Literacy-Adapted Psychosocial Treatments for Chronic Pain --- "Learning About Mastering/My Pain" (LAMP)
Chronic Pain, Pain, Widespread Chronic Pain
About this trial
This is an interventional treatment trial for Chronic Pain focused on measuring chronic pain, pain, chronic pain syndrome, widespread chronic pain, back pain, literacy, health literacy, group therapy, psychosocial treatment, cognitive-behavioral therapy, pain education, health disparities, patient-centered outcomes
Eligibility Criteria
Inclusion Criteria:
- Must be at least 19 yrs-old in order to consent to treatment.
- Must have received at least one diagnosis consistent with chronic pain by a physician at one of the participating primary care clinics.
- Must have experienced pain most days of the month for 3 months, and although pain may have more than one pain source, all pain must be non-malignant (e.g., not cancer- or HIV-related).
- Must be able to speak and understand English.
- Must have a telephone or other avenue of communication for contact regarding the study.
Exclusion Criteria:
- Must not demonstrate significant cognitive impairment (based on results of a cognitive screener).
- Must not have current, uncontrolled serious psychological disturbance (e.g., schizophrenia, bipolar disorder) or active substance abuse (based on responses to a structured diagnostic interview).
- Must have minimal literacy skills (i.e., read at the 1st grade level).
- Must have been stabilized for at least 4 weeks on current pain and psychotropic medication regimen to reduce potential confounds to treatment results.
- Must not have a surgery scheduled for the intervention period (~3 months).
- Must neither be currently receiving a psychosocial treatment for pain (though they may be receiving psychotherapy for non-pain difficulties) nor be a participant in our previous treatment studies.
Sites / Locations
- Whatley Health Services, Inc.
- University of Alabama, Department of Psychology
- East Carolina University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Pain Ed
CBT for Pain
Usual Care
Pain Education: A psychosocial treatment group focusing on providing core pain education to low-income patients who may not have received this information due to existing barriers that often includes limited health literacy. This condition also included medical treatment as usual.
Cognitive-Behavioral Therapy for Pain: A psychosocial treatment group focusing on providing core pain education and cognitive-behavior skills to low-income patients who may not have received this information due to existing barriers that often includes limited health literacy. This condition also included medical treatment as usual.
Usual Care (Medical Treatment-as-Usual: A control/comparison condition in which patients receive on-going standard care at the federally qualified health center partnering in this research. Facets of care may include medication, surgery, chiropractic, and physical therapy, among others, which are available to all patients in all arms.