ArticlePain medicine (Malden, Mass.)2021
"Living Well with Chronic Pain": Integrative Pain Management via Shared Medical Appointments.
Article in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 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
19 citing papers in PubMed, 29 citations in OpenAlex.
- Layers of complexity: a directed content analysis of implementation determinants for integrative group medical visits for patients with chronic pain in safety-net primary care.BMC primary care · 2026Article
- The Changes Over 15 Years Within a Pediatric Chronic Pain Service.Paediatric & neonatal pain · 2026Article
- Exploring the relationships between multisite musculoskeletal pain, pain characteristics, and physical function: a cross-sectional analysis.BMC musculoskeletal disorders · 2026Article
- Core program elements for equitable, effective participation in a lifestyle medicine program for chronic musculoskeletal pain.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Determinants of implementation for group medical visits for patients with chronic pain: a systematic review.Implementation science communications · 2024Review
- A Single-Session Process-Based Cognitive-Behavioral Intervention Combined with Multimodal Rehabilitation Treatment for Chronic Pain Associated with Emotional Disorders.Behavioral sciences (Basel, Switzerland) · 2024Article
- Participatory Health Cadre Model to Improve Exclusive Breastfeeding Coverage with King's Conceptual System.Journal of multidisciplinary healthcare · 2024Article
- Improving Health for Older Adults With Pain Through Engagement: Protocol for Tailoring and Open Pilot Testing of a Mind-Body Activity Program Delivered Within Shared Medical Visits in an Underserved Community Clinic.JMIR research protocols · 2023Article
- Home-Use and Portable Biofeedback Lowers Anxiety and Pain in Chronic Pain Subjects.American journal of lifestyle medicine · 2023Article
- Pain Management for Older Adults Across the Cognitive Trajectory.Current geriatrics reports · 2023Article
- An Essential Guide to Chiropractic in the United States Military Health System and Veterans Health Administration.Journal of chiropractic humanities · 2021Article
- The design and methods of the OPTIMUM study: A multisite pragmatic randomized clinical trial of a telehealth group mindfulness program for persons with chronic low back pain.Contemporary clinical trials · 2021Article
- Implementing an Integrative Medicine Group Visit Facilitator Training Program to Improve Chronic Pain Management in the Safety-Net.Global advances in integrative medicine and healthArticle
- Race-Based Differences in the Response to a Mindfulness Based Integrative Medical Group Visit Intervention for Chronic Pain.Global advances in integrative medicine and healthArticle
- Patient Outcomes Improve in a Pragmatic Implementation Pilot Study of Mindful Awareness in Body-Oriented Therapy (MABT) for Chronic Pain.Global advances in integrative medicine and healthArticle
- Whole Health Revolution: Value-Based Care + Lifestyle Medicine.American journal of lifestyle medicineReview
- Identifying Health Outcomes for Integrative Group Medical Visits for Patients With Chronic Pain: Results of Qualitative Interviews With Staff, Administrators, and Providers Working in Safety-Net Settings.Journal of primary care & community healthArticle
- Heals on Wheels: Development and Implementation of Community Outreach and Group Medical Visits for People Experiencing Chronic Pain.Global advances in integrative medicine and healthArticle
- American College of Lifestyle Medicine Expert Consensus Statement: Lifestyle Medicine for Optimal Outcomes in Primary Care.American journal of lifestyle medicineArticle
Corrections and comments
- Erratum issued
Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain.
designThis is a retrospective, pre-post review of "Living Well with Chronic Pain" shared medical appointments (August 2016 through May 2018).
settingThe appointments included eight 3-hour-long visits held once per week at an outpatient wellness facility. SUBJECTS: Patients with chronic, non-cancer-related pain.
methodsPatients received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about nonpharmacological therapeutic approaches, the etiology of pain, and the relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cognitive behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents.
resultsA total of 178 participants completed the PROMIS-57 questionnaire at the first and the last visits. Statistically significant improvements in all domains (Physical Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P < 0.001) between the pre-intervention (visit 1) and post-intervention (visit 8) scores. Average opioid use decreased nonsignificantly over the 8-week intervention, but the lower rate of opioid use was not sustained at 6 and 12 months' follow-up.
conclusionsPatients suffering from chronic pain who participated in a multidisciplinary, nonpharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental, and social health without increased use of opioid pain medications.
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What OpenQuestion holds
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.