A Brief Psychological Intervention for Chronic Pain in Primary Care: A Pilot Randomized Controlled Trial

Miller-Matero, Lisa R; Hecht, Leah M; Miller, Mary Kate; Autio, Kirsti; Pester, Bethany; Tobin, Erin T.; Patel, Salma; Braciszewski, Jordan M.; Maye, Melissa; Ahmedani, Brian K.

doi:10.1093/pm/pnaa444

Cited by 16 publications

(27 citation statements)

References 49 publications

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“…As reported in the prior paper, those randomized to the control group were more likely to identify as Black. 28 Otherwise, there were no significant differences in demographics between the intervention and control groups (p > 0.05). Of the 60 participants who enrolled in the pilot RCT, 90% (n = 54) completed measures at the 1-month follow-up and 83.3% (n = 50) completed the 6-month follow-up (Figure 1).…”

Section: R E Su Lt Smentioning

confidence: 79%

“…37 Though this measure assesses both anxiety and depression, for the current study, we only examined the depression subscale since there was not a significant finding for anxiety from baseline to post-intervention. 28…”

Section: Methodsmentioning

confidence: 99%

“…Additional detail about the intervention, eligibility, and enrollment is described in the previous paper reporting on effects of the intervention from baseline to post-intervention. 28 Participants completed measures at baseline, post-intervention, and at 1-month and 6-month follow-ups. We selected a 6-month follow-up since this is a common time point for assessment for psychological interventions for chronic pain.…”

Section: Methodsmentioning

confidence: 99%

“…Sixty participants with chronic musculoskeletal noncancer pain lasting at least 3 months enrolled in a pilot randomized clinical trial (RCT) after seeking pain management in primary care. 28 Patients were excluded if they had cognitive impairment (diagnosed in their electronic health record) or had significant impairment on the Montreal Cognitive Assessment. 31 Patients were also excluded if they were currently attending psychotherapy to ensure effects were from this intervention and not additional treatment.…”

Section: Et Hod S Participantsmentioning

confidence: 99%

“…Indeed, our brief, 5-session psychological intervention for patients with chronic pain delivered in a primary care setting was successful in engaging patients with high treatment adherence and resulted in improvements in pain and depression. 28 The intervention relied on evidence-based psychological components for chronic pain management, including cognitive behavioral, mindfulness, and acceptance-based strategies. Those in the intervention group experienced significant pre-to post-intervention improvements in pain severity, pain interference, pain catastrophizing, and depression, with medium-to-large effect sizes.…”

Section: Introductionmentioning

confidence: 99%

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A brief psychological intervention for chronic pain in primary care: Examining long‐term effects from a pilot randomized clinical trial

et al. 2022

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Background: Despite the existence of evidence-based psychological interventions for pain management, there are barriers that interfere with treatment engagement.A brief intervention integrated into primary care reduced barriers and showed promising benefits from pre-to post-intervention. However, it is unknown whether a brief intervention can provide long-term effects. The purpose of this study was to examine whether a brief psychological intervention offered benefits in pain severity, pain interference, pain catastrophizing, and depressive symptoms at 1and 6-month follow-ups. Methods:The majority of participants who enrolled in a pilot randomized clinical trial of a 5-session psychological intervention for chronic pain in primary care completed the 1-month (n = 54; 90%) and 6-month follow-ups (n = 50; 83.3%).Participants completed measures of pain severity, pain interference, pain catastrophizing, and depressive symptoms.Results: From baseline to the 6-month follow-up, those in the intervention group had significantly better outcomes for pain severity (p = 0.01) and pain catastrophizing (p = 0.003) compared with the control group. There were no significant differences between the intervention and control groups for pain interference and depression.The percentage of patients in the intervention experiencing clinically significant improvement across all outcomes was higher than the control group.Conclusions: Findings suggest that a brief psychological intervention for chronic pain in primary care may offer longer-term benefits similar to that of lengthier interventions. Future studies should examine this through a randomized clinical trial with a larger sample size.

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Section: R E Su Lt Smentioning

confidence: 79%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Et Hod S Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A brief psychological intervention for chronic pain in primary care: Examining long‐term effects from a pilot randomized clinical trial

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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“FastSchool”: A single session of an interprofessional pain management program for chronic pain patients inspired by cognitive behavioral therapy

Trouvin¹,

Carvès²,

Rouquette

et al. 2022

Patient Education and Counseling

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A Brief Psychological Intervention for Chronic Pain in Primary Care: A Pilot Randomized Controlled Trial

Cited by 16 publications

References 49 publications

A brief psychological intervention for chronic pain in primary care: Examining long‐term effects from a pilot randomized clinical trial

A brief psychological intervention for chronic pain in primary care: Examining long‐term effects from a pilot randomized clinical trial

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

“FastSchool”: A single session of an interprofessional pain management program for chronic pain patients inspired by cognitive behavioral therapy

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