- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05278234
STEPS: An Efficacy Trial of a Chronic Pain Self-Management Program for Older Adults
December 13, 2023 updated by: Mary Janevic, University of Michigan
An Efficacy Trial of Community Health Worker-Delivered Chronic Pain Self-Management Support for Vulnerable Older Adults
The goal of this study is to determine whether community health workers (CHWs)-i.e., lay health workers with close ties to the communities they serve - can effectively teach cognitive-behavioral pain management strategies to older adults in a disadvantaged urban setting.
Specific aims are: to test, in a sample of 414 primarily African American older adults, whether the STEPS pain self-management intervention, delivered over 7 weeks through telephone sessions with a CHW and mobile health tools, improves pain outcomes at 2 and 12 months compared to a usual care control group.
We will also assess the mechanisms by which the intervention may bring about positive changes in pain outcomes.
We will use mixed quantitative and qualitative methods to assess participant engagement and satisfaction, and factors affecting implementation.
Study Overview
Study Type
Interventional
Enrollment (Estimated)
414
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Mary Janevic
- Phone Number: 7346473194
- Email: mjanevic@umich.edu
Study Contact Backup
- Name: Rebecca Lindsay
- Email: reblin@umich.edu
Study Locations
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Michigan
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Ann Arbor, Michigan, United States, 48109
- Recruiting
- University of Michigan
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Contact:
- Mary Janevic, PhD
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
50 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Community-living
- Have a cell or landline phone
- Self-reported chronic musculoskeletal pain (pain in muscles or joints for >= 3 months); >=4 (0-10 scale) average pain level over last week; >=1 day/previous 30 when pain made it difficult to do usual activities.
- Able to converse comfortably in English
Exclusion Criteria:
- Serious acute illness or hospitalization in last month
- Planned major surgery in next three months that would interfere with program participation (e.g., knee or hip replacement);
- Severe cognitive impairment or other severe physical or psychiatric disorder judged by study team to pose significant barrier to participation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention arm
Participants will engage in a 7-week multicomponent chronic pain self-management program.
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Participants will initially meet with a community health worker (CHW) for a 1-hour orientation at the participant's home, a Henry Ford Health System site or the University of Michigan Detroit Center, or virtual.
The CHW will show participants how to use the web modules.
Participants will be given (or mailed) a wearable activity tracker to use throughout the course of the 7-week program.
Each week participants will watch a brief video on the STEPS website; they may also be asked to complete handouts in the workbook.
They will have a weekly 30-minute telephone session with the CHW.
CHWs will review the weekly topic, help participants practice new skills, and set a related goal.
CHWs will screen for social needs and make appropriate community referrals.
Participants will set walking goals each week, using step-count data from the physical activity tracker.
Participants will track daily step counts.
Other Names:
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No Intervention: Usual care control arm
After completing the 12 month telephone survey, control group participants will be given access to the online program, a wearable physical activity tracker to use and keep, and will be invited to attend a workshop that provides key intervention content and individualized goal-setting guidance.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pain Interference
Time Frame: Baseline, 2 months from baseline, and 12 months from baseline
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The Pain Interference 6-item subscale of the Patient-Reported Outcomes Measurement Information System (PROMIS)-43 Adult Profile.
Items ask how much pain in the last 7 days has interfered with daily activities such as household chores and social activities (1=not at all to 5=very much); raw total scale scores range from 6 (low interference) to 30 (high interference).
When converted to T-scores (normed such that a score of 50 is the population mean and 10 T-score points=1 standard deviation), the possible range is 42 to 76, with a higher score representing worse outcome.
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Baseline, 2 months from baseline, and 12 months from baseline
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Participant Global Impression of Change--Pain
Time Frame: 2 months from baseline, and 12 months from baseline
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How participant thinks their pain has changed from baseline (much worse (1) to much better (7)).
Higher score represents a better outcome.
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2 months from baseline, and 12 months from baseline
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Participant Global Impression of Change - Functioning
Time Frame: 2 months from baseline, and 12 months from baseline
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How participant thinks their functioning has changed from baseline (much worse (1) to much better (7)).
Higher score represents a better outcome.
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2 months from baseline, and 12 months from baseline
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Change in pain intensity
Time Frame: Baseline, 2 months from baseline, and 12 months from baseline
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A numeric rating scale ranging from 0 (no pain at all; best outcome) to 10 (worst pain you can imagine; worst outcome)
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Baseline, 2 months from baseline, and 12 months from baseline
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 29, 2022
Primary Completion (Estimated)
April 1, 2026
Study Completion (Estimated)
April 1, 2026
Study Registration Dates
First Submitted
March 3, 2022
First Submitted That Met QC Criteria
March 3, 2022
First Posted (Actual)
March 14, 2022
Study Record Updates
Last Update Posted (Actual)
December 14, 2023
Last Update Submitted That Met QC Criteria
December 13, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HUM00206235
- 1R01AG071511 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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