Evidence map›Paper›PMID 38689119›Full record

Trial reportJournal of general internal medicine2024

Natural Product Use Among Veterans with Chronic Pain: A Qualitative Study of Attitudes and Communication with Healthcare Providers.

Liliana Celesia Moore, Nicole A Woodruff, Karen H Seal, Termeh Feinberg, Natalie Purcell

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04330365 (Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans), which is not on this 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
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.

NCT04330365 nacompletednot on this map

Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans

TypeinterventionalSponsorSan Francisco Veterans Affairs Medical CenterRan2020 to 2025Enrolled793ConditionsChronic PainArmsWhole Health Team (WHT) Intervention Arm, Primary Care Group Education (PC-GE) Intervention Arm, Usual Primary Care (UPC) Arm
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Liliana Celesia MooreIntegrative Health Service, San Francisco VA Health Care System, San Francisco, CA, USA. Liliana.moore@va.gov.ORCID 0000-0002-2391-5647
Nicole A WoodruffIntegrative Health Service, San Francisco VA Health Care System, San Francisco, CA, USA.
Karen H SealIntegrative Health Service, San Francisco VA Health Care System, San Francisco, CA, USA.
Termeh FeinbergDepartment of Biostatistics, Yale University School of Public Health, New Haven, CT, USA.
Natalie PurcellIntegrative Health Service, San Francisco VA Health Care System, San Francisco, CA, USA.

Funding

Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Function and Quality of Life in VeteransUH3AT009765 · NCCIH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI BECKER, WILLIAM C, SEAL, KAREN H · 2020 to 2024
$6.9M
Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Functioning, and Quality of Life in VeteransUG3AT009765 · NCCIH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI BECKER, WILLIAM C, SEAL, KAREN H · 2017 to 2018
$1.5M
NCCIH NIH HHS U24 AT009769NCCIH NIH HHS UG3 AT009765NCCIH NIH HHS UH3 AT009765
6 · The paper itself

Abstract

backgroundDespite mixed evidence regarding the safety and efficacy of natural products, many are marketed for pain and related symptoms. Use of these products is prevalent among veterans, who have disproportionately high rates of chronic pain. To date, however, there is limited research on veterans' beliefs and attitudes about natural products and their communication with healthcare providers about their natural product use.

objectiveTo explore how veterans experiencing chronic pain make decisions about natural product use, to investigate veterans' beliefs about the safety and efficacy of these products, and to examine veterans' experiences discussing natural products with their providers.

designQualitative sub-study conducted as a supplement to a pragmatic randomized controlled trial for chronic pain management.

participantsTwenty veterans experiencing chronic pain who reported using natural products for pain management or related health concerns. APPROACH: Qualitative interviews with veterans were conducted over the phone and audio-recorded. Interviews were guided by an original semi-structured interview guide and qualitative data were analyzed using a template-based rapid analysis technique. KEY

resultsVeterans with chronic pain may perceive natural products as safer than pharmaceutical products and may prefer to use natural products. Talking with providers about natural products is important to veterans, who would like information regarding the safety and potential for interaction of natural products with pharmaceutical products. However, veterans were frequently disappointed with these conversations. Veterans felt their providers demonstrated biases against natural products, which negatively impacted patient-provider relationships.

conclusionsVeterans wish to have more productive conversations with providers about natural products. They value providers' open-mindedness towards natural products and transparency about limitations in their knowledge. Suggestions for how providers and healthcare systems might better support veterans interested in natural products are discussed.

Indexed as

Biological ProductsChronic PainQualitative ResearchVeteransAdultAgedCommunicationFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansMaleMiddle AgedPain ManagementProfessional-Patient RelationsBiological Productschronic paincomplementary and integrative healthdietary supplementsnatural productsveterans

Identifiers

PMID38689119
PMCPMC11347536

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.