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Remote Delivery of the Chronic Pain Self-management Program Using Self-directed Materials and Small-group Telephone
Khushboo Sheth1,2,3, Philip L Ritter1, Kate Lorig1
1Division of Immunology and Rheumatology, Department of Medicine, 6429Stanford University, Stanford, CA, USA.
Summary
A remote chronic pain program effectively improved pain, depression, and self-efficacy in underserved populations. This pilot study demonstrated successful reach, effectiveness, and maintenance, offering an alternative to in-person programs.
Area of Science:
- Health Services Research
- Chronic Disease Management
- Telehealth Interventions
Background:
- Chronic pain affects diverse populations, particularly in underserved communities.
- Traditional in-person self-management programs face accessibility barriers.
- Remote delivery models are needed to expand chronic pain care.
Purpose of the Study:
- To evaluate a remote chronic pain self-management program using the RE-AIM framework.
- To assess the program's reach, effectiveness, adoption, implementation, and maintenance.
- To determine the feasibility of delivering chronic pain management via telephone and tool kits.
Main Methods:
- A 6-week pilot program was conducted in underserved communities in Cleveland, Ohio.
- Participants received a toolkit (book, CDs, self-test, tip sheets) and weekly peer-facilitated telephone calls.
- The RE-AIM framework was used to evaluate the program's reach, effectiveness, adoption, implementation, and maintenance.
Main Results:
- The program reached a diverse, low-income population (nearly 50% Black).
- Significant improvements were observed in pain, depression, and self-efficacy (p < .01) over 7 weeks.
- The study site and 60 additional organizations have adopted and maintained the program.
Conclusions:
- Remote delivery of chronic pain self-management programs is feasible and effective.
- This model successfully reached and engaged underserved populations.
- The program's demonstrated maintenance indicates scalability and potential for broader impact.
