IMproving Pain Using Peer RE-inforced Self-management Skills

NCT01748227 | Completed Results

• 1 other identifier: RRP 12-438
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The overall purpose of this pilot study is to conduct a formative evaluation of (veteran)peer delivery of a chronic pain self-management program to veterans with chronic musculoskeletal pain. Our specific aims are as follows: Aim 1: Evaluate the feasibility of identifying, recruiting, training, and retaining veteran peers to implement a self-management program for chronic pain. Aim 2: Identify facilitators and barriers to peer-delivery of a chronic pain self-management program. Aim 3: Convene an expert panel to review the results of Aims 1 and 2, help to interpret the results, and plan next steps.

Conditions

Chronic Pain

Keywords

self-management; peer support; social support

Outcome Measures

Primary Outcomes (1)

• Pain/Enjoyment of Life/General Activity

  3-item version of the Brief Pain Inventory. Possible range: 0-30. 0=no pain/interference, 30=maximum pain/interference. Thus lower values represent a better outcome.

  Change from baseline to 4 month assessment

Secondary Outcomes (4)

• Pain Catastrophizing Scale

  Baseline and 4 month assessment (final assessment)

• Multidimensional Perceived Social Support Scale (MPSS).

  Baseline and 4 month for Statistical Package for Social Scientists (SPSS) and only 4 month final interview for Working Alliance

• Patient Reported Outcome Measurement System (PROMIS)

  Change from baseline to 4 month assessment

• Pain Centrality Scale

  4 month assessment

Study Arms (1)

Peer-Coached Pain Self-Management

OTHER

Participants (n=20) were assigned to a peer coach, who delivered self-management instruction one-on-one over a 4-month period.

Behavioral: Peer-Delivered Pain Self-Management

Interventions

Peer-Delivered Pain Self-Management BEHAVIORAL

Patients (n=20) were assigned a peer coach to meet with for 4 months to discuss pain self-management.

Peer-Coached Pain Self-Management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Peers will be eligible if they have chronic musculoskeletal pain and have completed a pain self-management program from any of these chronic pain trials:
• Stepped Care for Depression and Musculoskeletal Pain (SCAMP)
• Evaluation of Stepped Care for Chronic Pain in Iraq and Afghanistan Veterans (ESCAPE)
• CAre Management for the Effective use of Opioids (CAMEO)
• Or participants of the VA Pain School or VA Pain program
• Peers may also be recommended by their primary care providers at the VA
• Eligible patients must have musculoskeletal pain in the low back, cervical spine, or extremities (hip, knee, or shoulder) that has persisted for 3 months
• And have pain of at least moderate intensity as defined by a Brief Pain Inventory score 5

You may not qualify if:

• Patients will be excluded if they have active suicidal ideation
• Have been hospitalized for psychiatric or substance abuse reasons in the last 6 months pending back surgery
• Current substance dependence
• Severe medical conditions (e.g., New York Heart Association Class III or IV heart failure) that precludes participation
• Or severe hearing or speech impairment

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

Study Sites (1)

Richard L. Roudebush VA Medical Center, Indianapolis, IN

Indianapolis, Indiana, 46202-2884, United States

Location

Related Publications (4)

• Matthias MS, McGuire AB, Kukla M, Daggy J, Myers LJ, Bair MJ. A brief peer support intervention for veterans with chronic musculoskeletal pain: a pilot study of feasibility and effectiveness. Pain Med. 2015 Jan;16(1):81-7. doi: 10.1111/pme.12571. Epub 2014 Oct 14.

  PMID: 25312858 RESULT

• Matthias MS, Kukla ME, McGuire AB, Bair MJ. Peer support for chronic pain self-management: A qualitative study of peer coaches' experiences. [Abstract]. Journal of general internal medicine. 2014 Apr 16; 29(1):169-170.

  RESULT

• Matthias MS, McGuire AB, Kukla ME, Daggy J, Myers L, Bair MJ. Effectiveness of a brief peer support intervention for veterans with chronic pain. [Abstract]. Journal of general internal medicine. 2014 Apr 16; 29(1):80.

  RESULT

• Matthias MS, Kukla M, McGuire AB, Bair MJ. How Do Patients with Chronic Pain Benefit from a Peer-Supported Pain Self-Management Intervention? A Qualitative Investigation. Pain Med. 2016 Dec;17(12):2247-2255. doi: 10.1093/pm/pnw138. Epub 2016 Jul 8.

  PMID: 28025359 DERIVED

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Limitations and Caveats

This was a pilot study to examine feasibility and preliminary effectiveness of peer support for veterans with chronic pain. Because of the small sample size and pretest/posttest design of the study, results should be interpreted with caution.

Results Point of Contact

• Title: Dr. Marianne Matthias
• Organization: Richard L. Roudebush VAMC HSR&D

marianne.matthias@va.gov

317-988-4514

Study Officials

• Marianne Sassi Matthias, PhD MS BA

  Richard L. Roudebush VA Medical Center, Indianapolis, IN

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 21, 2012
• First Posted: December 12, 2012
• Study Start: January 1, 2013
• Primary Completion: October 1, 2013
• Study Completion: December 1, 2013
• Last Updated: May 15, 2015
• Results First Posted: March 19, 2015

Record last verified: 2015-04

Locations

US (1)