Development and Preliminary Testing of a Peer Narrative Video Intervention for Older Adults With Chronic Pain
Butler Hospital
Summary
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.
Description
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. There is a clear need for interventions that increase one's ability to cope with chronic pain and engage in meaningful life activities even with the presence of chronic pain. Acceptance and Commitment Therapy (ACT) is a psychotherapy that uses mindfulness and psychological acceptance to support individuals in working toward behavioral goals guided by their personal values, even in the presence of unde…
Eligibility
- Age range
- 55+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. 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. 2. Pain interferes with everyday activities. 3. Age 55 or older. 4. Proficiency in English sufficient to engage in informed consent and understand assessments and materials. 5. Reliable internet access. Exclusion Criteria: 1. Currently receiving acceptance/mindfulness or similar psychotherapy for chronic pain management. 2. Current severe substance use problems. 3. Cognitive impairment that would inte…
Interventions
- BehavioralReclaim Your Day
Reclaim 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.
- BehavioralHealth education
Health education is a 6-part video series covering various health topics and is offered over 6 weeks.
Location
- Butler HospitalProvidence, Rhode Island