Using Multi-Method Insights to Develop a Novel Chronic Pain Self-Management Intervention for Black Older Adults

Area of Science:

• Gerontology
• Pain Management
• Health Disparities

Background:

• Chronic pain, particularly osteoarthritis, disproportionately affects older Black/African Americans.
• Effective self-management programs are crucial for addressing pain and disability in this demographic.
• The U.S. National Pain Strategy aims to develop nationwide pain self-management programs.

Purpose of the Study:

• To design a novel pain self-management intervention for Black/African American older adults with chronic musculoskeletal pain.
• To incorporate cultural beliefs, spiritual practices, and accessible resources into pain management strategies.
• To address the specific needs and lived experiences of this population.

Main Methods:

• Four mixed-methods studies explored perceptions, cultural beliefs, and social factors influencing pain management in older adults (50-94 years).
• Inclusion of community advisory boards and subject matter experts in the research process.
• Application of descriptive statistics, thematic analysis, and content analysis to identify patterns.

Main Results:

• Older Black/African Americans manage pain using culturally relevant methods, spiritual beliefs, and available resources.
• Identified differences in pain experiences, disability impact, and self-management strategy utilization.
• Developed an educational resource and shaped the PROACTIVE intervention, integrating culturally congruent education, spiritual coping, and financial navigation.

Conclusions:

• The PROACTIVE intervention provides culturally sensitive skills, motivation, and resources for chronic pain self-management.
• Aims to enhance pain outcomes and improve physical and emotional quality of life for older Black/African Americans.
• Offers a practical and tailored approach to chronic pain management in a vulnerable population.