A New Model to Reach Vulnerable Older Adults With Pain Self-management Support
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Pain
- Sponsor
- University of Michigan
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Change in pain interference
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief 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 feasibility test of a chronic pain self-management intervention delivered by CHWs, in conjunction with mobile health tools, in a sample of 25 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.
Investigators
Mary Janevic
Assistant Research Scientist
University of Michigan
Eligibility Criteria
Inclusion Criteria
- •English-proficient
- •Age \>= 60 years
- •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
- •Ability to attend a one-time study orientation session
Exclusion Criteria
- •Serious acute illness or hospitalization in last month
- •Planned surgery in next three months
- •Significant cognitive impairment as indicated by affirmative response to question: "Do you have significant difficulties with your memory that get in the way of your usual daily activities?"
- •Other severe physical or psychiatric disorder judged by study team to pose significant barrier to deriving program benefit.
Outcomes
Primary Outcomes
Change in pain interference
Time Frame: baseline and 8 weeks
The Pain Interference 6-item subscale of the Patient-Reported Outcomes Measurement Information System (PROMIS)-43 Adult Profile. 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)..
Participant engagement
Time Frame: 8 weeks
Number of completed sessions with the community health worker (range 1 to 7).
Secondary Outcomes
- Participant Global Impression of Change(8 weeks)
- Participant satisfaction: Likert-scale questions(8 weeks)