Support, Training, and Education for Pain Self-Management Using Podcasts: A Pilot Trial
- Conditions
- Chronic Pain
- Interventions
- Behavioral: STEP-UP
- Registration Number
- NCT06185101
- Lead Sponsor
- University of Michigan
- Brief Summary
This randomized Stage 1 pilot trial tests the feasibility of a community health worker (CHW) delivered chronic pain self-management intervention for older adults ("STEP-UP"; Support, Training, and Education for Pain Self-Management - Using Podcasts) in a primary care setting. A total of 40 participants aged 50+ with high-impact chronic pain will be randomized to intervention or control groups. The STEP-UP intervention will feature an educational podcast series teaching core pain self-management skills. Podcasts will be supplemented by sessions with a Community Health Worker taking place at designated times over a 7-week period. The Community Health Worker will guide participants in a modified Patient Priorities of Care approach to help them identify their values and priorities and develop goals that reflect these.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Age > 50 years
- Have a mobile or landline phone
- Report high-impact chronic musculoskeletal pain (defined as pain in muscles or joints for > 3 months "most days" or "every day" on a scale of never, some days, most days, or every day) AND their pain limited life or work activities over the past 3 months "most days" or "every day"
- Have not participated in another chronic pain self-management intervention in the last 5 years.
- Able to converse comfortably in English
- Serious acute illness or hospitalization in the last month;
- Planned major surgery in the next three months that would interfere with program participation (e.g., knee or hip replacement)
- Severe cognitive impairment or other severe physical or psychiatric disorder judged by the study team to pose a significant barrier to participation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description STEP-UP intervention group STEP-UP Participants will engage in a behavioral intervention for pain self-management that incorporates educational podcasts and sessions with a community health worker.
- Primary Outcome Measures
Name Time Method Change in Pain Interference 6-item subscale from PROMIS-43 Adult Profile Baseline, 8 weeks from baseline Items ask how much pain in the last 7 days has interfered with daily activities such as household chores and social activities (1=not at all to 5=very much); raw total scale scores range from 6 (low interference) to 30 (high interference). Scores are converted to a standardized T-score metric, with a mean of 50 and a standard deviation of 10 in a referent population. A higher score means more of the concept being measured.
- Secondary Outcome Measures
Name Time Method Global Impression of Change in Pain 8 weeks from baseline How participant thinks their pain has changed from baseline (much worse (-3) to much better(+3)).
Engagement as measured by number of sessions completed 8 weeks from baseline Number of sessions out of 7 completed 8 weeks from baseline
Global Impression of Change in Functioning 8 weeks from baseline How participant thinks their functioning has changed from baseline (much worse (-3) to much better(+3)).
Participant Satisfaction 8 weeks from baseline Items ask about overall satisfaction with the program, e.g., whether participation increased understanding of pain management (1= Strongly Disagree to 5= Strongly Agree). A higher score indicates higher patient satisfaction.
Trial Locations
- Locations (1)
University of Michigan
🇺🇸Ann Arbor, Michigan, United States