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  • 1
    Online Resource
    Online Resource
    A Brief Psychological Intervention for Chronic Pain in Primary Care: A Pilot Randomized Controlled Trial
    Oxford University Press (OUP) ; 2021
    In:  Pain Medicine Vol. 22, No. 7 ( 2021-07-25), p. 1603-1611
    Details
    In: Pain Medicine, Oxford University Press (OUP), Vol. 22, No. 7 ( 2021-07-25), p. 1603-1611
    Abstract: Although evidence-based psychological interventions improve chronic pain, many patients do not engage in behavioral health services. Offering a brief intervention in a medical setting may provide benefits to patients with chronic pain. The purpose of this study was to examine preliminary outcomes of a brief psychological intervention for chronic pain delivered in primary care. Design Pilot randomized controlled trial. Setting Primary care clinic. Subjects Sixty participants with chronic pain were randomized to a 5-session psychological intervention or treatment-as-usual control group. Methods Participants completed pre- and post-intervention measures assessing pain severity, pain interference, pain catastrophizing, depression, and anxiety. Results Most participants (76.7%) randomized to the intervention completed all sessions. Compared to the control group, those in the intervention had decreases in pain severity (P = .048), pain catastrophizing (P = .04), and depression (P = .01) from pre- to post-intervention. Within the intervention group, there was a significant improvement in pain interference scores (P = 0.02). Within the intervention group, effect sizes were medium to large for changes in pain severity, pain interference, pain catastrophizing, and depression scores. There were no significant changes in anxiety scores. Conclusion Results suggest that delivery of a brief psychological intervention for chronic pain in primary care appears to offer improvements in pain severity, pain interference, pain catastrophizing, and depression. Findings suggest that shorter-term psychological interventions may offer similar benefits as longer-term ones. Furthermore, offering a brief intervention in primary care may increase access and engagement in behavioral pain management services. Future research should examine this through a fully-powered trial with longer-term outcomes.
    Type of Medium: Online Resource
    ISSN: 1526-2375 , 1526-4637
    URL: Article
    DOI: 10.1093/pm/pnaa444
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2023869-1
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  • 2
    Online Resource
    Online Resource
    A brief psychological intervention for chronic pain in primary care: Examining long‐term effects from a pilot randomized clinical trial
    Wiley ; 2022
    In:  Pain Practice Vol. 22, No. 6 ( 2022-07), p. 564-570
    Details
    In: Pain Practice, Wiley, Vol. 22, No. 6 ( 2022-07), p. 564-570
    Abstract: 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 1‐ and 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.
    Type of Medium: Online Resource
    ISSN: 1530-7085 , 1533-2500
    URL: Issue
    URL: Article
    DOI: 10.1111/papr.v22.6
    DOI: 10.1111/papr.13134
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2046672-9
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