An Efficacy Trial of Community Health Worker-Delivered Chronic Pain Self-Management Support for Vulnerable Older Adults

社区卫生工作者为弱势老年人提供慢性疼痛自我管理支持的有效性试验

基本信息

  • 批准号:
    10693973
  • 负责人:
  • 金额:
    $ 60.15万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2021
  • 资助国家:
    美国
  • 起止时间:
    2021-09-15 至 2026-08-31
  • 项目状态:
    未结题

项目摘要

Project Summary Chronic pain is an enormous public health problem, and African American older adults bear a disproportionate burden of disabling pain. Evidence-based chronic pain self-management support can improve pain-related functioning, yet standard models for providing this support are not well-suited to reach older people in communities of color such as Detroit, Michigan, which face severe racial segregation and socioeconomic disadvantage. Existing pain self-management interventions are mostly group-based and require in-person contact, making them less accessible to older adults with transportation or mobility barriers. Moreover, existing interventions seldom address the social determinants of health (e.g., economic stressors) that are rooted in the same structural inequities that produce high rates of pain and hinder its management. The long-term goal of this line of research is to build a robust evidence base for chronic pain self-management interventions that meet the needs of vulnerable older adults in underserved communities. The objective of this proposed project is to determine whether community health workers (CHWs)—i.e., lay health workers with close ties to the communities they serve – can effectively teach cognitive-behavioral pain management strategies to older adults in a disadvantaged urban setting. CHWs are uniquely suited for this role, given their ability to provide culturally appropriate care and their deep knowledge of community resources that enables them to address social determinants of health. The central hypothesis is that a CBT-based pain self-management intervention (“STEPS”) delivered over 7 weeks through telephone sessions with a CHW and mobile health tools improves one-year pain-related outcomes. Our highly encouraging preliminary findings indicate that STEPS is feasible, deliverable by CHWs with high fidelity, and well-received by participants (n=31). Its potential efficacy is suggested by significant improvement in pain interference (pre-post Standardized Mean Difference = 0.84, p = 000). The proposed trial will take place in partnership with the Detroit-based Henry Ford Health System. There are three specific aims: 1) Conduct a Stage 3 efficacy trial to assess whether STEPS can reduce one-year pain interference and intensity among 414 primarily African American older adults, 2) Assess psychobehavioral mediators and moderators of intervention effects, and 3) Using qualitative data from participants and other stakeholders, conduct mixed-methods analysis to provide context for quantitative findings and inform a toolkit for dissemination, if the intervention is effective. This project is innovative in that it enlists CHWs, who have delivered evidence-based interventions for other conditions but are not yet part of the pain care workforce. It has strong potential impact given that the model being tested is low-cost, scalable, and suitable for deeply disadvantaged settings, where the burden of chronic pain is greatest. Moreover, it can be delivered remotely, which not only maximizes access but is compatible with social distancing. Ultimately, this research could lead to a transferable model that can be applied to other vulnerable populations in need of improved pain care.
项目总结

项目成果

期刊论文数量(0)
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Mary Rose Janevic其他文献

Mary Rose Janevic的其他文献

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{{ truncateString('Mary Rose Janevic', 18)}}的其他基金

Improving Physical and Psychosocial Functioning in Underserved Older Adults During the COVID-19 Pandemic: A Community Health Worker-Led Intervention
在 COVID-19 大流行期间改善服务不足的老年人的身体和心理社会功能:社区卫生工作者主导的干预措施
  • 批准号:
    10306867
  • 财政年份:
    2021
  • 资助金额:
    $ 60.15万
  • 项目类别:
An Efficacy Trial of Community Health Worker-Delivered Chronic Pain Self-Management Support for Vulnerable Older Adults
社区卫生工作者为弱势老年人提供慢性疼痛自我管理支持的有效性试验
  • 批准号:
    10178426
  • 财政年份:
    2021
  • 资助金额:
    $ 60.15万
  • 项目类别:
Improving Physical and Psychosocial Functioning in Underserved Older Adults During the COVID-19 Pandemic: A Community Health Worker-Led Intervention
在 COVID-19 大流行期间改善服务不足的老年人的身体和心理社会功能:社区卫生工作者主导的干预措施
  • 批准号:
    10494110
  • 财政年份:
    2021
  • 资助金额:
    $ 60.15万
  • 项目类别:
Chronic pain self-management for older adults with cognitive impairment: A randomized pilot trial
患有认知障碍的老年人的慢性疼痛自我管理:一项随机试点试验
  • 批准号:
    10709192
  • 财政年份:
    2021
  • 资助金额:
    $ 60.15万
  • 项目类别:
Improving Physical and Psychosocial Functioning in Underserved Older Adults During the COVID-19 Pandemic: A Community Health Worker-Led Intervention
在 COVID-19 大流行期间改善服务不足的老年人的身体和心理社会功能:社区卫生工作者主导的干预措施
  • 批准号:
    10668485
  • 财政年份:
    2021
  • 资助金额:
    $ 60.15万
  • 项目类别:
A low-intensity, cognitive-behavioral self-management intervention for chronic musculoskeletal pain in older adults
针对老年人慢性肌肉骨骼疼痛的低强度认知行为自我管理干预
  • 批准号:
    9903177
  • 财政年份:
    2016
  • 资助金额:
    $ 60.15万
  • 项目类别:

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