Therapeutic Interactive Voice Response enhanced CBT gains in chronic painCommentary
Bibliographic record
Abstract
M R Naylor Dr M R Naylor, University of Vermont College of Medicine, Burlington, VT, USA; magdalena.naylor@vtmednet.org In patients with chronic pain who have completed a pain coping skills programme, does Therapeutic Interactive Voice Response (TIVR) enhance maintenance of treatment gains? ### Design: randomised controlled trial. ### Allocation: unclear allocation concealment. ### Blinding: unblinded. ### Follow-up period: 8 months. ### Setting: university hospital in Vermont, USA. ### Patients: 55 patients ⩾18 years of age (mean age 46 y, 84% women) who had chronic musculoskeletal pain for ⩾6 months with severity scores ⩾4 out of 10 and had completed 11 weeks of group cognitive–behavioural therapy (CBT) for pain management. Exclusion criteria included cancer-related pain, awaiting surgery, mental illness, and cognitive or hearing impairment. ### Intervention: TIVR for 4 months plus usual care …
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".