Extraction form for project: IPMP (Integrated Pain Management Programs)

Design Details

1. What type of program does the study assess (IPMP or CPMP)?
Integrated Pain Management Program (IPMP): Based in, integrated with, coordinated by primary care. Comprehensive Pain Management Program (CPMP): Referral based and separate from primary care.
2. In what country was the study conducted?
List all applicable countries.
3. What study design was used?
Please select the appropriate study design for the study. If the study design is not listed, you may add the appropriate study design.
4. Mean age
Report across all patients included in relevant study arms. Round to whole number. Include the word "years" after reporting the mean age.
5. % male
Report across all patients included in relevant study arms. Round to whole number. Include "%" symbol.
6. % Non-white
Report across all patients included in relevant study arms. Round to whole number. Include "%" symbol. If not reported, put NR.
7. Mean duration of pain or symptoms
Report across all patients included in relevant study arms. Round to whole number. Report duration in terms of months. If not reported, put NR.
8. Pain etiology/type
9. Disability
Disability can be measured in several ways. For example, authors may report the percent of patients receiving disability payments or they may report the mean score of a continuous disability scale such as the Pain Disability Index. Either are appropriate here, just be explicit about what is being reported.
10. Comorbidities
Extract the percent of patients with relevant comorbidities. Round percentages to whole numbers. If not reported, put NR.
% Depression diagnosis
% Anxiety diagnosis
% PTSD disagnosis
% Overweight or obese
% w/ Substance Use Disorder
% Smokers
% Suicidal
11. Randomized, Analyzed, and Attrition (at longest followup point)
For attrition report as: % (n/N)
Randomized
Analyzed
Attrition
12. How was the study funded?
13. Notes and comments

Arms

Arm NameArm Description
CPMP - Pain AvoidanceComprehensive Pain Management Program tailored to pain avoidance treatment
CPMP - Pain PersistenceComprehensive Pain Management Program tailored to pain persistence treatment
Waitlist - Pain AvoidanceWaitlist control for pain avoidance treatment
Waitlist - Pain PersistenceWaitlist control for pain persistence treatment

Arm Details

1. Is the program practice-based or system-based?
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
2. How many patients were randomized to this treatment arm?
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
3. Program duration (weeks)
Please report the duration of the program in weeks and include "weeks" in the text box.
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
4. Number of sessions per week
Report as X sessions/week
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
5. Was the program conducted in the inpatient or outpatient setting?
Select one.
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
6. Physical Functioning/Reconditioning & Psychological and Mental Health Components of Intervention
For treatment providers, you may write-in any options that are needed that are not already presented. For duration of treatment report as "X sessions per week over X weeks", when possible. For anything not reported, put NR.
CPMP - Pain Avoidance
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
CPMP - Pain Persistence
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
Waitlist - Pain Avoidance
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
Waitlist - Pain Persistence
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
7. Medication Review and/or Management Components of Intervention
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
8. Additional components of the intervention
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence
9. Description of care coordination/collaboration
CPMP - Pain Avoidance
CPMP - Pain Persistence
Waitlist - Pain Avoidance
Waitlist - Pain Persistence

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainImpact of Rheumatic Diseases on General Health and Lifestyle instrument - Pain scale
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousDisabilityImpact of Rheumatic Diseases on General Health and Lifestyle instrument - Disability scale
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousDisabilityFibromyalgia Impact Questionnaire
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousDepressionImpact of Rheumatic Diseases on General Health and Lifestyle instrument - Negative Mood scale
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousAnxietyImpact of Rheumatic Diseases on General Health and Lifestyle instrument - Anxiety scale
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousFunctionShuttle walk test
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousFunctionShuttle walk test - perceived exertion
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousFunctionTimed Cycle test
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months
ContinuousFunctionTimed Cycle test - perceived exertion
  • All Participants
  • Baseline
  • Immediately Post-intervention
  • 3 months

Outcome Details

N/A

Risk of Bias Assessment

1. Randomization adequate?
Rating
2. Allocation concealment adequate?
Rating
3. Groups similar at baseline?
Rating
4. Outcome assessors masked?
Rating
5. Care providers masked?
Rating
6. Patient masked?
Rating
7. Reporting of attrition, crossovers, adherence, and contamination?
Rating
8. Loss to followup acceptable?
Overall ≤20%?
Difference between groups <10%?
9. Intention-to-treat (ITT) analysis?
Overall ≤20%?
10. Outcomes prespecified?
Overall ≤20%?
11. Quality determination
Overall ≤20%?

Results

Continuous


Pain (Impact of Rheumatic Diseases on General Health and Lifestyle instrument - Pain scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Disability (Impact of Rheumatic Diseases on General Health and Lifestyle instrument - Disability scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Disability (Fibromyalgia Impact Questionnaire)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Depression (Impact of Rheumatic Diseases on General Health and Lifestyle instrument - Negative Mood scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Anxiety (Impact of Rheumatic Diseases on General Health and Lifestyle instrument - Anxiety scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Function (Shuttle walk test)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Function (Shuttle walk test - perceived exertion)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Function (Timed Cycle test)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence

Function (Timed Cycle test - perceived exertion)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Immediately Post-intervention
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
3 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
SD
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMP - Pain AvoidanceCPMP - Pain PersistenceWaitlist - Pain AvoidanceWaitlist - Pain Persistence