Support, Training, and Education for Pain Self-Management Using Podcasts: A Pilot Trial

NCT06185101 | Completed Results

• 2 other identifiers: HUM002401835P30AG022845-20
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized Stage 1 pilot trial tests the feasibility of a community health worker (CHW) delivered chronic pain self-management intervention for older adults ("STEP-UP"; Support, Training, and Education for Pain Self-Management - Using Podcasts) in a primary care setting. A total of 40 participants aged 50+ with high-impact chronic pain will be randomized to intervention or control groups. The STEP-UP intervention will feature an educational podcast series teaching core pain self-management skills. Podcasts will be supplemented by sessions with a Community Health Worker taking place at designated times over a 7-week period. The Community Health Worker will guide participants in a modified Patient Priorities of Care approach to help them identify their values and priorities and develop goals that reflect these.

Conditions

Chronic Pain

Outcome Measures

Primary Outcomes (1)

• Change in Pain Interference 6-item Subscale From PROMIS-43 Adult Profile

  Items ask how much pain in the last 7 days has interfered with daily activities such as household chores and social activities (1=not at all to 5=very much); raw total scale scores range from 6 (low interference) to 30 (high interference). Scores are converted to a standardized T-score metric, with a mean of 50 and a standard deviation of 10 in a referent population. A higher score means more of the concept being measured. Change scores are calculated as \[8 week score\] - \[baseline score\]; therefore, a greater negative value means a greater reduction in pain interference.

  Baseline, 8 weeks from baseline

Secondary Outcomes (4)

• Global Impression of Change in Pain

  8 weeks from baseline

• Global Impression of Change in Functioning

  8 weeks from baseline

• Engagement as Measured by Number of Sessions Completed

  8 weeks from baseline

• Participant Satisfaction

  8 weeks from baseline

Study Arms (2)

STEP-UP intervention group

EXPERIMENTAL

Participants will engage in a behavioral intervention for pain self-management that incorporates educational podcasts and sessions with a community health worker.

Behavioral: STEP-UP

Control group

NO INTERVENTION

Members of the control group will not initially receive the STEP-UP intervention. After completing the 8-week follow-up telephone survey, individuals in the control group will be invited to take part in the STEP-UP intervention.

Interventions

STEP-UP BEHAVIORAL

The STEP-UP chronic pain self-management intervention (Support, Training, and Education for Pain Self-Management - Using Podcasts) will feature an educational podcast series teaching core pain self-management skills. Podcasts will be supplemented by sessions with a Community Health Worker taking place at designated times over a 7-week period. The Community Health Worker will guide participants in a modified Patient Priorities of Care (PPC) approach to help them identify their values and priorities and develop goals that reflect these.

Also known as: Support, Training, and Education for Pain self-management, Using Podcasts

STEP-UP intervention group

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age \> 50 years
• Have a mobile or landline phone
• Report high-impact chronic musculoskeletal pain (defined as pain in muscles or joints for \> 3 months "most days" or "every day" on a scale of never, some days, most days, or every day) AND their pain limited life or work activities over the past 3 months "most days" or "every day"
• Have not participated in another chronic pain self-management intervention in the last 5 years.
• Able to converse comfortably in English

You may not qualify if:

• Serious acute illness or hospitalization in the last month;
• Planned major surgery in the next three months that would interfere with program participation (e.g., knee or hip replacement)
• Severe cognitive impairment or other severe physical or psychiatric disorder judged by the study team to pose a significant barrier to participation

Sponsors & Collaborators

• National Institute on Aging (NIA): collaborator
• University of Michigan: lead
• Western Wayne Family Health Centers: collaborator
• Weill Medical College of Cornell University: collaborator

Study Sites (1)

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

MeSH Terms

Conditions

Chronic Pain

Interventions

Palliative Care; Educational Status

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Socioeconomic Factors; Population Characteristics

Results Point of Contact

• Title: Dr. Mary Janevic
• Organization: University of Michigan

mjanevic@umich.edu

(734) 647-3194

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Associate Professor

Study Record Dates

• First Submitted: December 14, 2023
• First Posted: December 29, 2023
• Study Start: May 2, 2024
• Primary Completion: January 29, 2025
• Study Completion: January 29, 2025
• Last Updated: January 26, 2026
• Results First Posted: January 26, 2026

Record last verified: 2026-01

Locations

US (1)