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Translating an Intervention to Address Chronic Pain among Home Care Workers: The COMPASS-NP Pilot
Ryan Olson1, Jennifer A Hess, Dennis Turk
1From the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon (R.O., C.D., S.A.S., I.D.A.); School of Public Health, Oregon Health & Science University-Portland State University (PSU), Portland, Oregon (R.O.); Department of Psychology, Portland State University, Portland, Oregon (R.O.); Labor Education and Research Center, University of Oregon, Eugene, Oregon (J.A.H.); Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington; GSK/Novartis, Brentford, Middlesex, United Kingdom; and Vertex, Boston MA; Clinical Journal of Pain, Philadelphia, PA; Analgesic, Anesthetic, and Addiction Clinical Trials, Innovation, Opportunities and Network (ACTION), Rochester, NY; FDA Public-Private Partnership (D.T.); Department of Family Medicine, Oregon Health & Science University, Portland, OR (M.M., R.S.); and Service Employees International Union 775 Benefits Group, Seattle, Washington (E.N.-K.).
The COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP) intervention significantly reduced chronic pain interference for home care workers. This pilot study showed promising results for improving pain self-management and workplace safety.
Area of Science:
- Occupational health
- Pain management
- Ergonomics
Background:
- Chronic pain affects home care workers, impacting their work and daily lives.
- Workplace safety and effective pain self-management strategies are crucial for this population.
Purpose of the Study:
- To pilot test the COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP) intervention.
- To assess the feasibility and preliminary effectiveness of COMPASS-NP for home care workers with chronic pain.
Main Methods:
- A 10-week online group program was delivered to 19 home care workers with chronic pain.
- The program focused on workplace safety and pain self-management techniques.
- Outcomes included pain interference, ergonomics, pain levels, opioid misuse risk, mental health, sleep, and physical activity.
Main Results:
- Significant reductions were observed in pain interference with life (d = -0.85) and work (d = -0.61).
- Favorable effect sizes were noted for secondary outcomes, including a substantial increase in ergonomic tool and technique utilization (d = 1.47).
Conclusions:
- The COMPASS-NP intervention demonstrated encouraging preliminary effectiveness.
- Further evaluation in a randomized controlled trial is warranted to confirm these findings.
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