Partners for Pain & Wellbeing Equity: A Randomized Trial of Community Supported Complementary and Integrative Health Self-management for Back Pain

Not Applicable

Completed

Conditions: Neck Pain
Chronic Pain
Low Back Pain

Interventions: Other: Partners4Pain program
Other: Key to Wellbeing program

Registration Number: NCT05786508

Lead Sponsor: University of Minnesota

Brief Summary: The focus of this project is on developing and optimizing community-based programs for the self-management of back or neck pain for individuals from populations that experience health disparities (BP-PEHD). Community-engaged research approach will be used to conduct quality improvement activities that involves gathering feedback from multiple stakeholders to inform development of the study interventions and materials which will be followed by a randomized pilot study to evaluate feasibility.

Supported by the National Center for Complementary and Integrative Health through the National Institutes of Health's HEAL initiative (https://heal.nih.gov/)"

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 51

Inclusion Criteria

Provide a signed and dated informed consent form
State willingness to comply with all study procedures outlined in the consent form
Be 18 years of age or older
Have self-reported chronic back pain (defined as pain in the low or mid back, or neck pain) which has lasted for 3 months or longer
Have a score of 3 or higher on the self-reported Pain, Enjoyment of Life and General Activity (PEG) scale (0 to 10)
Be a member of one or more of the following NIH-designated health disparity populations: American Indian/Alaska Native, Asian, Black/African American, Hispanic/Latino, Native Hawaiian/Pacific Islanders, Socioeconomically disadvantaged (annual household income less than $50,000)

Exclusion Criteria

Hospitalization for severe mental illness in past six months because the mindfulness and behavioral mind-body practices (e.g., meditation, progressive muscle relaxation, etc.) in the experimental intervention may aggravate symptoms of severe mental illness
Active psychotic symptoms, suicidal ideation, or manic episodes in the past three months for the same reasons noted in #1
Self-reported cancer with active treatment involving radiation or chemotherapy due to the potential for complications of their back or neck pain and impact on health outcomes
Dementia - Mini Mental State Exam score of 23 or lower for those with suspicion of cognitive impairment due to safety risks (e.g., not being able to follow directions for safe physical exercise)
Self-reported pregnancy due to the fact that back pain is often associated with pregnancy and differs from non-pregnancy related back pain and thus might have different impacts on health outcomes
Children under the age of 18

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Partners4Pain program	Partners4Pain program	adults with chronic neck or back pain from populations that experience health disparities due to race/ethnicity or socioeconomic status
Key to Wellbeing program	Key to Wellbeing program	adults with chronic neck or back pain from populations that experience health disparities due to race/ethnicity or socioeconomic status

Primary Outcome Measures

Name	Time	Method
Data Collection Feasibility: Completion of Self-reported Outcomes	2 months	Demonstrate the ability to collect study data by: 80% or more of randomized participants complete follow up at 2 months (end of the study)
Recruitment Feasibility: # of Enrolled Participants	2 months	Demonstrate the ability to recruit and retain subjects in the clinical study as follows: Randomize at least 30 participants
Recruitment Feasibility: % of Enrolled Participants From NIH-defined Racial or Ethnic Disparity Groups	2 months	Demonstrate the ability to recruit and retain subjects in the clinical study as follows: 75% or more of randomized participants are from NIH-defined racial/ethnic health disparity groups;
Participant Retention Feasibility: Primary Outcome Measurement	2 months	Demonstrate the ability to recruit and retain subjects in the clinical study as follows: 80% or more of randomized participants are retained for primary outcome measurement at the end of the study (2 month follow up) regardless of adherence to the intervention
Intervention Delivery Feasibility: Participant Engagement	9 weeks	Demonstrate that the delivery of the intervention(s) and the control intervention(s) under study can be delivered consistently, as defined by: 85% or more of randomized participants engage in 1 or more sessions; 75% or more of randomized participants engage in at least 6 of 9 sessions
Intervention Fidelity: Facilitator Delivery of Required Activities	9 weeks	Demonstrate the fidelity of the intervention(s) used in the study by: Program facilitators deliver 90% of session activities during at least 90% of sessions
Safety and Tolerability of the Interventions: Severe or Serious Related Adverse Events	9 weeks	Demonstrate the safety and tolerability of the intervention(s) used in the study by: 5% or less of randomized participants experience a severe or serious adverse event related to the interventions
Safety and Tolerability of the Interventions: Satisfaction With Program	9 weeks	Demonstrate the safety and tolerability of the intervention(s) used in the study by: 75% or more of randomized participants are satisfied with assigned program