Evidence map›Paper›PMID 34656133›Full record

ArticleBMC health services research2021

"There's a huge benefit just to know that someone cares:" a qualitative examination of rural veterans' experiences with TelePain.

Molly Silvestrini, Jess Indresano, Steven B Zeliadt, Jessica A Chen

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Continuity of pain clinic care among rural and urban veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  7. Article
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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

4 authors at 2 institutions in 1 country.

Molly SilvestriniDepartment of Veterans Affairs Puget Sound Health Care System, Seattle, USA. Mollidee.Silvestrini@va.gov.
Jess IndresanoDepartment of Veterans Affairs Puget Sound Health Care System, Seattle, USA.
Steven B ZeliadtDepartment of Veterans Affairs Puget Sound Health Care System, Seattle, USA.
Jessica A ChenDepartment of Veterans Affairs Puget Sound Health Care System, Seattle, USA.
Seattle University · USVA Puget Sound Health Care System · US

Funding

Evaluating the National Implementation of Virtual Interdisciplinary Pain Care Teams - TelePainI50HX003430 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI CHEN, JESSICA ANN · 2021 to 2021
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HSRD VA I50 HX003430HSRD VA IK2 HX002866Quality Enhancement Research Initiative PII 19-320
6 · The paper itself

Abstract

backgroundVeterans in the United States are at an increased risk of chronic pain and have higher reported pain prevalence and severity than nonveterans. This qualitative study aims to examine veterans' perspectives on the acceptability of receiving pain care through TelePain, a telehealth program implemented by the Veterans Health Administration (VA) that offers specialty pain care to rural veterans in their homes or in a video conferencing room at a nearby outpatient clinic.

methodsThe VA electronic health record was used to identify patients who were referred to TelePain from rural clinics located in Washington, Oregon, and Alaska between 12/01/2019 and 03/31/2020. The study team completed 16 semi-structured interviews with rural veterans about their experiences with TelePain. After interview transcripts were recorded digitally and transcribed, Atlas.ti was used to organize data and facilitate qualitative coding. Interview transcripts were analyzed using thematic analysis.

resultsVeterans reported general satisfaction with receiving pain care through telehealth and valued having supportive, knowledgeable providers who provided useful information and resources. In addition, veterans appreciated the convenience of telehealth. Barriers to care included problems with program follow-up, negative perceptions of mental health care for pain, and preference for in-person care. Although some patients suggested that telehealth audio and video could be improved, most patients did not have any significant problems with telehealth technology.

conclusionsIn this sample of rural veterans who used TelePain, many reported satisfaction with the program and positive experiences with providers. Targets for quality improvement include streamlining the program's referral and scheduling process and improving patient motivation to engage in psychological pain treatments. Results indicate that delivering pain services over telehealth is an acceptable modality for this patient population.

Indexed as

Chronic PainTelemedicineVeteransHumansQualitative ResearchUnited StatesUnited States Department of Veterans AffairsChronic painQualitativeRuralTelehealthVeterans

Identifiers

PMID34656133
PMCPMC8520618
OpenAlexW3205487924

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.