Evidence map›Paper›PMID 37726645›Full record

ArticleJournal of general internal medicine2024

Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE): a Qualitative Analysis of a Tailored Coaching Program for Black Patients with Chronic Pain.

Marianne S Matthias, Arya L Bolla, Sophia M Bair, Jasma Adams, Johanne Eliacin, Diana J Burgess, Adam T Hirsh

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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  4. 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

7 authors at 4 institutions in 1 country.

Marianne S MatthiasVA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, USA. mmatthia@iu.edu.
Arya L BollaRegenstrief Institute, Indianapolis, USA.
Sophia M BairRegenstrief Institute, Indianapolis, USA.
Jasma AdamsVA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, USA.
Johanne EliacinVA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, USA.
Diana J BurgessCenter for Care Delivery and Outcomes Research, Veterans Affairs Medical Center, Minneapolis, USA.
Adam T HirshDepartment of Psychology, Indiana University-Purdue University, Indianapolis, USA.
Regenstrief Institute · USIndiana University – Purdue University Indianapolis · USRichard L. Roudebush VA Medical Center · USUniversity of Minnesota · US

Funding

Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)I01HX002392 · VA · RLR VA MEDICAL CENTER · PI MATTHIAS, MARIANNE · 2019 to 2021
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HSR&D Research Career Scientist AwardIK6HX003768 · VA · RLR VA MEDICAL CENTER · PI MATTHIAS, MARIANNE S · 2023 to 2025
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Health Services Research and Development IIR 17-032HSRD VA I01 HX002392HSRD VA IK6 HX003768
6 · The paper itself

Abstract

backgroundRacial inequities in pain treatment are well-documented and persist despite national priorities focused on health equity. The COOPERATE (Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity) intervention was a patient-centered, tailored intervention aimed at improving health equity by targeting patient activation-the knowledge and confidence to manage one's health. COOPERATE led to significant and sustained increases in patient activation, significant short-term increases in communication self-efficacy (confidence to communicate with clinicians), and more intervention participants experienced clinically significant (≥ 30%) reductions in pain at 3 months than control group participants.

objectiveTo understand how participants experienced the intervention, including their perspectives on its effects on their health and healthcare experiences.

designSemi-structured qualitative interviews.

participantsBlack veterans with chronic pain who participated in the COOPERATE intervention. KEY

resultsParticipants described acquiring new tools and cultivating skills to use in their clinic visits, including preparing for their visit (writing an agenda, listing questions); asking focused, effective questions; and expressing concerns and communicating goals, values, and preferences. Participants indicated that by putting these tools to use, they felt more confident and able to take ownership of their own pain care; for some, this led to better pain management and improved pain. Participants expressed mixed views of disparities in pain care, with some believing race and racism did not play a role in their care, while others valued being part of an intervention that helped equip them with tools to exercise autonomy over their healthcare.

conclusionsBlack patients with chronic pain described gaining greater confidence to self-manage and communicate with their clinicians after participating in the COOPERATE intervention. With its focus on empowering individuals, the COOPERATE intervention represents a promising approach to help advance equity in pain care.

Indexed as

Chronic PainMentoringRacismCommunicationDelivery of Health CareHumanschronic paincommunicationhealthcare disparitieshealth equityqualitative research

Identifiers

PMID37726645
PMCPMC10853119
OpenAlexW4386861118

What OpenQuestion holds

Textmetadata
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.