Health and wellness coaching positively impacts individuals with chronic pain and pain-related interference

Zachary D Rethorn, Robert W Pettitt, Emily Dykstra, Cherie D Pettitt, Zachary D Rethorn, Robert W Pettitt, Emily Dykstra, Cherie D Pettitt

Abstract

Objectives: Health and wellness coaching (HWC) interventions have been reported to improve health outcomes for individuals with chronic diseases such as diabetes, cardiovascular disease, or cancer. However, HWC also holds potential as an effective intervention within a biopsychosocial chronic pain management framework. The aim of the present study was to evaluate the effects of HWC on individuals with chronic pain.

Methods: Participants were referred by their primary care provider or insurance company to a comprehensive telephonic 12-month pain management HWC program. Relationships between pain outcomes and physical and psychological factors were retrospectively analyzed. Mixed linear-effects modeling explored whether physical and psychological variables were associated with pain outcomes over time.

Results: Four hundred nineteen participants (female, 58.9%; mean age, 54.8) enrolled in the program and 181 completed the intervention. After 12 months in the program, statistically and clinically significant reductions were observed for pain intensity (Hedges' g = 1.00) and pain-related interference (Hedges' g = 1.13). Linear mixed-effects modeling indicated that improvements in physical functioning and psychological factors were associated with improvements in pain intensity.

Discussion: Our results provide a novel analysis on the effects of HWC on chronic pain and pain-related interference. HWC appears to be a promising intervention to improve pain-related outcomes in a population with chronic pain. Further investigation of HWC as an intervention for chronic pain is warranted.

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1. Flow diagram of participants through…
Fig 1. Flow diagram of participants through study.
Fig 2. Comparison of the Pain Outcomes…
Fig 2. Comparison of the Pain Outcomes Questionnaire (POQ) total scores by timepoint.
Fig 3. Comparison of the pain numeric…
Fig 3. Comparison of the pain numeric rating scale by timepoint.

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