N/A
N=51
Positive Psychology for Chronic Pain Self-management
Chronic Pain
Bottom Line
View on ClinicalTrials.gov: NCT04321239 ↗Enrolled (actual)
51
Serious AEs
3.9%
Results posted
Nov 2021
Primary outcome: Primary: Change in Pain Interference — -3.82; .32 T-score
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Positive STEPS (Behavioral)
- Age
- Adult, Older Adult · 60+ yrs
- Sex
- All
- Sponsor
- University of Michigan
- Primary completion
- Dec 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Pain Interference |
-3.82; .32 | — |
| PRIMARY Change in Self-reported Physical Functioning |
43.7; 40.9 | — |
| SECONDARY Participant Global Impression of Change--Pain |
6.1; 4.4 | — |
| SECONDARY Change in Pain Self-efficacy |
.36; -.16 | — |
| SECONDARY Change in Social Participation |
.11; .17 | — |
| SECONDARY Change in Resilience |
.10; -.02 | — |
| SECONDARY Participant Global Impression of Change - Functioning |
6.4; 4.6 | — |
Summary
Learning chronic pain self-management skills can help patients improve daily functioning and quality of life, while avoiding risks associated with opioids and other pharmacological treatments. Community health workers (CHWs) may help make chronic pain self-management interventions more accessible to older adults living in underserved communities. The goal of this study is to conduct a randomized pilot and feasibility trial of a positive psychology-based chronic pain self-management intervention delivered by CHWs, in conjunction with mobile health tools, in a sample of 50 older adults recruited from community sites in Detroit, Michigan. This study will involve the use of mixed quantitative and qualitative methods to assess participant engagement and satisfaction, and change in pain-related outcomes.
Eligibility Criteria
Inclusion Criteria
- English-proficient
- Ambulatory with or without assistive device
- Community-living
- Have a cell or landline phone
- Have Internet access (home or elsewhere);
- Self-reported chronic musculoskeletal pain (pain in muscles or joints for > 3 months); >4 (0-10 scale) average pain level over last week; >1 day/previous 30 when pain made it difficult to do usual activities.
Exclusion Criteria
- Serious acute illness or hospitalization in last month
- Planned surgery in next three months
- Severe cognitive impairment or other severe physical or psychiatric disorder judged by study team to pose significant barrier to deriving program benefit
Data sourced from ClinicalTrials.gov (NCT04321239). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.