Evidence map›Paper›PMID 40457457›Full record

ArticleTrials2025

A community health worker-delivered intervention (STEPS) to support chronic pain self-management among older adults in an underserved urban community: protocol for a randomized trial.

Mary R Janevic, Rebecca Lindsay, Elizabeth Brines, Kimberlydawn Wisdom, Sheria G Robinson-Lane, Robin Brewer, Susan L Murphy, John Piette, Leslie Grijalva, Michael Anderson and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05278234 (An Efficacy Trial of Community Health Worker-Delivered Chronic Pain Self-Management Support for Vulnerable Older Adults), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05278234 nacompletednot on this map

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

TypeinterventionalSponsorUniversity of MichiganRan2022 to 2026Enrolled414ConditionsChronic PainArmsSTEPS
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mary R JanevicSchool of Public Health, University of Michigan, Ann Arbor, USA. mjanevic@umich.edu.
Rebecca LindsaySchool of Public Health, University of Michigan, Ann Arbor, USA.
Elizabeth BrinesSchool of Public Health, University of Michigan, Ann Arbor, USA.
Kimberlydawn WisdomHenry Ford Health, Detroit, USA.
Sheria G Robinson-LaneUniversity of Michigan School of Nursing, Ann Arbor, USA.
Robin BrewerUniversity of Michigan School of Information, Ann Arbor, USA.
Susan L MurphyUniversity of Michigan Medical School, Ann Arbor, USA.
John PietteSchool of Public Health, University of Michigan, Ann Arbor, USA.
Leslie GrijalvaHenry Ford Health, Detroit, USA.
Michael AndersonHenry Ford Health, Detroit, USA.
Jaye ClementHenry Ford Health, Detroit, USA.
Courtney LatimerHenry Ford Health, Detroit, USA.

Funding

Chronic pain self-management for older adults with cognitive impairment: A randomized pilot trialR01AG071511 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JANEVIC, MARY ROSE · 2021 to 2025
$3.3M
NIA NIH HHS 1R01AG071511-01NIA NIH HHS R01 AG071511
6 · The paper itself

Abstract

backgroundOlder adults in disadvantaged urban communities contend with chronic psychosocial and environmental stressors that contribute to high levels of chronic pain-related disability. African American older adults are especially at risk due to the health-damaging effects of structural racism. The purpose of this study is to test the efficacy of a chronic pain self-management intervention tailored for this context. STEPS (Seniors using Technology to Engage in Pain Self-management) is a community health worker (CHW)-led chronic pain self-management program designed for older adults living in underserved communities. It is a 7-week intervention that includes (a) brief videos presenting pain self-management skills; (b) weekly telephone calls with a CHW to support the practice of new skills and goal setting; and (c) tracking daily step counts using a wearable activity tracker. CHWs also screen for social needs and make appropriate community referrals.

methodsWe will randomly assign 414 participants to the STEPS intervention or a control condition in a 1:1 ratio, stratifying by gender and age group. We hypothesize that participants in the STEPS intervention will have greater improvements in pain interference and pain intensity, and a more positive Global Impression of Change immediately following the intervention and at 12 months from baseline. Control group members are invited to attend a workshop covering key intervention content after the final data collection point. DISCUSSION: Growing evidence supports the effectiveness of CHWs as culturally sensitive liaisons between healthcare systems and underserved communities. If the STEPS program is shown to significantly improve pain-related outcomes, STEPS could be integrated into healthcare systems to more comprehensively treat chronic pain while reducing barriers to care and promoting non-pharmacological pain management strategies.

trial registrationClinicalTrials.gov, NCT05278234. Registered on March 3, 2022.

Indexed as

Chronic PainCommunity Health WorkersPain ManagementSelf-ManagementAgedAge FactorsBlack or African AmericanFemaleHumansMaleMedically Underserved AreaRandomized Controlled Trials as TopicTreatment OutcomeUrban PopulationVulnerable PopulationsAgingBehavioral interventionChronic painCommunity health workersmHealthSocial determinants of health

Identifiers

PMID40457457
PMCPMC12128255

What Socratic holds

Textmetadata
LicenceCC BY
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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.