Trial reportThe journal of pain2026
Effect of self-management interventions on high impact chronic pain prevalence.
Michael VonKorff, Robert D Wellman, Francis J Keefe, Andrea J Cook, Meghan Mayhew, Christine Rini, Benjamin H Balderson, Lynn L DeBar
Abstract readRandomized Controlled Trial
In one paragraphTrial report in The journal of pain, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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 registryThe 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 literatureWho cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
4 · The recordCorrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
5 · Who and what moneyAuthors and funding
8 authors.
Michael VonKorffKaiser Permanente Washington Health Research Institute, United States. Electronic address: Vonkorff.m@gmail.com.
Robert D WellmanKaiser Permanente Washington Health Research Institute, United States.
Francis J KeefeDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, United States.
Andrea J CookKaiser Permanente Washington Health Research Institute, United States.
Meghan MayhewKaiser Permanente Center for Health Research, United States.
Christine RiniDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine and, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, United States.
Benjamin H BaldersonKaiser Permanente Washington Health Research Institute, United States.
Lynn L DeBarKaiser Permanente Center for Health Research, United States.
Funding
COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., BERNARD, GORDON RAPHAEL · 2016 to 2022
$177.0MUtah Trial Innovation CenterU24TR001597 · NCATS · UNIVERSITY OF UTAH · PI DEAN, JONATHAN MICHAEL · 2016 to 2022
$39.6MJohns Hopkins-Tufts Trial Innovation Center HEAL Pain ERN SupplementU24TR001609 · NCATS · JOHNS HOPKINS UNIVERSITY · PI HANLEY, DANIEL F · 2016 to 2022
$36.3MImproving Clinical trial Education, Recruitment, and Enrollment at CTSA Hubs (I-CERCH) - HEAL SupplementU24TR001579 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARRIS, PAUL A., WILKINS, CONSUELO HOPKINS · 2016 to 2022
$34.1MHEAL Sickle Cell and CDE SupplementU24TR004315 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI DWYER, JAMIE P., SWARD, KATHERINE ANN · 2022 to 2025
$13.8MTailored Non-Pharmacotherapy Services for Chronic Pain: Testing Scalable and Pragmatic Approaches - Admin SupplementUH3AG067493 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L. · 2020 to 2023
$11.9MHEAL Clinical Coordinating Resource Center for the Pain Management Effectiveness Research NetworkU24TR004314 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., GREENBERG, RACHEL G · 2022 to 2025
$10.8MJohns Hopkins Statistical and Safety Resource Center-HEAL PAIN ERNU24TR004316 · NCATS · JOHNS HOPKINS UNIVERSITY · PI HANLEY, DANIEL F · 2022 to 2025
$7.2MSTEPS: Supporting Trials for Effective Pain SolutionsU24TR004317 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARRIS, PAUL A., WILKINS, CONSUELO HOPKINS · 2022 to 2025
$4.0MTailored Non-Pharmacotherapy Services for Chronic Pain: Testing Scalable and Pragmatic ApproachesUG3AG067493 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L. · 2019 to 2019
$1.3MNCATS NIH HHS U24 TR001579NCATS NIH HHS U24 TR001597NCATS NIH HHS U24 TR001608NCATS NIH HHS U24 TR001609NCATS NIH HHS U24 TR004314NCATS NIH HHS U24 TR004315NCATS NIH HHS U24 TR004316NCATS NIH HHS U24 TR004317NIA NIH HHS UG3 AG067493NIA NIH HHS UH3 AG067493
6 · The paper itselfAbstract
Among persons with High Impact Chronic Pain (HICP), we assessed the impact of cognitive behaviorally-based self-management interventions on sustained HICP and on favorable chronic pain outcomes (mild or discontinued chronic pain). Adults with HICP (N=2331) were randomly assigned to: a remote 8-session Health Coach intervention; an 8-session self-completed on-line painTRAINER program; or to Usual Care Plus educational materials. Participants were re-assessed at 3, 6 and 12 months. At 3 months, favorable chronic pain outcomes were somewhat more common among intervention participants than controls, but rates of sustained HICP were similar across all three study groups. At 6 and 12 months, over 40% of intervention participants reported favorable chronic pain outcomes compared to about 30% of Usual Care Plus participants. At 6 and 12 months, 36-42% of intervention participants had sustained HICP, compared to 50-52% of Usual Care Plus participants. At 3 months, relative risk confidence intervals for sustained HICP for the two intervention groups (compared to Usual Care Plus) included 1.0 indicating differences within chance expectation. At 3 months, relative risks of favorable chronic pain outcomes were 1.43 for painTRAINER and 1.39 for Health Coach interventions, compared to Usual Care Plus. At 6 and 12 months, relative risks for sustained HICP were about 0.8 for painTRAINER and Health Coach participants (compared to Usual Care Plus), while relative risks of a favorable chronic pain outcome were 1.24-1.44. Among participants with HICP, self-management interventions modestly reduced rates of sustained HICP and increased favorable chronic pain outcomes.
Indexed as
Chronic PainCognitive Behavioral TherapySelf-ManagementAdultAgedFemaleHumansMaleMiddle AgedPrevalenceChronic painCognitive-BehavioralOn-lineRandomized Controlled TrialSelf-management
Identifiers
PMID42259424
PMCPMC13290429
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