Pain coping skills training for African Americans with osteoarthritis: results of a randomized controlled trial
Pain coping skills training for African Americans with osteoarthritis: results of a randomized controlled trial
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DOI：
10.1097/j.pain.0000000000001525
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发表时间：
2019-06-01
期刊：
影响因子：
7.4
通讯作者：
Keefe, Francis J.
中科院分区：
文献类型：
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作者：
Allen, Kelli D.;Somers, Tamara J.;Keefe, Francis J.
非洲裔美国人承担着不成比例的骨关节炎（OA）负担，但他们在疼痛行为干预试验中的代表性不足。本试验在248名患有膝关节或髋关节OA的非洲裔美国人中研究了一种文化定制的疼痛应对技能训练（CST）计划，并与等待名单对照组进行了比较。疼痛CST计划包括3个月内的11次电话会议。在基线、3个月（主要）和9个月时评估结局，包括西安大略和麦克马斯特大学骨关节炎指数（WOMAC）疼痛子量表（主要结局）、WOMAC总分和功能子量表、PROMIS疼痛干预、12项心理和身体复合子量表简表、应对策略量表-总应对尝试、疼痛灾难化量表、患者健康问卷-8，关节炎自我效能量表和关节炎症状变化的患者总体印象。线性混合模型适用于所有结局。在3个月（-0.63 [95%置信区间-1.45，0.18]; P = 0.128）或9个月（-0.84 [95%置信区间-1.73，0.06]; P = 0.068）时，WOMAC疼痛评分无显著组间差异。在次要结果中，在3个月时，CST组在应对策略问卷总应对尝试、疼痛灾难化量表、关节炎自我效能和关节炎症状变化的患者总体印象方面存在显著差异（P
African Americans bear a disproportionate burden of osteoarthritis (OA), but they have been underrepresented in trials of behavioral interventions for pain. This trial examined a culturally tailored pain coping skills training (CST) program, compared to a wait list control group, among 248 African Americans with knee or hip OA. The pain CST program involved 11 telephone-based sessions over 3 months. Outcomes were assessed at baseline, 3 months (primary), and 9 months, and included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale (primary outcome), WOMAC total score and function subscale, PROMIS Pain Interference, Short-Form 12 Mental and Physical Composite Subscales, Coping Strategies Questionnaire-Total Coping Attempts, Pain Catastrophizing Scale, Patient Health Questionnaire-8, Arthritis Self-Efficacy Scale, and Patient Global Impression of Arthritis Symptom Change. Linear mixed models were fit for all outcomes. There were no significant between-group differences in WOMAC pain score at 3 months (-0.63 [95% confidence interval -1.45, 0.18]; P = 0.128) or 9 months (-0.84 [95% confidence interval -1.73, 0.06]; P = 0.068). Among secondary outcomes, at 3 months, there were significant differences, in favor of the CST group, for Coping Strategies Questionnaire Total Coping Attempts, Pain Catastrophizing Scale, Arthritis Self-Efficacy, and Patient Global Impression of Arthritis Symptom Change (P