Trial reportJournal of general internal medicine2022
Taking ACTION to Reduce Pain: a Randomized Clinical Trial of a Walking-Focused, Proactive Coaching Intervention for Black Patients with Chronic Musculoskeletal Pain.
Trial report in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01983228 (A Proactive Walking Trial to Reduce Pain in Black Veterans), which is not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.
What it found
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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.
A Proactive Walking Trial to Reduce Pain in Black Veterans
Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Pooled it
- The Effect of Walking on Depressive and Anxiety Symptoms: Systematic Review and Meta-Analysis.JMIR public health and surveillance · 2024Pooled it
- The impact of health and wellness coaching on patient-important outcomes in chronic illness care: A systematic review and meta-analysis.Patient education and counseling · 2023Pooled it
- Community-driven, culturally tailored interventions for MSK pain in Black/African Americans: A scoping review.The journal of pain · 2026Article
- Reaching rural veterans: Applying mind-body skills for pain using a whole health telehealth intervention: The RAMP pilot study.Contemporary clinical trials · 2026Article
- Using Multi-Method Insights to Develop a Novel Chronic Pain Self-Management Intervention for Black Older Adults.Journal of racial and ethnic health disparities · 2025Article
- Health Care Discrimination Affects Patient Activation, Communication Self-Efficacy, and Pain for Black Americans.The journal of pain · 2024Article
- A historical review of pain disparities research: Advancing toward health equity and empowerment.Nursing outlookReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundBlack patients in the USA are disproportionately affected by chronic pain, yet there are few interventions that address these disparities.
objectiveTo determine whether a walking-focused, proactive coaching intervention aimed at addressing contributors to racial disparities in pain would improve chronic pain outcomes among Black patients compared to usual care.
designRandomized controlled trial with masked outcome assessment ( Clinicaltrials.gov : NCT01983228).
participantsThree hundred eighty Black patients at the Atlanta VA Health Care System with moderate to severe chronic back, hip, or knee pain.
interventionSix telephone coaching sessions over 8-14 weeks, proactively delivered, using action planning and motivational interviewing to increase walking, or usual care. MAIN MEASURES: Primary outcome was a 30% improvement in pain-related physical functioning (Roland Morris Disability Questionnaire [RMDQ]) over 6 months among Black patients, using intention-to-treat. Secondary outcomes were improvements in pain intensity and interference, depression, anxiety, global impression of change in pain, and average daily steps. KEY
resultsThe intervention did not produce statistically significant effects on the primary outcome (at 6 months, 32.4% of intervention participants had 30% improvement on the RMDQ vs. 24.7% of patients in usual care; aOR=1.61, 95% CI, 0.94 to 2.77), nor on other secondary outcomes assessed at 6 months, with the exception that intervention participants reported more favorable changes in pain relative to usual care (mean difference=-0.54, 95% CI, -0.85 to -0.23). Intervention participants also experienced a significant reduction in pain intensity and pain interference over 3 months (mean difference=-0.55, 95% CI, -0.88 to -0.22).
conclusionsA novel intervention to improve chronic pain among Black patients did not produce statistically significant improvements on the primary outcome relative to usual care. More intensive efforts are likely required among this population, many of whom were economically disadvantaged and had mental health comorbidities and physical limitations.
trial registrationClinicaltrials.gov Identifier: NCT01983228.
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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.