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
- 来源:
- 关键词:AccelerationAccelerometerAddressAdultAffectAfrican AmericanAgeAgingBehaviorBehavioralCOVID-19COVID-19 impactCaringCitiesCognitiveColorCommunitiesCommunity Health AidesComputersDataDisadvantagedDiscipline of NursingDisparityEconomicsEducational process of instructingElderlyEnrollmentEvidence based interventionFaceFrontline workerGoalsHealthHealth systemHousingHumanIncomeInequityInterventionKnowledgeLearningMediatingMediatorMethodsMichiganModelingMonitorMusculoskeletal PainNeeds AssessmentOlder PopulationOnline SystemsOutcomePainPain ResearchPain intensityPain interferencePain managementParticipantPersonsPharmaceutical PreparationsPhysical MedicinePhysical RehabilitationPhysical activityPilot ProjectsPopulationPositioning AttributePrevalenceProcessPublic HealthRacial SegregationRandomized, Controlled TrialsReportingResearchResourcesRiskRoleSelf EfficacyServicesSocial DistanceSocial MobilityStandardizationStructural RacismSustainable DevelopmentTechnologyTestingTherapeuticTrainingTransportationUrban CommunityVulnerable Populationsadult of coloragedchronic paincomparison controlcosteconomic disparityefficacy trialenvironmental stressorevidence basefield studygroup interventionhealth disparityhigh riskimpressionimprovedinnovationintervention effectintervention participantsmHealthmarginalizationnovelpain reductionpain self-managementpain-related disabilitypilot testpopulation healthprimary outcomeprogramspsychologicpsychosocial stressorspublic health prioritiesracial disparityremote deliverysecondary outcomeself-management programsexskillssocial health determinantssocioeconomic disadvantagesocioeconomic disparitystemstressortelephone basedtelephone deliverytelephone sessiontoolunderserved areaunderserved communityurban settingusual care armvirtual
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)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Mary Rose Janevic其他文献
Mary Rose Janevic的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ 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:
相似海外基金
Establishing best practices for the use of accelerometer measured ambient light sensor data to assess children's outdoor time
建立使用加速度计测量的环境光传感器数据来评估儿童的户外时间的最佳实践
- 批准号:
10731315 - 财政年份:2023
- 资助金额:
$ 60.15万 - 项目类别:
Training of machine learning algorithms for the classification of accelerometer-measured bednet use and related behaviors associated with malaria risk
训练机器学习算法,用于对加速计测量的蚊帐使用和与疟疾风险相关的相关行为进行分类
- 批准号:
10727374 - 财政年份:2023
- 资助金额:
$ 60.15万 - 项目类别:
Development of environmentally robust and thermally stable Microelectromechanical Systems (MEMS) based accelerometer for automotive applications
开发适用于汽车应用的环境稳定且热稳定的微机电系统 (MEMS) 加速度计
- 批准号:
566730-2021 - 财政年份:2022
- 资助金额:
$ 60.15万 - 项目类别:
Alliance Grants
Use of accelerometer and gyroscope data to improve precision of estimates of physical activity type and energy expenditure in free-living adults
使用加速度计和陀螺仪数据来提高自由生活成年人身体活动类型和能量消耗的估计精度
- 批准号:
10444075 - 财政年份:2022
- 资助金额:
$ 60.15万 - 项目类别:
Use of accelerometer and gyroscope data to improve precision of estimates of physical activity type and energy expenditure in free-living adults
使用加速度计和陀螺仪数据来提高自由生活成年人身体活动类型和能量消耗的估计精度
- 批准号:
10617774 - 财政年份:2022
- 资助金额:
$ 60.15万 - 项目类别:
Exploration of novel pathophysiology of chemotherapy-induced peripheral neuropathy utilizing quantitative sensory testing and accelerometer
利用定量感觉测试和加速度计探索化疗引起的周围神经病变的新病理生理学
- 批准号:
22K17623 - 财政年份:2022
- 资助金额:
$ 60.15万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
Investigating the validity and reliability of accelerometer-based measures of physical activity and sedentary time in toddlers (iPLAY)
研究基于加速度计的幼儿体力活动和久坐时间测量的有效性和可靠性 (iPLAY)
- 批准号:
475451 - 财政年份:2022
- 资助金额:
$ 60.15万 - 项目类别:
Studentship Programs
Doctoral Dissertation Research: Leveraging Intensive Time Series of Accelerometer Data to Assess Impulsivity and Inattention in Preschool Children
博士论文研究:利用加速计数据的密集时间序列来评估学龄前儿童的冲动和注意力不集中
- 批准号:
2120223 - 财政年份:2021
- 资助金额:
$ 60.15万 - 项目类别:
Standard Grant
Investigating the reliability of accelerometer-based measures of physical activity and sedentary time in toddlers
研究基于加速度计的幼儿体力活动和久坐时间测量的可靠性
- 批准号:
466914 - 财政年份:2021
- 资助金额:
$ 60.15万 - 项目类别:
Studentship Programs
Development of a rotation-invariant accelerometer for human activity recognition
开发用于人类活动识别的旋转不变加速度计
- 批准号:
21K19804 - 财政年份:2021
- 资助金额:
$ 60.15万 - 项目类别:
Grant-in-Aid for Challenging Research (Exploratory)