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
CPMPCognitive behavioral treatment + preventive physical therapy
Cognitive Behavioral TherapyNOS
Usual careNOS

Arm Details

1. Is the program practice-based or system-based?
CPMP
Cognitive Behavioral Therapy
Usual care
2. How many patients were randomized to this treatment arm?
CPMP
Cognitive Behavioral Therapy
Usual care
3. Program duration (weeks)
Please report the duration of the program in weeks and include "weeks" in the text box.
CPMP
Cognitive Behavioral Therapy
Usual care
4. Number of sessions per week
Report as X sessions/week
CPMP
Cognitive Behavioral Therapy
Usual care
5. Was the program conducted in the inpatient or outpatient setting?
Select one.
CPMP
Cognitive Behavioral Therapy
Usual care
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
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
Cognitive Behavioral Therapy
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
Usual care
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
Cognitive Behavioral Therapy
Usual care
8. Additional components of the intervention
CPMP
Cognitive Behavioral Therapy
Usual care
9. Description of care coordination/collaboration
CPMP
Cognitive Behavioral Therapy
Usual care

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainAverage pain last week
  • All Participants
  • Baseline
  • 12 months
ContinuousPainAverage pain last 3 months
  • All Participants
  • Baseline
  • 12 months
ContinuousPainWorst pain last 3 months
  • All Participants
  • Baseline
  • 12 months
ContinuousPainPain-free days in last week
  • All Participants
  • Baseline
  • 12 months
ContinuousFunctionActivities of Daily Living
  • All Participants
  • Baseline
  • 12 months
ContinuousFunctionRoland Morris Disability Questionnaire
  • All Participants
  • Baseline
  • 12 months
ContinuousQOLHADS Anxiety
  • All Participants
  • Baseline
  • 12 months
ContinuousQOLHADS Depression
  • All Participants
  • Baseline
  • 12 months
ContinuousQOLPain catastrophizing scale
  • All Participants
  • Baseline
  • 12 months
ContinuousQOLTampa Scale of Kinesiophobia
  • All Participants
  • Baseline
  • 12 months
CategoricalAdverse eventsAdverse events/harms
  • All Participants
  • Baseline
ContinuousProgram-related OutcomesDays of medicine consumption
  • All Participants
  • Baseline
  • 12 months
ContinuousProgram-related OutcomesMean number of health care visits for spinal pain during the past year for each of the groups
  • All Participants
  • Baseline
  • 12 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

Categorical


Adverse events (Adverse events/harms)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Continuous


Pain (Average pain last week)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Pain (Average pain last 3 months)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Pain (Worst pain last 3 months)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Pain (Pain-free days in last week)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Function (Activities of Daily Living)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Function (Roland Morris Disability Questionnaire )

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

QOL (HADS Anxiety)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

QOL (HADS Depression)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

QOL (Pain catastrophizing scale)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

QOL (Tampa Scale of Kinesiophobia)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Program-related Outcomes (Days of medicine consumption)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI low
95% CI high (MD)
95% CI high
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care

Program-related Outcomes (Mean number of health care visits for spinal pain during the past year for each of the groups)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMPCognitive Behavioral TherapyUsual care
Baseline
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
12 months
Total (N analyzed)
Mean Difference (MD)
Mean
95% CI low (MD)
95% CI high (MD)
SD (MD)
p value (MD)
Within Arm ComparisonsNet Comparisons
CPMPCognitive Behavioral TherapyUsual care