Pain coping skills training for African Americans with osteoarthritis (STAART): study protocol of a randomized controlled trial

Schrubbe, Leah A.; Ravyts, Scott G.; Benas, Bernadette C.; Campbell, Lisa C.; Cené, Crystal W.; Coffman, Cynthia J.; Gunn, Alexander H.; Keefe, Francis J.; Nagle, Caroline T.; Oddone, Eugene Z.; Somers, Tamara J.; Stanwyck, Catherine L.; Taylor, Shannon S.; Allen, Kelli D.

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Author

Schrubbe, Leah A.; Ravyts, Scott G.; Benas, Bernadette C.; Campbell, Lisa C.; Cené, Crystal W.; Coffman, Cynthia J.; Gunn, Alexander H.; Keefe, Francis J.; Nagle, Caroline T.; Oddone, Eugene Z.; Somers, Tamara J.; Stanwyck, Catherine L.; Taylor, Shannon S.; Allen, Kelli D.

Abstract

Background: African Americans bear a disproportionate burden of osteoarthritis (OA), with higher prevalence rates, more severe pain, and more functional limitations. One key barrier to addressing these disparities has been limited engagement of African Americans in the development and evaluation of behavioral interventions for management of OA. Pain Coping Skills Training (CST) is a cognitive-behavioral intervention with shown efficacy to improve OA-related pain and other outcomes. Emerging data indicate pain CST may be a promising intervention for reducing racial disparities in OA symptom severity. However, there are important gaps in this research, including incorporation of stakeholder perspectives (e.g. cultural appropriateness, strategies for implementation into clinical practice) and testing pain CST specifically among African Americans with OA. This study will evaluate the effectiveness of a culturally enhanced pain CST program among African Americans with OA. Methods/Design: This is a randomized controlled trial among 248 participants with symptomatic hip or knee OA, with equal allocation to a pain CST group and a wait list (WL) control group. The pain CST program incorporated feedback from patients and other stakeholders and involves 11 weekly telephone-based sessions. Outcomes are assessed at baseline, 12 weeks (primary time point), and 36 weeks (to assess maintenance of treatment effects). The primary outcome is the Western Ontario and McMaster Universities Osteoarthritis Index, and secondary outcomes include self-efficacy, pain coping, pain interference, quality of life, depressive symptoms, and global assessment of change. Linear mixed models will be used to compare the pain CST group to the WL control group and explore whether participant characteristics are associated with differential improvement in the pain CST program. This research is in compliance with the Helsinki Declaration and was approved by the Institutional Review Boards of the University of North Carolina at Chapel Hill, Durham Veterans Affairs Medical Center, East Carolina University, and Duke University Health System. Discussion: This culturally enhanced pain CST program could have a substantial impact on outcomes for African Americans with OA and may be a key strategy in the reduction of racial health disparities.

URI

http://dx.doi.org/10.1186/s12891-016-1217-2
http://hdl.handle.net/10342/5875

Subject

Osteoarthritis; Knee; Hip; Pain coping skills training; Health disparities

Date

2016-08-23

Citation:

APA:

Schrubbe, Leah A., & Ravyts, Scott G., & Benas, Bernadette C., & Campbell, Lisa C., & Cené, Crystal W., & Coffman, Cynthia J., & Gunn, Alexander H., & Keefe, Francis J., & Nagle, Caroline T., & Oddone, Eugene Z., & Somers, Tamara J., & Stanwyck, Catherine L., & Taylor, Shannon S., & Allen, Kelli D.. (August 2016). Pain coping skills training for African Americans with osteoarthritis (STAART): study protocol of a randomized controlled trial. BMC Musculoskeletal Disorders, (17:1), p.359. Retrieved from http://dx.doi.org/10.1186/s12891-016-1217-2 http://hdl.handle.net/10342/5875

Display/Hide MLA, Chicago and APA citation formats.

MLA:

Schrubbe, Leah A., and Ravyts, Scott G., and Benas, Bernadette C., and Campbell, Lisa C., and Cené, Crystal W., and Coffman, Cynthia J., and Gunn, Alexander H., and Keefe, Francis J., and Nagle, Caroline T., and Oddone, Eugene Z., and Somers, Tamara J., and Stanwyck, Catherine L., and Taylor, Shannon S., and Allen, Kelli D.. "Pain coping skills training for African Americans with osteoarthritis (STAART): study protocol of a randomized controlled trial". BMC Musculoskeletal Disorders. 17:1. (359.), August 2016. August 17, 2022. http://dx.doi.org/10.1186/s12891-016-1217-2 http://hdl.handle.net/10342/5875.

Chicago:

Schrubbe, Leah A. and Ravyts, Scott G. and Benas, Bernadette C. and Campbell, Lisa C. and Cené, Crystal W. and Coffman, Cynthia J. and Gunn, Alexander H. and Keefe, Francis J. and Nagle, Caroline T. and Oddone, Eugene Z. and Somers, Tamara J. and Stanwyck, Catherine L. and Taylor, Shannon S. and Allen, Kelli D., "Pain coping skills training for African Americans with osteoarthritis (STAART): study protocol of a randomized controlled trial," BMC Musculoskeletal Disorders 17, no. 1 (August 2016), http://dx.doi.org/10.1186/s12891-016-1217-2 http://hdl.handle.net/10342/5875 (accessed August 17, 2022).

AMA:

Schrubbe, Leah A., Ravyts, Scott G., Benas, Bernadette C., Campbell, Lisa C., Cené, Crystal W., Coffman, Cynthia J., Gunn, Alexander H., Keefe, Francis J., Nagle, Caroline T., Oddone, Eugene Z., Somers, Tamara J., Stanwyck, Catherine L., Taylor, Shannon S., Allen, Kelli D.. Pain coping skills training for African Americans with osteoarthritis (STAART): study protocol of a randomized controlled trial. BMC Musculoskeletal Disorders. August 2016; 17(1) 359. http://dx.doi.org/10.1186/s12891-016-1217-2 http://hdl.handle.net/10342/5875. Accessed August 17, 2022.

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