Evidence map›Paper›PMID 39219711›Full record

ArticleGlobal advances in integrative medicine and health

Overview and Feasibility of a Novel Transdisciplinary Integrative Approach to High Impact Chronic Pain in Vermont.

Joshua Plavin, Jerry Landau, Gail L Rose, Erika Ziller, Sarah Nowak, Heather Finley, Laurel Audy, Jon Porter

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global advances in integrative medicine and health. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  2. Implementation of Evidence-Based Integrative Health Approaches-A Call to Action.Journal of integrative and complementary medicine · 2025
    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

8 authors.

Joshua PlavinComprehensive Pain Program, Osher Center for Integrative Health at UVM, University of Vermont Medical Center, South Burlington, VT, USA.ORCID https://orcid.org/0000-0003-2713-5944
Jerry LandauClinical & Translational Sciences, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Gail L RoseOsher Center for Integrative Health, University of Vermont, Burlington, VT, USA.ORCID https://orcid.org/0000-0003-4997-401X
Erika ZillerHealth Services Research Center, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Sarah NowakOsher Center for Integrative Health, University of Vermont, Burlington, VT, USA.
Heather FinleyComprehensive Pain Program, Osher Center for Integrative Health at UVM, University of Vermont Medical Center, South Burlington, VT, USA.
Laurel AudyComprehensive Pain Program, Osher Center for Integrative Health at UVM, University of Vermont Medical Center, South Burlington, VT, USA.
Jon PorterComprehensive Pain Program, Osher Center for Integrative Health at UVM, University of Vermont Medical Center, South Burlington, VT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objective: Pain is one of the most common chronic conditions in the US, estimated to affect 20.9% of the population (51.6 million people). We evaluated the Partners Aligned in Transformative Healing (PATH) program at University Medical Center's Comprehensive Pain Program clinic. Feasibility, initial clinical and financial results were assessed to inform payers' support for PATH, an integrative transdisciplinary program within a bundled payment format. Methods: Participants completed a multi-week program including integrative therapies, with empirically validated assessment surveys administered at the beginning and end of the program. Insurance claims data were analyzed 12 months pre- and post-program. Statistical significance of pre-post differences was assessed by paired T-tests with Results: Between June 2019 and August 2022, 170 individuals enrolled in PATH, 151 (88.8%) completed the program, and 121 participants completed outcome surveys. Participants were predominately White, non-Hispanic (98%), female (76%), with an average age of 49.8. All participant-reported clinical outcomes (PROs) showed statistically significant improvement from baseline to final assessment, and some but not all were clinically significant. PEG subscale of average pain interference, enjoyment of life, and interference with general activity each decreased. The T-scores for the following domains of PROMIS-29 decreased: Pain interference; fatigue; sleep disturbance; anxiety, and depression. The PROMIS-29 domains of overall physical function and social roles and activities mean T-scores increased. Per Member Per Month (PMPM) total cost of care decreased by $462 (18%). Emergency room utilization for all diagnoses decreased by 457 visits/1000 patients (65%), and for pain-related diagnoses by 194 visits/1000 patients (67%) during the observation period. Conclusions: Results suggest that the PATH Program is a feasible and acceptable model that shows initial effectiveness relative to short-term patient-reported clinical outcomes and shows signs of durability in both utilization and financial outcomes at 1 year. The results support continued study including a multi-site RCT.

Indexed as

acupuncturechronic paincognitive behavioral therapyintegrative medicinemassage-therapymindfulness-based stress reduction

Identifiers

PMID39219711
PMCPMC11363026

What OpenQuestion holds

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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.