• Mark Sullivan, Dale J Langford, Pamela Stitzlein Davies, Christine Tran, Roger Vilardaga, Gifford Cheung, Daisy Yoo, Justin McReynolds, William B Lober, David Tauben, and Kevin E Vowles.
• Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington. Electronic address: sullimar@uw.edu.
• J Pain. 2018 Sep 1; 19 (9): 996-1005.

AbstractThe objective of this study was to develop and pilot test a chronic pain empowerment and self-management platform, derived from acceptance and commitment therapy, in a pain specialty setting. A controlled, sequential, nonrandomized study design was used to accommodate intervention development and to test the efficacy of the PainTracker Self-Manager (PTSM) intervention (Web-based educational modules and outcome tracking combined with tailored patient coaching sessions and provider guidance). Generalized estimating equations evaluated changes over time (baseline, 3 months, 6 months) in pain self-efficacy (primary outcome), chronic pain acceptance (activity engagement and pain willingness), perceived efficacy in patient-provider interactions, pain intensity and interference, and overall satisfaction with pain treatment (secondary outcomes) between intervention (n = 48) and usual care control groups (n = 51). The full study sample (N = 99) showed greater improvements over time (significant Group × Time interactions) in pain self-efficacy and satisfaction with pain treatment. Among study completers (n = 82), greater improvement in activity engagement as well as pain intensity and interference were also observed. These preliminary findings support the efficacy of the PTSM intervention in a pain specialty setting. Further research is needed to refine and expand the PTSM intervention and to test it in a randomized trial in primary care settings.Copyright © 2018 The American Pain Society. Published by Elsevier Inc. All rights reserved.

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