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Updated: Apr 4, 2026

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Facilitators and Barriers to Participation in a Peer Support Intervention for Veterans With Chronic Pain
Marianne S Matthias1, Marina Kukla, Alan B McGuire
1*VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center †Regenstrief Institute Departments of ‡Communication Studies ∥Psychology, Indiana University-Purdue University §Department of Medicine, Indiana University School of Medicine, Indianapolis, IN.
Objective:
To understand facilitators and barriers to participation in a peer support intervention for self-management of chronic pain.
Methods:
After completing a pilot intervention study, peer coaches and their veteran patients took part in a qualitative, semistructured interview to explore their experiences with the intervention. Data were analyzed using an immersion/crystallization approach.
Results:
Three facilitators and 2 barriers to patient participation in a peer support intervention for veterans with chronic pain emerged. Facilitators were (1) having a shared identity as veterans, (2) being partnered with a person who also has chronic pain, and (3) support from the study staff. Barriers were (1) logistical challenges, and (2) challenges to motivation and engagement in the intervention.
Discussion:
Awareness of facilitators and barriers to participation in a peer-supported self-management program for chronic pain, as well as strategies to capitalize on facilitators and mitigate barriers, are essential for further study and ultimate clinical implementation of such a program.
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