Evidence map›Paper›PMID 34634064›Full record

Trial reportPloS one2021

A randomized controlled trial to evaluate a behavioral economic strategy for improving mobility in veterans with chronic pain.

Peggy Compton, Krisda H Chaiyachati, Tanisha Dicks, Elina Medvedeva, Manik Chhabra

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04013529 (Connected Health to Decrease Opioid Use in Patients With Chronic Pain), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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.

NCT04013529 nacompletednot on this map

Connected Health to Decrease Opioid Use in Patients With Chronic Pain

TypeinterventionalSponsorUniversity of PennsylvaniaRan2018 to 2020Enrolled40ConditionsChronic PainArmsRegret lottery, Way to Health technology enhanced care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

5 authors at 2 institutions in 1 country.

Peggy ComptonSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0001-9284-5331
Krisda H ChaiyachatiThe Leonard Davis Institute of Health Economics at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Tanisha DicksDepartment of Veterans Affairs Center for Health Equity Research and Promotion (CHERP) Philadelphia, Pennsylvania, United States of America.
Elina MedvedevaDepartment of Veterans Affairs Center for Health Equity Research and Promotion (CHERP) Philadelphia, Pennsylvania, United States of America.
Manik ChhabraThe Leonard Davis Institute of Health Economics at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0002-0531-7395
Veterans Health Administration · USUniversity of Pennsylvania · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Learning Health Systems Mentored Career Development ProgramK12HS026372 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI ASCH, DAVID A, LANE-FALL, MEGHAN BROOKS · 2018 to 2022
$3.2M
Pre-op CBT to Reduce the Risk for Development of Chronic Post-surgical Pain in Patients undergoing Total Knee ArthroplastyR21NR019047 · NINR · UNIVERSITY OF PENNSYLVANIA · PI CHEATLE, MARTIN D, COMPTON, PEGGY A · 2020 to 2021
$446k
Effect of opioid taper on pain responses in patients with chronic painR21DA046364 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI COMPTON, PEGGY A · 2019 to 2020
$443k
Telemedicine Utilization and Impacts on Access Among Rural Medicare BeneficiariesK08AG065444 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CHAIYACHATI, KRISDA H · 2021 to 2022
$340k
AHRQ HHS K12 HS026372NCATS NIH HHS UL1 TR001878NIA NIH HHS K08 AG065444NIDA NIH HHS R21 DA046364NINR NIH HHS R21 NR019047
6 · The paper itself

Abstract

Rates of chronic pain and daily opioid use are higher among veterans relative to civilian populations. Increasing physical activity can reduce pain severity and decrease opioid use among patients with chronic pain. Behavioral economic strategies can improve physical activity levels but have been undertested in veterans with chronic pain. The objective of this study was to evaluate if a financial incentive combined with a loss aversion component-a "regret lottery" in which veterans could win money if they met a set goal or told how much they could have won had they met their goal-would increase physical activity levels among veterans with chronic pain. A 12-week single-blinded randomized controlled trial (ClinicalTrials.gov: NCT04013529) was designed. Veterans with chronic pain (N = 40) receiving care at a specialty pain clinic were eligible for participation, and were randomly assigned (1:1) to either (a) activity trackers and daily text message reminders to increase physical activity ("control arm"), or (b) the same plus a weekly regret lottery ("intervention arm"). For those in the intervention arm, participants who met their activity goal, had a chance to win a small ($30) or large ($100) gift card incentive; those who did not meet their goals were informed of what they would have won had they met their goal. The primary outcome, physical activity, was measured using self-reported physical activity and step counts using activity trackers. Secondary outcomes included changes in physical function, chronic pain severity, depression and opioid use. The sample was primarily white, male and disabled, with an average age of 57 years. No between-arm differences were noted for physical activity, physical function, chronic pain severity, depression or opioid use. Regret lottery-based approaches may be ineffective at increasing physical activity levels in veterans with chronic pain. Trial Registry: NCT04013529.

Indexed as

ExerciseChronic PainDisease ManagementEconomics, BehavioralFemaleFitness TrackersHumansMaleMiddle AgedMotivationRewardVeterans

Identifiers

PMID34634064
PMCPMC8504760
OpenAlexW3206905180

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.