PROACTIVE Intervention for Chronic Pain
(PROACTIVE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new approach to managing chronic musculoskeletal pain (CMP) in Black or African American communities. The study tests a culturally tailored program called the PROACTIVE Intervention, which aims to improve self-management of pain through education, active prayer support, and financial counseling. Participants will either continue with their usual care or try this new intervention to determine its effectiveness in reducing pain during movement. Those who have experienced CMP for six months or more, particularly in the lower body, and have insurance in Florida, might be suitable candidates. As an unphased trial, this study provides a unique opportunity to contribute to innovative research tailored to specific community needs.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this intervention is safe for managing chronic pain?
Research has shown that proactive healthcare approaches, such as the PROACTIVE Intervention, are usually well-received by people with chronic pain. For instance, one study found that older adults with chronic pain maintained their physical abilities after receiving proactive care. This indicates that these interventions are safe and can help manage pain without causing harm.
Another study highlighted that when patients actively manage their pain, it can lead to better health outcomes without major safety concerns.
In summary, current evidence suggests that proactive interventions for managing chronic pain are generally safe and well-tolerated. However, as with any treatment, individual experiences may vary.12345Why are researchers excited about this trial?
Researchers are excited about the PROACTIVE Intervention for chronic pain because it offers a holistic approach tailored to individual needs. Unlike standard treatments like medication or physical therapy, PROACTIVE focuses on behavioral support, including culturally congruent self-management education and a resource toolkit. Additionally, it uniquely incorporates active prayer support and financial counseling to address social determinants of health that can affect pain management. This comprehensive method could lead to more effective pain relief by considering the whole person, not just the symptoms.
What evidence suggests that the PROACTIVE Intervention might be an effective treatment for chronic pain?
Research has shown that a proactive approach to healthcare can lead to small but positive improvements in managing chronic pain for older adults. One study found that participants in proactive health programs had better physical abilities and could perform daily activities more easily. This trial will compare the PROACTIVE Intervention, tailored to cultural needs and social factors affecting chronic pain management, with usual care. Such programs have been linked to better long-term results by providing timely support and resources. Overall, early evidence suggests that the PROACTIVE Intervention may effectively reduce pain during movement for individuals with chronic musculoskeletal pain in Black communities.13678
Who Is on the Research Team?
Staja Q Booker, PhD, RN
Principal Investigator
University of Florida
Are You a Good Fit for This Trial?
The PROACTIVE Study is for Black or African American elders aged 50-92 with chronic musculoskeletal pain, particularly in lower extremity joints. Participants must have health insurance in Florida and be able to understand English at a sixth-grade level.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a culturally congruent pain self-management intervention over four weeks, including education, active prayer, and financial counseling
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments at 1-month and 3-months post-intervention
What Are the Treatments Tested in This Trial?
Interventions
- PROACTIVE Intervention
Trial Overview
This study tests a culturally tailored pain self-management intervention called the PROACTIVE Intervention, designed to address chronic musculoskeletal pain among Black elders. The main focus is on reducing movement-evoked pain over three years.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
This is a four-session pain self-management (SM) intervention designed to reduce movement-evoked pain by providing participants with behavioral support that addresses social determinants of health: (1) culturally congruent SM education + SM resource toolkit, (3) active prayer support, and (3) financial counseling.
The control group will continue their usual pain treatment and self-management (SM) routines. Participations will not receive in-depth culturally congruent education, prayer skills, or financial counseling. Usual care is expected to vary between participants.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Florida
Lead Sponsor
National Institute of Nursing Research (NINR)
Collaborator
Citations
Population-focused Approaches for Proactive Chronic Pain ...
We highlight three promising interventions that can aide in prevention, rehabilitation, and palliation of chronic pain among older adults, recognizing that ...
A Scoping Review of Current Evidence and Emerging Trends
The following study identifies and assesses DHIs' efficacy in specific chronic pain conditions and then extrapolates improved outcomes and ...
Effects of proactive healthcare on pain, physical and ...
Vulnerable older adults with chronic pain seemed to remain physical and ADL functioning after proactive primary care intervention.
4.
bmchealthservres.biomedcentral.com
bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4561-8Feasibility and long-term efficacy of a proactive health ...
After 2 years, the proactive health program resulted in small positive long-term improvements. Using risk screening prior to inclusion in the health program ...
The Pain Intervention & Digital Research Program
Real-time data could potentially enable timely interventions, manage risk, and promote better patient outcomes by predicting and preventing ...
6.
bmchealthservres.biomedcentral.com
bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-10558-3A patient activation intervention in primary care for patients ...
Activating patients to manage chronic pain has the potential to improve health outcomes. The ACTIVATE study was designed to evaluate the ...
Improving Activity in Adults With Chronic Pain With Online ...
A randomized controlled study will test whether adults with chronic pain have improved outcomes when receiving a User Guide and weekly prompts for a newly ...
The Effectiveness of Interventions for Improving Chronic ...
This systematic review presents current evidence evaluating interventions for CP-related and MH outcomes for people with comorbid CP and clinically diagnosed ...
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