Evidence map›Paper›PMID 36376625›Full record

ArticleJournal of general internal medicine2023

Healthcare Access and Delivery During the COVID-19 Pandemic for Black Veterans with Chronic Pain: a Qualitative Study.

Marianne S Matthias, Diana J Burgess, Johanne Eliacin

Registry-linked trialAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03562793 (Communication and Activation in Pain to Enhance Relationships and Treat Pain With Equity), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT03562793 nacompletednot on this map

Communication and Activation in Pain to Enhance Relationships and Treat Pain With Equity (COOPERATE)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2022Enrolled250ConditionsPainArmsCommunication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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

3 authors.

Marianne S MatthiasVA HSR&D Center for Health Information and Communication, Indianapolis, IN, USA. mmatthia@iu.edu.
Diana J BurgessCenter for Care Delivery and Outcomes Research, Veterans Affairs Medical Center, Minneapolis, MN, USA.
Johanne EliacinVA HSR&D Center for Health Information and Communication, Indianapolis, IN, USA.

Funding

HSRD VA IK2 HX002283
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic led to significant disruptions in healthcare and rapid increases in virtual healthcare delivery. The full effects of these shifts remain unknown. Understanding effects of these disruptions is particularly relevant for patients with chronic pain, which typically requires consistent engagement in treatment to maximize benefit, and for Black patients, given documented racial disparities in pain treatment and telehealth delivery.

objectiveTo understand how Black patients with chronic pain experienced pandemic-related changes in healthcare delivery.

designIn-depth, semi-structured qualitative interviews

participantsBlack veterans with chronic pain. KEY

resultsParticipants described decreased ability to self-manage their chronic pain, obtain nonpharmacological services such as physical therapy, see their primary care providers, and schedule surgery. Most did not believe telehealth met their needs, describing feeling inadequately assessed for their pain and noting that beyond renewing prescriptions, telehealth visits were not that useful. Some believed their communication with their providers suffered from a lack of in-person contact. Others, however, were willing to accept this tradeoff to prevent possible exposure to COVID-19, and some appreciated the convenience of being able to access healthcare from home.

conclusionsBlack patients with chronic pain described mostly negative effects from the shift to telecare after the pandemic's onset. Given existing disparities and likely persistence of virtual care, research on the longer-term effects of virtual pain care for Black patients is needed.

Indexed as

Chronic PainCOVID-19TelemedicineVeteransHealth Services AccessibilityHumansPandemicschronic painCOVID-19healthcare disparitiestelehealth

Identifiers

PMID36376625
PMCPMC9663172

What OpenQuestion holds

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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.