202779NCI NIH HHS R01 CA237892
6 · The paper itself

Abstract

backgroundWomen with breast cancer in medically underserved areas are particularly vulnerable to persistent pain and disability. Behavioral pain interventions reduce pain and improve outcomes. Cancer patients in medically underserved areas receive limited adjunctive cancer care, as many lack access to pain therapists trained in behavioral interventions, face travel barriers to regional medical centers, and may have low literacy and limited resources. mHealth technologies have the potential to decrease barriers but must be carefully adapted for, and efficacy-tested with, medically underserved patients. We developed an mHealth behavioral pain coping skills training intervention (mPCST-Community). We now utilize a multisite randomized controlled trial to: 1) test the extent mPCST-Community reduces breast cancer patients' pain severity (primary outcome), pain interference, fatigue, physical disability, and psychological distress; 2) examine potential mediators of intervention effects; and 3) evaluate the intervention's cost and cost-effectiveness. METHODS/

designBreast cancer patients (N = 180) will be randomized to mPCST-Community or an attention control. mPCST-Community's four-session protocol will be delivered via videoconferencing at an underserved community clinic by a remote pain therapist at a major medical center. Videoconference sessions will be supplemented with a mobile application. Participants will complete self-report measures at baseline, post-intervention, and 3- and 6-month follow-ups.

conclusionsmPCST-Community has the potential to reduce pain and disability, and decrease barriers for cancer patients in medically underserved areas. This is one of the first trials to test an mHealth behavioral cancer pain intervention developed specifically for medically underserved communities. If successful, it could lead to widespread implementation and decreased health disparities.

Indexed as

Breast NeoplasmsCancer PainMobile ApplicationsAdaptation, PsychologicalFemaleHumansMedically Underserved AreaProspective StudiesRandomized Controlled Trials as TopicVideoconferencingBreast cancermHealthPainPain coping skills trainingSymptom managementUnderserved patients

Identifiers

PMID33497833
PMCPMC8009852
OpenAlexW3124827475

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.