Group-Based Integrative Pain Management in Primary Care: A Study Protocol for Multilevel Interventions to Address Health Disparities
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View abstract on PubMed
Summary
This summary is machine-generated.This study tests group acupuncture and integrative group medical visits for chronic pain in low-income populations. These interventions aim to reduce pain impact and improve social support, addressing health disparities.
Area Of Science
- Health equity
- Integrative medicine
- Pain management
Background
- Socioeconomically disadvantaged groups experience high chronic pain prevalence.
- Social isolation, stigma, and treatment disparities worsen pain.
- Multilevel, biopsychosocial interventions are crucial for equitable pain care.
Purpose Of The Study
- To test the impact of group acupuncture and integrative group medical visits (IGMV).
- To evaluate these models in primary care safety net clinics.
- To address multilevel barriers and disparities in pain management.
Main Methods
- 2x2 factorial randomized clinical trial of 12-week group interventions.
- Participants receive usual care plus group acupuncture, IGMV, both, or waitlist control.
- Outcomes include pain impact, social support, pain interference, intensity, mood, quality of life, and social isolation.
Main Results
- Primary outcomes: changes in pain impact and social support at 3-month follow-up.
- Secondary outcomes: pain interference, intensity, depression, anxiety, quality of life, social isolation.
- Mixed methods data collection: patient-reported outcomes, EHR data, qualitative interviews, focus groups, observations.
Conclusions
- Group-based integrative pain management shows promise in safety net clinics.
- This model can improve pain care for diverse, low-income populations.
- Further research is needed to advance health equity in pain management.
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