ArticlePain medicine (Malden, Mass.)2022
A Pilot Study of a Chronic Pain Self-Management Program Delivered by Community Health Workers to Underserved African American Older Adults.
Article in Pain medicine (Malden, Mass.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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Who cites it
15 citing papers in PubMed.
- A Community Health Worker-Led Positive Psychology Intervention for African American Older Adults With Chronic Pain.The Gerontologist · 2022Trial
- Community-driven, culturally tailored interventions for MSK pain in Black/African Americans: A scoping review.The journal of pain · 2026Article
- "Coming Correct": Conducting Community Engagement Studios to Adapt Mindfulness-Based Cognitive Therapy for the Chronic Pain-Depression Comorbidity Among Older Black Adults.Journal of clinical psychology in medical settings · 2026Article
- Using Multi-Method Insights to Develop a Novel Chronic Pain Self-Management Intervention for Black Older Adults.Journal of racial and ethnic health disparities · 2025Article
- Primary care barriers and facilitators to nonpharmacologic treatments for low back pain: A qualitative pilot study.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- What does collaborative healthcare for people with musculoskeletal-related conditions look like? A scoping review.BMC musculoskeletal disorders · 2025Article
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- Examining associations among daily discrimination, psychosocial risk factors, and pain outcomes in people with chronic low back pain.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Social Determinants and Consequences of Pain: Toward Multilevel, Intersectional, and Life Course Perspectives.The journal of pain · 2024Review
- eHealth-Integrated Psychosocial and Physical Interventions for Chronic Pain in Older Adults: Scoping Review.Journal of medical Internet research · 2024Article
- From stepping stones to scaling mountains: overcoming racialized disparities in pain management.Pain management · 2024Article
- Psychosocial Predictors of Chronic Musculoskeletal Pain Outcomes and their Contextual Determinants Among Black Individuals: A Narrative Review.The journal of pain · 2022Review
- Heals on Wheels: Development and Implementation of Community-Based Workshops for Integrative, Whole Person Pain Care in Underserved Communities.Global advances in integrative medicine and healthArticle
- Psychological and Clinical Risk Factors for Substance Use in People With and Without HIV.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveAfrican American older adults living in disadvantaged communities are disproportionately burdened by disabling pain. To address their needs, we tested the feasibility and potential effects of a cognitive-behavioral chronic pain self-management program delivered by community health workers.
designA single-group, pre-post evaluation of the STEPS-2 (Seniors using Technology to Engage in Pain Self-management) intervention, in which participants learned pain-management skills through web-based videos. They were also given wearable activity trackers to facilitate incremental increases in walking. In weekly telephone calls, community health workers helped participants apply skills and set goals. SUBJECTS/
settingThirty-one adults in Detroit, Michigan (97% African American, 97% female, mean 68.7 years), with chronic musculoskeletal pain.
methodsParticipants completed telephone surveys at baseline and eight weeks. We measured changes in PROMIS pain interference and pain intensity, as well as Patient Global Impression of Change in pain and functioning. Feasibility indicators included participant engagement and satisfaction, and fidelity to session protocols by community health workers.
resultsParticipants on average completed 6.6/7 sessions, and 100% agreed or strongly agreed that they improved their understanding of pain management. Average community health worker fidelity score was 1.79 (0 to 2 scale). Pain interference decreased from baseline to post-program (T-score 61.6 to 57.3, P=.000), as did pain intensity (0 to 10 scale, 6.3 to 5.1, P=.004). Approximately 90% of participants reported that pain and function were at least "a little better" since baseline.
conclusionsAn intervention combining mobile health tools with support from community health workers holds promise for improving pain outcomes among underserved older adults.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.