Culturally Adapted Pain Management for Indigenous Peoples
Purpose
The proposed study involves a randomized feasibility pilot trial of a culturally adapted psychological intervention for chronic pain for American Indian/Alaska Native (AI/AN) individuals receiving care for pain at the Portland Area Indian Health Service - Yakama Service Unit. The study will provide information on whether or not it is feasible to conduct a future fully-powered randomized controlled trial.
Condition
- Chronic Pain
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- at least 18 years of age - identify as AI/AN (or by another preferred name, such Native American, Native, and/or Indigenous) - have at least one diagnosis consistent with chronic pain and/or meet criteria for chronic pain diagnosis at enrollment (i.e., experience pain for > 50% in the past 3 months that interferes with daily functioning) - possess the ability to speak and understand English - have access to a mode of communication for contact, such as a telephone, for study purposes
Exclusion Criteria
- significant cognitive impairment - current uncontrolled serious psychological issues (e.g., schizophrenia, bipolar disorder) - active medical treatment for malignant conditions (e.g., cancer) - active suicidality with intent - active alcohol and/or substance abuse
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- A total of 30 study participants will be randomized to either active treatment or treatment-as-usual (i.e., continued medical care for chronic pain).
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Active Treatment |
Treatment is group-based and remote-based. Treatment groups will include 4-6 study participants. A total of 7 treatment sessions are delivered on a weekly basis. The treatment is an integration of evidence-based psychological tools for pain management and Indigenous healing practices. |
|
|
No Intervention Treatment-as-usual |
Study participants will proceed with their medical care as usual for chronic pain. |
|
Recruiting Locations
Yakima, Washington 98948
More Details
- Status
- Recruiting
- Sponsor
- University of California, San Diego
Detailed Description
The prevalence of chronic pain is higher among American Indian/Alaskan Native (AI/AN) people than any other group in the United States. This proposed study aims to begin the process of developing a culturally-adapted psychological intervention for chronic pain among AI/AN individuals receiving care for pain at the Portland Area Indian Health Service - Yakama Service Unit. The K99 phase focused on the development of the intervention and the R00 entails a feasibility randomized pilot trial. The current study (i.e., the R00 phase) aims to assess the feasibility of conducting a future randomized controlled trial with the newly developed culturally-adapted psychological intervention for chronic pain.