A practical chronic pain self-management program integrating components of a functional restoration program 2 may offer a valuable resource for vulnerable populations. In low-income subjects with chronic pain, physical and cognitive function improved significantly after self-management training from expert lectures in the community and in-clinic meetings with a trained health educator.Īlthough experts endorse non-pharmacologic interventions as first-line treatment for chronic pain management, 1 low-income patients often lack access to these approaches. Results were similar with multiple imputation. Key ResultsĪmong 111 subjects, 53 were in the clinic arm and 58 in the community arm. Multiple imputation was used for sensitivity analyses.
Intention-to-treat (ITT) analyses in mixed-effects models adjust for demographics, body mass index, maximum pain, study arm, and measurement time. Other reported physical and cognitive measures include the 6-Min Walk (6 MW), Borg Perceived Effort Test (Borg Effort), 50-ft Speed Walk (50FtSW), SF-12 Physical Component Summary (SF-12 PCS), Patient-Specific Functional Scale (PSFS), and Symbol–Digit Modalities Test (SDMT). Main Measuresįive times Sit-to-Stand test (5XSTS) assessed at baseline and 3 and 6 months. In one study arm, the 6-month program was delivered in monthly one-on-one clinic meetings by a community health worker (CHW) trained as a chronic pain health educator, and in the second arm, content experts gave eight group lectures in a nearby library.
ParticipantsĮligible subjects were 35–70 years of age, with chronic non-cancer pain treated with opioids for >2 months at two primary care and one HIV clinic serving low-income Hispanics. To develop a chronic pain self-management program reflecting community stakeholders’ priorities and to compare functional outcomes from training in two settings. Patients with chronic pain often lack the skills and resources necessary to manage this disease.
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