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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.).
Objective:
To pilot test the COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP) intervention for home care workers experiencing chronic pain.
Methods:
Home care workers with chronic pain participated (n = 19; 2 groups) in a 10-week online group program focused on workplace safety and pain self-management. Primary outcomes were changes in pain interference with work and life. Other outcomes related to ergonomics, pain levels, opioid misuse risk, mental health, sleep, and physical activity.
Results:
The intervention produced a large reduction in pain interference with life ( d = -0.85) and a moderate reduction in pain interference with work time demands ( d = -0.61). Secondary outcomes showed favorable effect sizes, including a substantial increase in the use of ergonomic tools and techniques ( d = 1.47).
Conclusion:
Findings were strongly encouraging. The effectiveness of COMPASS-NP will be evaluated in a future randomized controlled trial.
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