About this trial
Chronic musculoskeletal (MSK) pain, which includes spinal pain, osteoarthritis, and fibromyalgia, is a common and costly problem for older adults and is associated with decreased quality of life. In this project, investigators propose to create Reclaim Your Day (RYD), which will consist of 6, 30-min weekly video episodes highlighting patients' inspiring and illustrative experiences living with chronic pain in order to teach current patients with chronic MSK pain how to apply ACT's evidence-based strategies. INvestigators will conduct a pilot RCT (n=100) of older adults with chronic MSK pain. All participants will receive an introductory pain education video. Participants will be randomized to receive either RYD or a comparison intervention (health education videos). Investigators will examine RYD feasibility and acceptability as well as changes over time in outcomes (pain interference, depression, quality of life) and putative mediators.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Chronic MSK pain. Consistent with existing guidance, the experience of pain must be present most days of the week over the past 3 months, of at least moderate intensity.
Pain interferes with everyday activities.
Age 55 or older.
Proficiency in English sufficient to engage in informed consent and understand assessments and materials.
Disqualifiers
Currently receiving acceptance/mindfulness or similar psychotherapy for chronic pain management.
Current severe substance use problems.
Cognitive impairment that would interfere with a person's capacity to complete the study.
Trial design
Parallel
Treatments tested in this trial
Reclaim Your Day
BehavioralReclaim You Day is a 6-part video intervention that features peers with lived experience describing how they learned to live well with their chronic pain and is provided for 6 weeks.
Health education
BehavioralHealth education is a 6-part video series covering various health topics and is offered over 6 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Client Satisfaction Questionnaire (CSQ)
The Client Satisfaction Questionnaire (CSQ) is an 8 item self-report measure of patient satisfaction with treatment. The total score will be used and ranges from 8 to 32 with higher scores indicating greater satisfaction with treatment.
Secondary outcomes
Brief Pain Inventory (BPI) - Pain Interference subscale
The Brief Pain Inventory (BPI) - Pain Interference subscale is a 7-item patient-reported rating of how much pain interferes with daily functioning on 0-10 numeric scales and is typically scored as the mean of the 7 items (range 0-10, higher scores = greater interference).
Sponsors and contacts
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Butler Hospital
Lead sponsor
National Institute on Aging (NIA)
Collaborator