COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP)

NCT05492903 | Active Not Recruiting

• 1 other identifier: e20412
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

Home care workers (HCWs) are at-risk for chronic pain and associated problems, including emotional distress, opioid use and misuse, and work-related disability. To address these issues, the proposed study will adapt an established peer-led and supportive group program to address the needs of HCWs with chronic pain. The new program, named COMPASS for Navigating Pain (COMPASS-NP), will integrate work-based injury protections with pain education and cognitive-behavioral therapy strategies for pain self-management in order to reduce pain interference with HCWs' work and life, and advance their safety, health, and well-being.

Conditions

Pain Management; Ergonomics; Wounds and Injuries

Keywords

injury prevention; pain management; ergonomics; home care workers; total worker health; cognitive behavioral therapy

Outcome Measures

Primary Outcomes (2)

• Between Groups Difference in Changes in Ratings of Pain Interference with Work

  Work Limitations Questionnaire (1-5; 5=worst \[limited all the time\]). Assesses limitations related to time, physical, mental-interpersonal, and outputs.

  Changes between 0 weeks and 10 weeks

• Between Groups Difference in Changes in Ratings of Pain Interference with Life

  Brief Pain Inventory Subscale on pain interference (0-10; 10=worst \[completely interferes\]). Interference related to general activity, walking, work, relations with other people, sleep, and enjoyment of life.

  Changes between 0 weeks and 10 weeks

Secondary Outcomes (11)

• Between Groups Difference in Changes in Reported Number of Pain/Injury Prevention Actions

  Changes between 0 weeks and 10 weeks

• Between Groups Difference in Changes in Reported Number of Minor Injuries

  Changes between 0 weeks and 10 weeks

• Between Groups Difference in Changes in Reported Number of Lost Work Time Injuries

  Changes between 0 weeks and 10 weeks

• Between Groups Difference in Changes in the Rating of Average Pain Severity

  Changes between 0 weeks and 10 weeks

• Between Groups Difference in Changes in Ratings of Well-being

  Changes between 0 weeks and 10 weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Intervention during weeks 0-10 (10 weekly group sessions). Follow-up with no treatment during weeks 11-20.

Behavioral: COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP)

Waitlist Control

OTHER

Usual practice during weeks 0-10. Intervention during weeks 11-20 (10 weekly group sessions).

Behavioral: COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP)

Interventions

COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP) BEHAVIORAL

A peer-led and supportive group program (10 weekly sessions) designed to address the needs of HCWs with chronic or elevated pain. The intervention will integrate work-based injury protections with pain education and cognitive-behavioral therapy strategies for pain self-management.

Intervention; Waitlist Control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years (adults)
• Employed as a home care worker
• Has chronic pain (pain lasting 3+ months and \> 4 average intensity)
• The presence of pain interference with work (response of 'agree' or 'strongly agree' on single-item)
• Currently working 4 hours or more per week
• Access to the internet with a video capable device (e.g., smart phone, tablet, or computer)

You may not qualify if:

• Prior exposure to the original COMPASS program
• Experiencing a surgery in the prior 6 months
• Current pregnancy or intention to become pregnant during the study period.

Sponsors & Collaborators

• Oregon Health and Science University: lead

Study Sites (1)

Oregon Health & Science University

Portland, Oregon, 97239, United States

Location

Related Publications (1)

• Olson R, Hess JA, Turk D, Marino M, Greenspan L, Alley L, Donovan C, Rice SPM. COMMunity of Practice And Safety Support for Navigating Pain (COMPASS-NP): study protocol for a randomized controlled trial with home care workers. Trials. 2023 Apr 10;24(1):264. doi: 10.1186/s13063-023-07149-8.

  PMID: 37038235 DERIVED

MeSH Terms

Conditions

Agnosia; Wounds and Injuries

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: cluster-randomized waitlist control design

Study Record Dates

• First Submitted: February 18, 2022
• First Posted: August 9, 2022
• Study Start: August 21, 2023
• Primary Completion: April 11, 2025
• Study Completion (Estimated): September 1, 2026
• Last Updated: November 28, 2025

Record last verified: 2025-11

Locations

US (1)