Evidence map›Paper›PMID 34130965›Full record

ArticleBMJ open2021

Home-based virtual reality for chronic pain: protocol for an NIH-supported randomised-controlled trial.

Brandon Birckhead, Sam Eberlein, Genie Alvarez, Rebecca Gale, Taylor Dupuy, Katherine Makaroff, Garth Fuller, Xiaoyu Liu, Kyung-Sang Yu, J T Black and 10 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. 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 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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.

NCT04409353 nacompletednot on this map

Randomized-controlled Trial of Virtual Reality for Chronic Low Back Pain to Improve Patient-reported Outcomes and Physical Activity

TypeinterventionalSponsorCedars-Sinai Medical CenterRan2020 to 2024Enrolled413ConditionsChronic Low Back PainArmsDistraction-Based VR, Sham VR, Skills-Based VR, Activity Tracker
NCT05348174 nacompletednot on this mapstarted 2023, after this paper: background citation

Randomized Controlled Trial of Virtual Reality Assisted Guided Imagery (VRAGI) for Pain Management in Advanced Cancer Patients: Protocol for Efficacy, Feasibility, and Safety in a Home Setting

TypeinterventionalSponsorPrisma Health-UpstateRan2023 to 2025Enrolled41ConditionsCancer Pain, Oncology, Virtual Reality, Depression, AnxietyArmsVirtual Reality Assisted Guided Imagery (VRAGI)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Bridging the Gap: Culturally Responsive Strategies for NIH Trial Recruitment.Journal of racial and ethnic health disparities · 2025
    Article
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  11. Review
  12. Review
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  16. Article
  17. Article
  18. Article
  19. VR for Pain Relief.Current topics in behavioral neurosciences · 2023
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 2 countries.

Brandon BirckheadDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0002-5822-7318
Sam EberleinDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Genie AlvarezDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Rebecca GaleDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Taylor DupuyDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Katherine MakaroffDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Garth FullerDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Xiaoyu LiuDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Kyung-Sang YuDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
J T BlackDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Mariko IshimoriDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Swamy VenuturupalliDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Joseph TuDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Tom NorrisAmerican Chronic Pain Association, Rocklin, California, USA.
Mourad TighiouartSamuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Lindsey RossDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Karma McKelveyDepartment of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Mark VrahasDepartment of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Itai DanovitchDepartment of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Brennan SpiegelDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA Brennan.Spiegel@cshs.org.
Cedars-Sinai Medical Center · USAmerican Chronic Pain Association

Funding

Randomized-controlled trial of virtual reality for chronic low back pain to improve patient-reported outcomes and physical activity: Understanding Patient Predictors of ResponseUH3AR076573 · NIAMS · CEDARS-SINAI MEDICAL CENTER · PI SPIEGEL, BRENNAN · 2020 to 2023
$4.4M
Randomized-controlled trial of virtual reality for chronic low back pain to improve patient-reported outcomes and physical activityUG3AR076573 · NIAMS · CEDARS-SINAI MEDICAL CENTER · PI SPIEGEL, BRENNAN · 2019 to 2019
$306k
NIAMS NIH HHS UG3 AR076573NIAMS NIH HHS UH3 AR076573
6 · The paper itself

Abstract

introductionChronic pain is highly prevalent and associated with a large burden of illness; there is a pressing need for safe, home-based, non-pharmacological, interventions. Virtual reality (VR) is a digital therapeutic known to be effective for acute pain, but its role in chronic pain is not yet fully elucidated. Here we present a protocol for the National Institute of Health (NIH) Back Pain Consortium (BACPAC) VR trial that evaluates the effectiveness of three forms of VR for patients with chronic lower back pain (cLBP), a highly prevalent form of chronic pain. METHODS AND ANALYSIS: The NIH BACPAC VR trial will randomise 360 patients with cLBP into one of three arms, each administered through a head-mounted display: 1) ETHICS AND DISSEMINATION: Ethics approval was obtained from the Institutional Review Board of Cedars-Sinai Health System in April 2020. The results will be disseminated in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: NCT04409353.

Indexed as

Acute PainChronic PainLow Back PainVirtual RealityVirtual Reality Exposure TherapyHumansPain MeasurementRandomized Controlled Trials as Topicback painclinical trialsmusculoskeletal disorderspain managementworld wide web technology

Identifiers

PMID34130965
PMCPMC8207994
OpenAlexW3167829347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.