Evidence map›Paper›PMID 41326265›Full record

ArticleContemporary clinical trials2025

Protocol for a hybrid type 1 effectiveness-implementation trial of a mind-body activity program for older adults with chronic pain in a medically underserved area: The iHOPE study.

Clara Vonderheide, Courtney Kilduff, Katherine A McDermott, Jonathan Greenberg, Danielle E La Camera, Natalia Giraldo-Santiago, Andrea Kurkul, Nicolás Alvarez-Frank, Yoojee Kim, Roger Pasinski and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06119698 (Randomized, Hybrid Type 1 Effectiveness-implementation Trial of GetActive+ vs Treatment as Usual; iHOPE Study), 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.

NCT06119698 narecruitingnot on this map

Randomized, Hybrid Type 1 Effectiveness-implementation Trial of GetActive+ vs Treatment as Usual; iHOPE Study

TypeinterventionalSponsorMassachusetts General HospitalRan2024 to 2027Enrolled200ConditionsChronic Pain, Musculoskeletal PainArmsGetActive+
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

14 authors.

Clara VonderheideCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Courtney KilduffCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Katherine A McDermottCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Jonathan GreenbergCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Danielle E La CameraCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Natalia Giraldo-SantiagoCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Andrea KurkulCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Nicolás Alvarez-FrankFrances L. Hiatt School of Psychology, Clark University, Worcester, MA, USA.
Yoojee KimCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Roger PasinskiMassachusetts General Hospital Revere HealthCare Center, Revere, MA, USA.
Milton GholstonMassachusetts General Hospital Revere HealthCare Center, Revere, MA, USA.
iHOPE Study Team
Christine S RitchieHarvard Medical School, Boston, MA, USA; Center for Aging and Serious Illness, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: avranceanu@mgh.harvard.edu.

Funding

Addressing the chronic pain epidemic among older adults in underserved community center; The GetActive+ study.R33AG081034 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI RITCHIE, CHRISTINE S, VRANCEANU, ANA-MARIA · 2024 to 2024
$3.5M
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
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 AT012789NIA NIH HHS R33 AG081034NIA NIH HHS R61 AG081034
6 · The paper itself

Abstract

backgroundOlder adults in medically underserved areas (MUAs) are disproportionately affected by chronic musculoskeletal pain but lack access to safe, evidence-based psychosocial treatments. Staff at community clinics, where many disadvantaged older adults receive care, must manage complex pain needs and comorbidities with limited time and resources. Shared medical visits integrate medical care, education, and peer support, offering a feasible, scalable solution to overcome barriers associated with chronic pain management in primary care. We previously developed GetActive+, an intervention delivered through shared medical visits at a community clinic to teach mind-body and activity skills to older adults with chronic pain. Here, we describe the protocol for a fully powered hybrid type 1 effectiveness-implementation randomized controlled trial (RCT) comparing GetActive+ to treatment as usual (TAU).

methodsWe will recruit 200 English and Spanish-speaking older adult patients from two Massachusetts community clinics located in an MUA. We will assess multimodal physical function and psychosocial outcomes at baseline, post-intervention (11 weeks), and follow-up (6 months). Effectiveness will be determined by improvements in self-reported physical function post-intervention compared to TAU. Using mixed methods, we will assess implementation outcomes (feasibility, acceptability, fidelity, and adoption) at patient, provider, and organizational levels.

resultsThe trial is ongoing. We have enrolled 54 older adults, 21 of whom have completed post-intervention assessments.

conclusionWe describe the implementation and evaluation of a mind-body activity intervention for older adults with chronic pain using shared medical visits. Results will inform subsequent implementation and dissemination efforts of GetActive+ in community clinics across the United States. CLINICAL TRIALS REGISTRATION NUMBER: NCT06119698.

Indexed as

Chronic PainMind-Body TherapiesAgedFemaleHumansMaleMassachusettsMedically Underserved AreaPrimary Health CareRandomized Controlled Trials as TopicChronic painEnglish and Spanish-speakingMedically underservedMind-bodyOlder adultsPhysical function

Identifiers

PMID41326265
PMCPMC12714306

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.