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Related Experiment Video

Updated: May 25, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
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Equity Using Interventions for Pain and Depression (EQUIPD): A pilot randomized trial.

Marianne S Matthias1, Diana J Burgess2, Joanne K Daggy3

  • 1Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States; VA HSR Center for Health Information and Communication, Indianapolis, IN, United States; Regenstrief Institute, Indianapolis, IN, United States.

The Journal of Pain
|February 26, 2025
PubMed
Summary
This summary is machine-generated.

A pilot study found that the Equity Using Interventions for Pain and Depression (EQUIPD) coaching intervention was feasible for Black patients with chronic pain and depression. It showed promise in improving shared decision-making and related health outcomes.

Keywords:
Chronic painDepressionEquityShared decision-making

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Area of Science:

  • Health Equity Research
  • Clinical Intervention Studies
  • Patient-Centered Care

Background:

  • Black patients face disparities in pain management, receiving fewer treatment options and experiencing poorer communication with clinicians.
  • Comorbid depressive symptoms can negatively impact pain management and patient involvement in treatment decisions.
  • Improving health equity in pain care requires addressing communication barriers and enhancing shared decision-making.

Purpose of the Study:

  • To examine the feasibility of the Equity Using Interventions for Pain and Depression (EQUIPD) pilot study.
  • To assess a one-on-one coaching intervention paired with a decision aid for shared decision-making.
  • To support Black patients with chronic pain and depressive symptoms in choosing nonpharmacological treatments.

Main Methods:

  • Recruited and randomized 30 Black patients with chronic musculoskeletal pain and depressive symptoms.
  • Intervention included one-on-one coaching and a decision aid to facilitate shared decision-making.
  • Assessed feasibility metrics like recruitment rate, retention, and intervention participation.

Main Results:

  • High retention (90% at 3 months, 87% at 6 months) and intervention participation (94% completed ≥3 sessions).
  • Feasibility was demonstrated with high recruitment and fidelity.
  • Preliminary outcomes showed improvements in pain interference, depression, anxiety, patient engagement, and shared decision-making (effect sizes 0.30-0.75 at 3 months).

Conclusions:

  • The EQUIPD intervention is feasible for Black patients with chronic pain and depressive symptoms.
  • The intervention shows promise in enhancing autonomy and shared decision-making.
  • Results support further investigation of EQUIPD for improving pain and related outcomes in this population.