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Randomized Trial of a Low-Literacy Chronic Pain Self-Management Program: Analysis of Secondary Pain and Psychological Outcome Measures

Overview of attention for article published in Journal of Pain, August 2018
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Title
Randomized Trial of a Low-Literacy Chronic Pain Self-Management Program: Analysis of Secondary Pain and Psychological Outcome Measures
Published in
Journal of Pain, August 2018
DOI 10.1016/j.jpain.2018.06.010
Pubmed ID
Authors

Barbara J Turner, Yuanyuan Liang, Natalia Rodriguez, Raudel Bobadilla, Maureen J Simmonds, Zenong Yin

Abstract

Based on input of rural, largely Hispanic persons with chronic pain, a low literacy, 6-month self-management program was developed drawing upon elements of existing pain toolkits. In a randomized trial, low-income, primarily Hispanic patients with chronic pain received the program in 6 one-on-one meetings with a trained health educator in clinic or in 8 group lectures by experts in the community. Intention-to-treat (ITT) analyses in linear mixed effects models were conducted for five secondary outcomes at 6-months including: Brief Pain Inventory (BPI) pain severity and interference, Patient Health Questionnaire-9 (PHQ-9), 12-Item Short Form Survey Mental Component Summary (SF-12 MCS) and Tampa Scale for Kinesiophobia-11 (TSK-11). 111 participants were randomized (15.9% of 700 initially eligible from 3 clinics) and 67 (60.4%) completed 6-month measures. Among completers, the clinic arm improved on 4 measures and community arm on 3 (all P<0.05). Effect sizes were small to moderate (0.41 to 0.52). In ITT analyses, both arms improved on 4 of 5 measures (all Pā‰¤0.001) versus baseline with clinically significant changes in BPI pain severity and interference. Improvement in multiple outcomes after this chronic pain self-management program for low income patients warrants further study. This intervention was registered with Clinicaltrials.gov and can be found using identifier NCT02906358. In an evaluation of a low literacy, 6-month chronic pain self-management program, similar improvements were observed among primarily Hispanic participants whether the intervention was delivered by a health educator or in groups with lectures from experts.

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Geographical breakdown

Country Count As %
Unknown 117 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 14 12%
Student > Master 12 10%
Researcher 8 7%
Student > Ph. D. Student 8 7%
Other 5 4%
Other 13 11%
Unknown 57 49%
Readers by discipline Count As %
Nursing and Health Professions 17 15%
Medicine and Dentistry 16 14%
Psychology 11 9%
Sports and Recreations 3 3%
Neuroscience 3 3%
Other 8 7%
Unknown 59 50%