Evidence map›Paper›PMID 38783388›Full record

ReviewImplementation science communications2024

Determinants of implementation for group medical visits for patients with chronic pain: a systematic review.

Isabel Roth, Malik Tiedt, Carrie Brintz, Ariana Thompson-Lastad, Gayla Ferguson, Erum Agha, Jennifer Holcomb, Paula Gardiner, Jennifer Leeman

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Isabel RothDepartment of Physical Medicine and Rehabilitation, Program on Integrative Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. iroth@email.unc.edu.ORCID http://orcid.org/0000-0002-4502-3041
Malik TiedtDepartment of Physical Medicine and Rehabilitation, Program on Integrative Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Carrie BrintzDepartment of Anesthesiology, Division of Pain Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Ariana Thompson-LastadDepartment of Family and Community Medicine, Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA, USA.
Gayla FergusonDepartment of Management, Policy, and Community Health, University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Erum AghaDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Jennifer HolcombSinai Chicago, Sinai Urban Health Institute, Chicago, IL, USA.
Paula GardinerDepartment of Family Medicine, Cambridge Health Alliance, University of Massachusetts Medical School, Boston, MA, USA.
Jennifer LeemanUniversity of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.

Funding

Produce Prescriptions and Group Medical Visits: Addressing Food Insecurity and Social Isolation in Primary CareK01MD015766 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Ariana Lauren Thompson-Lastad · 2022 to 2026
$687k
Postoperative Telehealth Mindfulness Intervention to Improve Pain-related Outcomes and Reduce Opioid Use after Lumbar Spine SurgeryK23AT011569 · NCCIH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BRINTZ, CARRIE ELIZABETH · 2021 to 2025
$631k
Scaling-Up Integrative Pain Management in Federally Qualified Health CentersK01AT011578 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROTH, ISABEL · 2022 to 2025
$556k
NCCIH NIH HHS 5K01AT01157802NCCIH NIH HHS 5T32AT00378NCCIH NIH HHS K01 AT011578NCCIH NIH HHS K23 AT011569NCCIH NIH HHS K23AT011569NIMHD NIH HHS K01 MD015766
6 · The paper itself

Abstract

backgroundDespite the critical need for comprehensive and effective chronic pain care, delivery of such care remains challenging. Group medical visits (GMVs) offer an innovative and efficient model for providing comprehensive care for patients with chronic pain. The purpose of this systematic review was to identify barriers and facilitators (determinants) to implementing GMVs for adult patients with chronic pain.

methodsThe review included peer-reviewed studies reporting findings on implementation of GMVs for chronic pain, inclusive of all study designs. Pubmed, EMBASE, Web of Science, and Cochrane Library were searched. Studies of individual appointments or group therapy were excluded. The Mixed Methods Appraisal Tool was used to determine risk of bias. Data related to implementation determinants were extracted independently by two reviewers. Data synthesis was guided by the updated Consolidated Framework for Implementation Research.

resultsThirty-three articles reporting on 25 studies met criteria for inclusion and included qualitative observational (n = 8), randomized controlled trial (n = 6), quantitative non-randomized (n = 9), quantitative descriptive (n = 3), and mixed methods designs (n = 7). The studies included in this review included a total of 2364 participants. Quality ratings were mixed, with qualitative articles receiving the highest quality ratings. Common multi-level determinants included the relative advantage of GMVs for chronic pain over other available models, the capability and motivation of clinicians, the cost of GMVs to patients and the health system, the need and opportunity of patients, the availability of resources and relational connections supporting recruitment and referral to GMVs within the clinic setting, and financing and policies within the outer setting.

conclusionsMulti-level factors determine the implementation of GMVs for chronic pain. Future research is needed to investigate these determinants more thoroughly and to develop and test implementation strategies addressing these determinants to promote the scale-up of GMVs for patients with chronic pain.

trial registrationThis systematic review was registered with PROSPERO 2021 CRD42021231310 .

Identifiers

PMID38783388
PMCPMC11112917

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.