A Community-Based Chronic Pain Self-Management Program in West Virginia

Completed · Not applicable

Conditions studied: Chronic Pain

In brief

Chronic pain (CP) affects 1 in 3 US adults and costs up to $635 billion annually in medical costs and lost work productivity. Use of opioid medications for CP has risen in the US, and opioid overdose deaths have quadrupled, yet with no overall change in pain. Although one-third of US adults have CP, there is a lack of affordable, non-pharmacological, evidence-based, community-delivered interventions for people with CP. One program, the Chronic Pain Self-Management Program (CPSMP), provides short-term improvements in pain but its long-term effects have not been evaluated. This study will examine the long-term effects of CPSMP in the medically underserved state of West Virginia (WV). The objectives of this community-engaged, randomized, wait-list controlled study are to: 1) determine the short- (26 weeks) and long-term (52 weeks) effectiveness of the 6-week CPSMP in adults with CP in WV; 2) evaluate the Reach (number of participants, completers), Effectiveness (outcomes), Adoption (number of sites, leaders, trainings), Implementation (fidelity), and Maintenance (satisfaction, continuation) of CPSMP using the RE-AIM Framework; and 3) disseminate the results to key stakeholders including evidence-based organizations, public health practitioners/researchers, and healthcare providers. The study will enroll 240 participants in 24 workshops at 12 community-based sites in 2 counties in WV, Greenbrier (rural) and Wood (urban). Participants will attend free, 2.5-hour weekly sessions for 6 weeks. Self-reported, performance-based, and physiological data will be collected at baseline and 26, and 52 weeks after the start of the intervention. The primary outcomes are pain (severity, quality, interference, medication use), mental health (mood, anxiety, catastrophizing), function (self-efficacy, coping, health-related quality of life, sleep, fatigue, communication, physical activity), healthcare utilization, missed work days, and gait speed.

Key facts

Study ID: NCT03582683
Run by: West Virginia University
People needed: 196
Starts: 2018-06-18
Expected to finish: 2021-04-09
Last updated by the study team: 2021-04-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Adults over age 18
Have chronic pain (pain on most days or everyday) for the past 3 months or more
Able to attend 1 CPSMP workshop a week over 6 weeks
Able to attend 3-4 testing sessions for data collection (testing sessions are scheduled before the workshops begin and then six months, one year and, for those assigned to the control group, one and a half years after the start of the study)

You may not qualify if…

Chronic pain caused by current cancer diagnosis or an open wound
Lack reliable transportation
Having surgery for the painful area in the next year
Not community-dwelling (i.e., living in a nursing home, assisted living or personal care home, mental hospital, or correctional facility)
Not willing to be randomized to either start CPSMP workshop now or in six months
Participation in another self-management program (e.g., Diabetes Self-Management Program) in the past 12 months
Unable to speak English

Where it is running

West Virginia School of Osteopathic Medicine — Lewisburg, West Virginia, United States
Mid-Ohio Valley Health Department — Parkersburg, West Virginia, United States

Full record on ClinicalTrials.gov

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