A New Model to Reach Vulnerable Older Adults With Pain Self-management Support
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Change in pain interference
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
结局指标
主要结局
Change in pain interference
时间窗: 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
时间窗: 8 weeks
Number of completed sessions with the community health worker (range 1 to 7).
次要结局
- Participant Global Impression of Change(8 weeks)
- Participant satisfaction: Likert-scale questions(8 weeks)
研究者
Mary Janevic
Assistant Research Scientist
University of Michigan