Evidence map›Paper›PMID 40180881›Full record

Trial reportPain management nursing : official journal of the American Society of Pain Management Nurses2025

Challenges and Strategies: Nationwide Data Collection for an Internet-based Guided Relaxation Intervention in Sickle Cell Disease.

Muntaha Ali, Halle Jonassaint, Aleah Bedrosian, Yingwei Yao, Molly W Mandernach, David Fedele, Robert J Lucero, Inge Corless, Brenda W Dyal, Mary H Belkin and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Muntaha AliDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL.
Halle JonassaintDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL.
Aleah BedrosianDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL.
Yingwei YaoDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL.
Molly W MandernachDepartment of Medicine, Division of Hematology/Oncology, University of Florida, Gainesville, FL.
David FedeleNemours Children's Health, Jacksonville, FL.
Robert J LuceroUCLA School of Nursing and Chicano Studies Research Center, Los Angeles, CA; Department of Family, Community, and Health System Science, University of Florida College of Nursing, Gainesville, FL.
Inge CorlessSchool of Nursing, MGH Institute of Health Professions, Boston, MA.
Brenda W DyalDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL.
Mary H BelkinCollege of Medicine, University of Florida-Jacksonville, Jacksonville, FL.
Gabriela N Bastidas MoraDepartment of Medicine - Jacksonville, Division of Hematology/Oncology, UF Health Jacksonville, Jacksonville, FL.
Diana J WilkieDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL.
Miriam O EzenwaDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL. Electronic address: moezenwa@ufl.edu.

Funding

A Stress and Pain Self-management m-Health App for Adult Outpatients with Sickle Cell DiseaseR01NR018848 · NINR · UNIVERSITY OF FLORIDA · PI EZENWA, MIRIAM OMELEBELE · 2020 to 2024
$2.9M
NINR NIH HHS R01 NR018848
6 · The paper itself

Abstract

backgroundThe pain of sickle cell disease (SCD) is often stressful and increases the need for opioids. Relaxation and/or distraction interventions may reduce stress, pain, and opioid use in outpatients with SCD. There is limited information regarding challenges and strategies for successful recruitment, retention, and data collection for a relaxation and/or distraction study in this population.

aimThe authors examined recruitment, retention, and data collection challenges for the participants in a study of an internet-based guided relaxation intervention to devise strategies to address them.

methodsQualitative data from an ongoing 6-month randomized controlled trial of a relaxation intervention was used. Participants (N = 122) had a mean age of 33.4 ± 10.6 years (range = 18-65), were mostly African American (93%) and female (68%), and were enrolled between March 2021 and May 2024 in collaboration with SCD clinics and communities. Participants completed baseline measures and were randomized to control or experimental groups. Research specialists documented all participant-reported challenges.

resultsOf 122 participants who completed the study, 65 (53%) reported 126 occurrences of challenges: 15 (12%) reported internet issues, 27 (21%) reported technical difficulties with the web-based program or Galaxy tablet, 4 (3%) reported problems using medication devices, 21 (17%) reported trouble adhering to specific data entry time windows, 39 (31%) had missing data points due to hospitalization, and 20 (16%) reported overwhelming pain at home. Several targeted strategies were used to overcome these challenges.

conclusionFindings provide insights into the challenges encountered in study recruitment, retention, and data collection when assessing adult outpatients with SCD. Addressing these challenges through targeted strategies, including practical team training, active engagement with participants, and efforts to add recruitment sites, can enhance recruitment, retention, and data collection in this population.

Indexed as

Anemia, Sickle CellData CollectionPain ManagementRelaxation TherapyAdolescentAdultAgedFemaleHumansInternetInternet-Based InterventionMaleMiddle AgedQualitative ResearchGuided relaxation interventionLongitudinal studyPatient recruitmentRandomized controlled trialSickle cell disease

Identifiers

PMID40180881
PMCPMC12329658

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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.