Evidence map›Paper›PMID 39601034›Full record

ArticlePain management

Patient and staff perspectives on pain treatment experiences in a community clinic serving under-resourced older adults.

Julie R Brewer, Katherine A McDermott, Jonathan Greenberg, Alexander M Presciutti, Danielle E LaCamera, Christine S Ritchie, Ana-Maria Vranceanu

Abstract read
In one paragraph

Article in Pain management. 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. 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.

Julie R BrewerCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-5581-2434
Katherine A McDermottCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-9269-1819
Jonathan GreenbergCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4875-2207
Alexander M PresciuttiCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-5911-6142
Danielle E LaCameraCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0009-0002-6563-4074
Christine S RitchieHarvard Medical School, Boston, MA, USA.ORCID 0000-0002-4881-9416
Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-3994-6488

Funding

Toolkit for Optimal Recovery after Orthopedic Injury; A multi-site feasibility study to prevent persistent pain and disabilityR01AT010462 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI VRANCEANU, ANA-MARIA · 2021 to 2023
$2.4M
Addressing the chronic pain epidemic among older adults in underserved community center; The GetActive+ study (McDermott-Career Enhancement Supplement)R61AG081034 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI RITCHIE, CHRISTINE S, VRANCEANU, ANA-MARIA · 2022 to 2023
$1.7M
Mentoring in technology enhanced mind body and lifestyle interventionsK24AT011760 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Ana-Maria Vranceanu · 2022 to 2026
$911k
Pain Disengagement Training: A self-directed intervention for pain catastrophizingK23AT012789 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Katherine McDermott · 2024 to 2026
$512k
NCCIH NIH HHS K23 AT012789NCCIH NIH HHS K24 AT011760NCCIH NIH HHS R01 AT010462NIA NIH HHS R61 AG081034
6 · The paper itself

Abstract

aimsChronic pain affects up to 37.8% of older adults with higher prevalence among those in under-resourced communities. While there are many treatments for chronic pain, there are complexities to treating under-resourced older adults in community clinics, including multimorbidity, barriers to treatment access, and varying degrees of openness to different treatment approaches. Understanding patient and clinic staff perceptions of treatment options for chronic pain is critical for implementing treatment approaches that will work sustainably in the community. This study aimed to understand clinic staff and patients' perspectives on chronic pain treatment experiences.

methodsFocus groups and individual interviews were analyzed using a hybrid inductive-deductive approach.

resultsThemes are: (1) Limited patient and clinic resources and availability affecting pain treatment experiences (e.g., copays, transportation challenges, and conflicting responsibilities), (2) Discrepancies in patient and staff approaches to treatment and the importance of trialing different pain management techniques to alleviate pain (e.g., trialing multiple treatments with varied success), and (3) Conflict between patients' desire for pain elimination vs. staffs' focus on symptom reduction and function (e.g., patient-staff disconnect).

conclusionsThese findings are important for determining how treatments can best fit the needs of under-resourced older adults with chronic pain.

Indexed as

Chronic PainPain ManagementAgedAged, 80 and overAttitude of Health PersonnelFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchChronic paincommunity clinicolder adultspain treatmentqualitative

Identifiers

PMID39601034
PMCPMC11633828

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.