Group-Based Integrative Pain Management in Primary Care: A Study Protocol for Multilevel Interventions to Address
Maria T Chao1,2, Ariana Thompson-Lastad1,3, Pamela Swedlow4
1Osher Center for Integrative Health, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Global Advances in Integrative Medicine and Health
|November 21, 2024
Summary
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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