Evidence map›Paper›PMID 41944169›Full record

Trial reportPain management2026

Baseline characteristics of Veterans from improving Veteran access to integrated management of back pain (AIM-Back) - an embedded pragmatic, cluster-randomized trial in the United States.

Steven Z George, Courtni France, Cynthia J Coffman, Kelli D Allen, Trevor A Lentz, Rebecca North, Ashley Choate, Adam P Goode, Corey B Simon, Janet M Grubber and 10 more

Registry-linked trialAbstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pain management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04411420 (Improving Veteran Access to Integrated Management of Back Pain), which is not on this 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.

NCT04411420 nacompletednot on this map

Improving Veteran Access to Integrated Management of Back Pain: A Pragmatic, Cluster Randomized Trial

TypeinterventionalSponsorDuke UniversityRan2021 to 2025Enrolled1,817ConditionsLow Back Pain, Veterans FamilyArmsPain modulation with physical pain treatment, Telephone delivered self-management counseling for increasing physical activity, Telephone delivered behavioral treatment for participants with high risk for continued disability, Patient preference treatment protocol, Nonpharmacological guideline adherent treatment protocol
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Steven Z GeorgeDuke Clinical Research Institute and Department of Population Health Sciences, Duke University, Durham, NC, USA.
Courtni FranceCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Cynthia J CoffmanCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Kelli D AllenCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Trevor A LentzDuke Clinical Research Institute and Department of Population Health Sciences, Duke University, Durham, NC, USA.
Rebecca NorthCenter for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA.
Ashley ChoateCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Adam P GoodeDuke Clinical Research Institute and Department of Population Health Sciences, Duke University, Durham, NC, USA.
Corey B SimonDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Janet M GrubberCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Heather KingCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Chad E CookDuke Clinical Research Institute and Department of Population Health Sciences, Duke University, Durham, NC, USA.
Francis J KeefeDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.
Lindsay A BallengeeCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Jennifer NaylorMental Illness Research, Education and Clinical Centers (MIRECC), Durham Veterans Affairs Health Care System, Duke University, Durham, NC, USA.
Joseph Leo BrothersDuke Clinical Research Institute and Department of Population Health Sciences, Duke University, Durham, NC, USA.
Catherine StanwyckCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
Travis LintonDepartment of Rehabilitation Services, Duke University, Durham, NC, USA.
Christa TumminelloCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.
S Nicole HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Healthcare System, Health Services Research, Durham, NC, USA.

Funding

Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Improving Veteran Access To Integrated Management of Chronic Back PainUG3AT009790 · NCCIH · DUKE UNIVERSITY · PI GEORGE, STEVEN Z, HASTINGS, SUSAN NICOLE · 2017 to 2019
$1.9M
NCCIH NIH HHS U24 AT009769NCCIH NIH HHS UG3 AT009790
6 · The paper itself

Abstract

objectiveDescribe baseline characteristics and representativeness of AIM-Back trial participants relative to Veterans with low back pain at participating clinics.

methodsVeterans were referred to AIM-Back randomized care pathways and included 1) enrolled participants with data collected in the Electronic Health Record (EHR) by clinical staff with no consent required and 2) survey participants who provided informed consent with data collected via surveys by research staff. Descriptive statistics were reported. Participation to prevalence ratios (PPRs) were calculated for sex, age, race, and ethnicity by clinic to describe representativeness.

resultsAcross 17 primary care clinics, the Referral cohort included 2767 unique Veterans with

conclusionsThese findings provide detailed insights for participants that will be included in future analyses of care pathway effectiveness.

trial registrationNCT04411420.

Indexed as

Back PainHealth Services AccessibilityLow Back PainPain ManagementVeteransAdultAgedFemaleHumansMaleMiddle AgedUnited Statescare modelscare pathwayschronic low back painNon-pharmacologic pain managementparticipation prevalence ratioVeteran Health Administration

Identifiers

PMID41944169
PMCPMC13112462

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.