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IMproving Pain Using Peer RE-inforced Self-management Skills (IMPPRESS)

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ClinicalTrials.gov Identifier: NCT01748227
Recruitment Status : Completed
First Posted : December 12, 2012
Results First Posted : March 19, 2015
Last Update Posted : May 15, 2015
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development ( US Department of Veterans Affairs )

Study Type Interventional
Study Design Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Health Services Research
Condition Chronic Pain
Intervention Behavioral: Peer-Delivered Pain Self-Management
Enrollment 20
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Pain Self-Management
Hide Arm/Group Description

Training of (veteran) peers to deliver pain self-management materials to veterans with chronic pain

Pain Self-Management: Training of veteran peers to deliver pain self-management material to veterans with chronic pain. Veteran peers will then be assigned 2 patients with chronic pain to work with over the next 4 months on pain self-management.

Period Title: Overall Study
Started 20
Completed 17
Not Completed 3
Arm/Group Title Pain Self-Management
Hide Arm/Group Description

Training of (veteran) peers to deliver pain self-management materials to veterans with chronic pain

Pain Self-Management: Training of veteran peers to deliver pain self-management material to veterans with chronic pain. Veteran peers will then be assigned 2 patients with chronic pain to work with over the next 4 months on pain self-management.

Overall Number of Baseline Participants 17
Hide Baseline Analysis Population Description
[Not Specified]
Age, Categorical  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 17 participants
<=18 years
0
   0.0%
Between 18 and 65 years
17
 100.0%
>=65 years
0
   0.0%
Age, Continuous  
Mean (Full Range)
Unit of measure:  Years
Number Analyzed 17 participants
58
(35 to 66)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 17 participants
Female
0
   0.0%
Male
17
 100.0%
Region of Enrollment  
Measure Type: Number
Unit of measure:  Participants
United States Number Analyzed 17 participants
17
1.Primary Outcome
Title Pain/Enjoyment of Life/General Activity
Hide Description 3-item version of the Brief Pain Inventory. Possible range: 0-30. 0=no pain/interference, 30=maximum pain/interference. Thus lower values represent a better outcome.
Time Frame Change from baseline to 4 month assessment
Show Outcome Measure DataHide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Pain Self-Management
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Peer delivery of pain self-management to veterans

Trained peers were each assigned 2 veterans to meet with regularly for 4 months and discuss pain self-management and coping strategies.

Overall Number of Participants Analyzed 17
Mean (Standard Deviation)
Unit of Measure: units on a scale
-1.24  (4.60)
2.Secondary Outcome
Title Pain Catastrophizing Scale
Hide Description Pain Catastrophizing Scale. 13-item scale. Possible score range 0-52, with lower scores representing improvement.
Time Frame Baseline and 4 month assessment (final assessment)
Show Outcome Measure DataHide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Pain Self-Management
Hide Arm/Group Description:

Training of (veteran) peers to deliver pain self-management materials to veterans with chronic pain

Pain Self-Management: Training of veteran peers to deliver pain self-management material to veterans with chronic pain. Veteran peers will then be assigned 2 patients with chronic pain to work with over the next 4 months on pain self-management.

Overall Number of Participants Analyzed 17
Mean (Standard Deviation)
Unit of Measure: units on a scale
-5.12  (12.93)
3.Secondary Outcome
Title Multidimensional Perceived Social Support Scale (MPSS).
Hide Description 12 items, possible range 12-84 with higher scores indicating higher social support (i.e., better outcomes).
Time Frame Baseline and 4 month for Statistical Package for Social Scientists (SPSS) and only 4 month final interview for Working Alliance
Show Outcome Measure DataHide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Pain Self-Management
Hide Arm/Group Description:

Peer delivery of pain self-management to veterans

Trained peers were each assigned 2 veterans to meet with regularly for 4 months and discuss pain self-management and coping strategies.

Overall Number of Participants Analyzed 17
Mean (Standard Deviation)
Unit of Measure: units on a scale
6.96  (16.60)
4.Secondary Outcome
Title Patient Reported Outcome Measurement System (PROMIS)
Hide Description Possible scores range 0-100. Higher scores represent higher pain interference. Thus lower scores represent better outcomes.
Time Frame Change from baseline to 4 month assessment
Show Outcome Measure DataHide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Pain Self-Management
Hide Arm/Group Description:

Peer delivery of pain self-management to veterans

Trained peers were each assigned 2 veterans to meet with regularly for 4 months and discuss pain self-management and coping strategies.

Overall Number of Participants Analyzed 17
Mean (Standard Deviation)
Unit of Measure: units on a scale
-4.18  (11.39)
5.Secondary Outcome
Title Pain Centrality Scale
Hide Description Possible range 10-50. Higher scores indicate higher pain centrality, i.e., worse outcomes.
Time Frame 4 month assessment
Show Outcome Measure DataHide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Pain Self-Management
Hide Arm/Group Description:

Peer delivery of pain self-management to veterans

Trained peers were each assigned 2 veterans to meet with regularly for 4 months and discuss pain self-management and coping strategies.

Overall Number of Participants Analyzed 17
Mean (Standard Deviation)
Unit of Measure: units on a scale
-5.29  (8.79)
Time Frame [Not Specified]
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Pain Self-Management
Hide Arm/Group Description

Training of (veteran) peers to deliver pain self-management materials to veterans with chronic pain

Pain Self-Management: Training of veteran peers to deliver pain self-management material to veterans with chronic pain. Veteran peers will then be assigned 2 patients with chronic pain to work with over the next 4 months on pain self-management.

All-Cause Mortality
Pain Self-Management
Affected / at Risk (%)
Total   --/-- 
Show Serious Adverse Events Hide Serious Adverse Events
Pain Self-Management
Affected / at Risk (%)
Total   0/20 (0.00%) 
Show Other (Not Including Serious) Adverse Events Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Pain Self-Management
Affected / at Risk (%)
Total   0/20 (0.00%) 
This was a pilot study to examine feasibility and preliminary effectiveness of peer support for veterans with chronic pain. Because of the small sample size and pretest/posttest design of the study, results should be interpreted with caution.
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Name/Title: Dr. Marianne Matthias
Organization: Richard L. Roudebush VAMC HSR&D
Phone: 317-988-4514
Publications of Results:
Matthias MS, Kukla ME, McGuire AB, Bair MJ. Peer support for chronic pain self-management: A qualitative study of peer coaches' experiences. [Abstract]. Journal of general internal medicine. 2014 Apr 16; 29(1):169-170.
Matthias MS, McGuire AB, Kukla ME, Daggy J, Myers L, Bair MJ. Effectiveness of a brief peer support intervention for veterans with chronic pain. [Abstract]. Journal of general internal medicine. 2014 Apr 16; 29(1):80.
Responsible Party: VA Office of Research and Development ( US Department of Veterans Affairs )
ClinicalTrials.gov Identifier: NCT01748227     History of Changes
Other Study ID Numbers: RRP 12-438
First Submitted: November 21, 2012
First Posted: December 12, 2012
Results First Submitted: December 11, 2014
Results First Posted: March 19, 2015
Last Update Posted: May 15, 2015