Evidence map›Paper›PMID 39514886›Full record

Trial reportPain medicine (Malden, Mass.)2024

How initial perceptions of the effectiveness of mind and body complementary and integrative health therapies influence long-term adherence in a pragmatic trial.

Steven B Zeliadt, Scott Coggeshall, Xiaoyi Zhang, Ethan W Rosser, David E Reed Ii, A Rani Elwy, Barbara G Bokhour, Joy A Toyama, Stephanie L Taylor

Registry-linked trialAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05097521 (Complementary and Integrative Health for Pain in the VA), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05097521 completednot on this map

Complementary and Integrative Health for Pain in the VA: A National Demonstration Project (NIH-VA-DOD Joint Initiative)

TypeobservationalSponsorVA Office of Research and DevelopmentRan2021 to 2023Enrolled3,603ConditionsChronic Musculoskeletal PainArmsPractitioner-delivered CIH therapies, Combination of practitioner-delivered and self-care CIH therapies, Self-care CIH therapies
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Steven B ZeliadtCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108, United States.ORCID 0000-0003-3900-743X
Scott CoggeshallCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108, United States.
Xiaoyi ZhangCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108, United States.
Ethan W RosserCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108, United States.ORCID 0000-0003-1060-7634
David E Reed IiCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108, United States.
A Rani ElwyCenter for Health Optimization and Implementation Research, VA Bedford Health Care System, Bedford, MA 01730, United States.ORCID 0000-0001-7088-3118
Barbara G BokhourCenter for Health Optimization and Implementation Research, VA Bedford Health Care System, Bedford, MA 01730, United States.
Joy A ToyamaCenter for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Health Care System, Los Angeles, CA 90073, United States.
Stephanie L TaylorCenter for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Health Care System, Los Angeles, CA 90073, United States.

Funding

Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Department of Veterans Affairs Health Systems Research Service SDR-17-306Department of Veterans Affairs or the United States Government U24AT009769HSRD VA IK6 HX003765HSRD VA IK6 HX003766HSRD VA IU1 HX002607NCCIH NIH HHS U24 AT009769Office of Behavioral and Social Sciences Research
6 · The paper itself

Abstract

objectiveBeliefs and perceptions about pain intervention effectiveness when initiating a therapy may influence long-term engagement. This study examines how early perceived effectiveness of complementary and integrative health therapies impacts long-term engagement in a pragmatic trial context.

participantsVeterans with chronic musculoskeletal pain participating in a pragmatic trial of provider-delivered complementary and integrative health therapies (acupuncture, chiropractic care, or massage therapy) used alone compared to combining those therapies with self-care therapies (yoga, Tai Chi/Qigong, or meditation). This analysis focuses on 1713 participants using self-care therapies at baseline.

setting18 Veterans Healthcare Administration Medical Facilities.

designProspective cohort study.

methodsPredictors of total self-care complementary and integrative health therapy sessions over a 6-month assessment period were assessed using linear regression to determine how strongly perceptions of initial therapy effectiveness was associated with total utilization. Perception of initial therapy effectiveness was assessed at study entry across four domains (pain, mental health, fatigue, and general well-being).

resultsIn total, 56% (1032/1713) of Veterans reported a positive perceived effectiveness of their recent complementary and integrative health therapy use at study initiation. Older individuals and those using meditation were more likely to report early positive perceptions. Mean number of therapy sessions over the 6-month study was 11 (range 1 to 168). Early positive perceptions had a small effect on overall use, increasing mean sessions by 2.5 (1.3 to 3.6). Other factors such as recent physical therapy use and distance to primary care explained more variation in total utilization.

conclusionsPragmatic pain trials should examine factors associated with engagement across assigned treatment protocols, especially if any of the treatment protocols being tested are sensitive to long-term engagement.

Indexed as

Chronic PainAdultAgedCohort StudiesComplementary TherapiesFemaleHumansIntegrative MedicineMaleMiddle AgedMind-Body TherapiesMusculoskeletal PainPatient ComplianceProspective StudiesSelf CareTreatment Outcomechronic paincomplementary therapiesmind-body therapiesmusculoskeletal pain veterans healthpatient adherence

Identifiers

PMID39514886
PMCPMC11548863

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.