Evidence map›Paper›PMID 40205557›Full record

ArticlePilot and feasibility studies2025

Determining the feasibility and acceptability of a randomized telehealth pilot study for veterans with chronic multisymptom illness.

Charity B Breneman, Kamila Pollin, Timothy Chun, Lucas Crock, Walter Jachimowicz, Rebecca A McCullers, Ryan C Brewster, Adil Alaoui, Anas Belouali, Michael J Roy and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04164667 (Enhancing Executive Function and Self-regulation Success Through the Promotion of Brain Health Behaviors), which is not on this 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.

NCT04164667 nacompletednot on this map

Enhancing Executive Function and Self-regulation Success Through the Promotion of Brain Health Behaviors: a Telehealth Pilot Study for Veterans with Chronic Multi-symptom Illness.

TypeinterventionalSponsorWar Related Illness and Injury Study CenterRan2017 to 2021Enrolled24ConditionsChronic Multisymptom IllnessArmsMental and physical (MAP) training intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

12 authors.

Charity B BrenemanHenry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720A Rockledge Dr, Bethesda, MD, 20817, USA.
Kamila PollinDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA.
Timothy ChunDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA.
Lucas CrockDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA.
Walter JachimowiczHenry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720A Rockledge Dr, Bethesda, MD, 20817, USA.
Rebecca A McCullersDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA.
Ryan C BrewsterDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA.
Adil AlaouiInnovation Center for Biomedical Informatics (ICBI), Georgetown University Medical Center, 2115 Wisconsin Ave NW, Washington, DC, 20007, USA.
Anas BeloualiInnovation Center for Biomedical Informatics (ICBI), Georgetown University Medical Center, 2115 Wisconsin Ave NW, Washington, DC, 20007, USA.
Michael J RoyDepartment of Medicine and Military Traumatic Brain Injury Initiative, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.
Matthew J ReinhardDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA.
Michelle E CostanzoDepartment of Veterans Affairs, War-Related Illness and Injury Study Center (WRIISC), 50 Irving St NW, Washington, DC, 20422, USA. Michelle.Costanzo@va.gov.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shift toward a patient-centered and whole health care model offers a promising approach for the management of symptoms among veterans with chronic multisymptom illness (CMI). A behavioral intervention aimed at reducing cognitive control dysregulation which is a component of impairments common among veterans with CMI may be helpful. Therefore, a pilot study was conducted to explore the feasibility, safety, and acceptability of a telehealth mental and physical (MAP) training intervention among veterans with CMI.

methodsUtilizing a two-arm randomized trial, participants were either randomized to 8 weeks of a directed MAP training protocol (dMAP) that received weekly guidance via text messaging or 8 weeks of self-guided MAP training (sgMAP) which did not receive guidance aside from the intervention goals. The MAP intervention was the same for both groups except for the delivery and consisted of two MAP training sessions and one telephone health coaching session per week. The primary aim of the study was to evaluate the feasibility (e.g., recruitment, retention, and adherence rates; amount of missing data), safety (e.g., adverse events), and acceptability (e.g., satisfaction) of a telehealth MAP intervention.

resultsOut of 44 potentially eligible veterans, 26 were randomized to either the dMAP group (n = 13) or the sgMAP group (n = 13), resulting in a recruitment rate of 59% (26/44 patients). Two participants withdrew after randomization, resulting in 24 participants used for analyses. The retention rates at endpoint and 3-month follow-up were 79.2% (19/24; dMAP:sgMAP = 9:10) and 62.5% (15/24; dMAP:sgMAP = 7:8), respectively. Participants completed an average of 48.2% of the MAP sessions (7.7/16 sessions; dMAP:sgMAP = 7.9:7.5 sessions) and 82.8% of the health coaching sessions (6.6/8 sessions; dMAP:sgMAP = 7.2:6.2 sessions). Missing data was minimal, and no adverse events related to the study were reported. Acceptability was high as veterans were satisfied with the wearables and valued the health coaching support.

conclusionsThis pilot study provides insights into the feasibility of a large-scale randomized control trial that promotes meditation and physical activity to augment cognitive control to facilitate self-regulation. Future efforts should expand recruitment strategies and add internal data quality monitoring.

trial registrationNCT04164667, retrospectively registered November 12, 2019, https://clinicaltrials.gov/study/NCT04164667.

Indexed as

ExerciseHealth coachingMeditationTelehealthVeterans

Identifiers

PMID40205557
PMCPMC11983819

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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.