Evidence map›Paper›PMID 39079926›Full record

ArticleBMJ open2024

PT-IN-MIND: study protocol for a multisite randomised feasibility trial investigating physical therapy with integrated mindfulness (PT-IN-MIND) for patients with chronic musculoskeletal pain and long-term opioid treatment who attend outpatient physical therapy.

John S Magel, Jason M Beneciuk, Elizabeth Siantz, Julie Fritz, Eric L Garland, Adam Hanley, Jincheng Shen, Priscilla Blosser, Taisiya Matev, Adam J Gordon

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05875207 (Physical Therapy Integrated With Mindfulness for Patients With Chronic Musculoskeletal Pain and Long-Term Opioid Treatment), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05875207 nacompletednot on this map

Physical Therapy Integrated With Mindfulness for Patients With Chronic Musculoskeletal Pain and Long-Term Opioid Treatment

TypeinterventionalSponsorUniversity of UtahRan2023 to 2025Enrolled93ConditionsChronic Pain, Pain, Musculoskeletal, Opioid Use, Physical TherapyArmsMindfulness based practice, Control/Standard Physical Therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

John S MagelPhysical Therapy and Athletic Training, University of Utah, Salt Lake City, Utah, USA jake.magel@hsc.utah.edu.ORCID 0000-0001-9087-4753
Jason M BeneciukPhysical Therapy, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-5888-3630
Elizabeth SiantzCollege of Social Work, University of Utah, Salt Lake City, Utah, USA.
Julie FritzPhysical Therapy and Athletic Training, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-3599-1057
Eric L GarlandSanford Institute for Empathy and Compassion, University of California, San Diego, California, USA.
Adam HanleyFlorida State University, Tallahassee, Florida, USA.
Jincheng ShenPopulation Health Sciences, University of Utah Health, Salt Lake City, Utah, USA.ORCID 0000-0002-6551-3558
Priscilla BlosserInternal Medicine, University of Utah Health, Salt Lake City, Utah, USA.
Taisiya MatevBrooks Rehabilitation, Jacksonville, Florida, USA.
Adam J GordonSchool of Medicine, University of Utah Health, Salt Lake City, Utah, USA.

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Physical Therapy Integrated with Mindfulness for Patients with Chronic Musculoskeletal Pain and Long-Term Opioid TreatmentR01AT012229 · NCCIH · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI MAGEL, JOHN · 2023 to 2025
$1.5M
Adapting and Implementing a Chronic Disease Self-Management Program for Primary Care Patients with Opioid Use Disorder and Serious Mental IllnessK01DA059641 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Elizabeth Siantz · 2023 to 2026
$764k
NCATS NIH HHS UM1 TR004409NCCIH NIH HHS R01 AT012229NIDA NIH HHS K01 DA059641
6 · The paper itself

Abstract

introductionMany individuals receiving outpatient physical therapy have musculoskeletal pain and up to one-third use prescription opioids. The impact of physical therapist-led mindfulness-based interventions integrated with evidence-based physical therapy (I-EPT) to manage patients with chronic musculoskeletal pain and long-term opioid treatment has not been elucidated. This project evaluates the feasibility of conducting a cluster randomised trial to test the effectiveness of I-EPT. METHODS AND ANALYSIS: Study 1 aim: Refine and manualise the I-EPT treatment protocol. Our approach will use semistructured interviews of patients and physical therapists to refine an I-EPT training manual. Study 2 aim: Evaluate different intensities of physical therapist training programmes for the refined I-EPT treatment protocol. Physical therapists will be randomised 1:1:1 to high-intensity training (HighIT), low-IT (LowIT) training and no training arms. Following training, competency in the provision of I-EPT (LowIT and HighIT groups) will be assessed using standardised patient simulations. Study 3 aim: Evaluate the feasibility of the I-EPT intervention across domains of the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation framework. The refined I-EPT treatment protocol will be tested in two different health systems with 90 patients managed by the randomised physical therapists. The coprimary endpoints for study 3 are the proportions of the Pain, Enjoyment of Life and General Activity Scale and the Timeline Followback for opioid use/dose collected at 12 weeks. ETHICS AND DISSEMINATION: Ethics approval for the study was obtained from the University of Utah, University of Florida and Florida State University Institutional Review Boards. Informed consent is required for participant enrolment in all phases of this project. On completion, study data will be made available in compliance with NIH data sharing policies. TRIAL REGISTRATION NUMBER: NCT05875207.

Indexed as

Analgesics, OpioidChronic PainFeasibility StudiesMindfulnessMusculoskeletal PainPhysical Therapy ModalitiesHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicAnalgesics, OpioidChronic PainMusculoskeletal disordersPhysical Therapy ModalitiesPsychosocial InterventionREHABILITATION MEDICINE

Identifiers

PMID39079926
PMCPMC11293391

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.