200 Participants Needed

Community Program for Chronic Pain

RL
MR
Overseen ByMary R. Janevic, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Michigan
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on teaching strategies for managing pain and loneliness, so you may not need to change your medication routine.

What data supports the effectiveness of the treatment Strengthening COnnections to Overcome Pain (SCOOP) for chronic pain?

A pilot study on a similar remote chronic pain program showed significant improvements in pain, depression, and self-efficacy (confidence in managing one's own health) using self-directed materials and telephone support, suggesting that community-based programs like SCOOP could be effective.12345

Is the Community Program for Chronic Pain safe for humans?

The research articles provided do not contain specific safety data for the Community Program for Chronic Pain or its related programs like SCOOP. However, one study mentions that psychosocial treatments for chronic pain are generally low-risk, suggesting that similar community-based programs might also be safe.16789

How is the SCOOP treatment for chronic pain different from other treatments?

The SCOOP treatment is unique because it focuses on strengthening connections within the community to manage chronic pain, using a patient-centered and interdisciplinary approach that combines various therapies. This community-based model aims to improve access to care and outcomes by integrating different healthcare professionals and resources, which is not commonly available in traditional pain management programs.12101112

What is the purpose of this trial?

The goal of this clinical trial is to test a new community health worker-delivered program (Strengthening COnnections to Overcome Pain, or SCOOP) that teaches strategies for managing chronic pain and loneliness to older adults living in rural areas. The main questions it aims to answer are:1. Does participating in SCOOP result in less pain interference with daily life?2. Does participating in SCOOP result in decreased loneliness?3. What is the level of participant engagement in SCOOP? Researchers will compare people who have participated in SCOOP with people who have not participated in SCOOP to see if SCOOP is helpful in decreasing pain interference and loneliness.Participants will:1. Watch brief videos teaching strategies to manage pain and boost social connections.2. Engage in up to 7 weekly coaching sessions with a community health worker.3. Complete two telephone interviews about health, mental health, and functioning: one at baseline, and one 2 months later.

Eligibility Criteria

This trial is for older adults living in rural areas who suffer from chronic pain and feel lonely. They should be willing to watch educational videos, participate in weekly coaching sessions, and complete telephone interviews about their health.

Inclusion Criteria

I am 60 years old or older.
Have a mobile or landline phone
I have had muscle or joint pain for over 3 months that affects my daily activities.
See 2 more

Exclusion Criteria

I do not have any major surgeries planned that would stop me from joining the program.
I do not have severe mental, physical, or psychiatric conditions that would prevent me from participating.
I have not been seriously ill or hospitalized in the last month.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in the SCOOP program, which includes watching videos and up to 7 weekly coaching sessions with a community health worker

7 weeks
7 visits (telephone)

Follow-up

Participants complete a follow-up survey and are monitored for changes in pain interference and loneliness

8 weeks from baseline
1 visit (telephone)

Educational Workshop (optional)

Control group participants are invited to an educational workshop about pain and loneliness and receive all intervention materials

Treatment Details

Interventions

  • Strengthening COnnections to Overcome Pain (SCOOP)
Trial Overview The SCOOP program is being tested to see if it can reduce how much pain affects daily life and decrease feelings of loneliness among participants. It involves watching videos, attending coaching sessions with a community health worker, and providing feedback through interviews.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: SCOOP Intervention GroupExperimental Treatment1 Intervention
SCOOP is a 7-week intervention, delivered primarily over the telephone by community health workers, to support chronic pain self-management and social connectedness.
Group II: Control groupActive Control1 Intervention
Control group participants receive usual care between the baseline and 8-week follow-up survey. After completing the follow-up survey, control participants will be invited to take part in an educational workshop about pain and loneliness and will receive all intervention materials.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials
1,891
Recruited
6,458,000+

Northern Michigan Health Consortium

Collaborator

Trials
1
Recruited
200+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

Weill Medical College of Cornell University

Collaborator

Trials
1,103
Recruited
1,157,000+

Findings from Research

A new self-management program for chronic pain, which included pain education and individualized exercises, showed potential to improve function in some participants, with changes ranging from a 59% improvement to a 17% decline among six individuals over 18 weeks.
Participants reported high satisfaction with the program, but variability in outcomes suggests that factors like attendance and social context may influence effectiveness, indicating a need for strategies to enhance adherence and address barriers to participation.
Depicting individual responses to physical therapist led chronic pain self-management support with pain science education and exercise in primary health care: multiple case studies.Miller, J., MacDermid, JC., Richardson, J., et al.[2022]
Patients with high-impact chronic pain found the Smerteinfo.dk website valuable for accessing information and reported improvements in understanding their condition (56%) and coping strategies (33%) after using it.
Despite its benefits, users expressed a need for more personalized information and better navigation tools, highlighting the importance of continuous updates and enhancements to the website based on user feedback.
Experience and usability of a website containing research-based knowledge and tools for pain self-management: a mixed-method study in people with high-impact chronic pain.Laerkner, E., Bendix, L., Jäger, M., et al.[2023]
The Chronic Pain Network (CPN) successfully integrated patient partners into its research framework, leading to significant impacts such as building community, enhancing knowledge and skills, and influencing research priorities across various levels of the network.
The evaluation highlighted that patient engagement not only improved individual experiences and coping with chronic pain but also fostered a culture change within the research community, demonstrating the value of including patient perspectives in health research.
Evaluating the impacts of patient engagement on a national health research network: results of a case study of the Chronic Pain Network.Tripp, L., Richards, DP., Daly-Cyr, J., et al.[2023]

References

Establishing consensus on key elements and implementation enablers of community-based pain programs to support primary health network decision making: an eDelphi study. [2022]
Remote Delivery of the Chronic Pain Self-management Program Using Self-directed Materials and Small-group Telephone Support: A Pilot Study. [2022]
Experiences of Patient-Led Chronic Pain Peer Support Groups After Pain Management Programs: A Qualitative Study. [2022]
Inequity in outcomes from New Zealand chronic pain services. [2022]
Depicting individual responses to physical therapist led chronic pain self-management support with pain science education and exercise in primary health care: multiple case studies. [2022]
Experience and usability of a website containing research-based knowledge and tools for pain self-management: a mixed-method study in people with high-impact chronic pain. [2023]
Primary care initiatives focused on the secondary prevention and management of chronic pain: a scoping review of the Australian literature. [2021]
Evaluating the impacts of patient engagement on a national health research network: results of a case study of the Chronic Pain Network. [2023]
The Learning About My Pain study protocol: Reducing disparities with literacy-adapted psychosocial treatments for chronic pain, a comparative behavioral trial. [2018]
10.United Statespubmed.ncbi.nlm.nih.gov
From (Ontario Ministry of Health and Long-Term Care) policy to implementation: A retrospective look at a community-based patient-centered model of care for chronic pain. [2022]
11.United Statespubmed.ncbi.nlm.nih.gov
Pain control: mastery through group experience. [2021]
Community-based pain programs commissioned by primary health networks: key findings from an online survey and consultation with program managers. [2022]
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