Evidence map›Paper›PMID 34487167›Full record

Trial reportThe Gerontologist2022

Feasibility Randomized Controlled Trial of a Mind-Body Activity Program for Older Adults With Chronic Pain and Cognitive Decline: The Virtual "Active Brains" Study.

James D Doorley, Ryan A Mace, Paula J Popok, Victoria A Grunberg, Anya Ragnhildstveit, Ana-Maria Vranceanu

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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.

NCT04044183 nacompletednot on this map

Active Brains: Managing Pain and Cognitions in Older Adults With Mild Cognitive Impairment (MCI) or Memory Related Problems (MRP) and Chronic Pain

TypeinterventionalSponsorMassachusetts General HospitalRan2019 to 2021Enrolled21ConditionsChronic Pain, Mild Cognitive Impairment, Older Adults, Physical ActivityArmsActive Brains 1, Active Brains 2
NCT05373745 nacompletednot on this map

Addressing the Chronic Pain-Early Cognitive Decline Comorbidity Among Older Adults; The Active Brains Study

TypeinterventionalSponsorMassachusetts General HospitalRan2022 to 2026Enrolled267ConditionsChronic Pain, Mild Cognitive Impairment, Older Adults, Physical ActivityArmsActive Brains 1, Active Brains 2
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

James D DoorleyIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, USA.
Ryan A MaceIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, USA.
Paula J PopokIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, USA.
Victoria A GrunbergIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, USA.
Anya RagnhildstveitIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, USA.
Ana-Maria VranceanuIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, USA.ORCID 0000-0003-3994-6488

Funding

Integrating Mind Body Skills with Physical Activity to Improve Pain Outcomes in Patients with Heterogeneous Chronic Pain ConditionsR34AT009356 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI VRANCEANU, ANA-MARIA · 2017 to 2019
$1.2M
NCCIH NIH HHS R34 AT009356
6 · The paper itself

Abstract

BACKGROUND AND

objectivesChronic pain (CP) and cognitive decline (CD) are highly comorbid and debilitating among older adults. We iteratively developed Active Brains-Fitbit (AB-F), a group mind-body activity program aided by a Fitbit that is feasible and associated with improvements in physical, cognitive, and emotional functioning when delivered in-person to older adults with CP and CD. We adapted our intervention and methodology for remote delivery to bypass barriers to participation. Here we report on a feasibility randomized controlled trial of the virtual AB-F versus a Health Enhancement Program (HEP) educational control followed by qualitative exit interviews. RESEARCH DESIGN AND

methodsOlder adults (aged ≥60) with CP and CD (2 cohorts) completed 8 weeks of AB-F (n = 8) or HEP (n = 11). Study procedures were fully remote via live video. Quantitative analyses explored feasibility and acceptability markers and within-group improvements in outcomes. Qualitative analyses were primarily deductive using the Framework Method.

resultsAB-F met a priori set feasibility benchmarks, similar to our in-person pilot. Participation in AB-F was associated with preliminary signals of improvement in multimodal physical function, emotional function (anxiety), cognitive function, pain intensity, and coping (e.g., pain self-efficacy, catastrophizing). Participation in HEP was associated with smaller or negligible improvements. Exit interviews confirmed feasibility and satisfaction with our completely remote interventions and methodology. DISCUSSION AND IMPLICATIONS: Results provide evidence for the feasibility of our completely remote study and for initial markers of improvement after AB-F. The results will inform a fully powered remote efficacy trial. CLINICAL

trial registrationNCT04044183.

Indexed as

Chronic PainCognitive DysfunctionAgedBrainFeasibility StudiesHumansPain MeasurementChronic illnessChronic painCognitive declineMind–bodyPhysical activity

Identifiers

PMID34487167
PMCPMC9372888

What Socratic holds

Textmetadata
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 Socratic graph.