A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV

Jessica S. Merlin, Andrew O. Westfall, Dustin Long, Susan Davies, Michael Saag, William Demonte, Sarah Young, Robert D. Kerns, Matthew J. Bair, Stefan Kertesz, Janet M. Turan, Meredith Kilgore, Olivio J. Clay, Joanna L. Starrels, Dorothy Pekmezi, Mallory O. Johnson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Chronic pain is an important and understudied comorbidity in people living with HIV (PLWH). We conducted a pilot trial of Skills TO Manage Pain (STOMP), an innovative social cognitive theory-based pain self-management intervention tailored to PLWH, to assess feasibility, acceptability, and preliminary efficacy. Eligibility criteria included being HIV+, ≥ moderate pain for ≥ 3 months and a score of ≥ 4 on the three-item PEG pain severity and interference scale. Participants were randomized in a 1:1 fashion to STOMP or a usual care comparison. Among 22 participants randomized to STOMP, median session attendance was 9/12 (75%). Of 19 STOMP participants surveyed, 13 reported being “much better” overall since beginning treatment. Brief pain inventory-total scores decreased by 2 points in the intervention group and 0.9 in the control group (p = 0.11). STOMP is feasible, acceptable, and shows preliminary evidence of efficacy and promise for a full-scale trial.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jan 16 2018

Fingerprint

Chronic Pain
HIV
Pain
Pain Management
Self Care
Comorbidity
Equipment and Supplies
Control Groups

Keywords

  • HIV
  • Pain
  • Self-management
  • Social cognitive theory

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Merlin, J. S., Westfall, A. O., Long, D., Davies, S., Saag, M., Demonte, W., ... Johnson, M. O. (Accepted/In press). A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV. AIDS and Behavior, 1-10. https://doi.org/10.1007/s10461-018-2028-2

A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV. / Merlin, Jessica S.; Westfall, Andrew O.; Long, Dustin; Davies, Susan; Saag, Michael; Demonte, William; Young, Sarah; Kerns, Robert D.; Bair, Matthew J.; Kertesz, Stefan; Turan, Janet M.; Kilgore, Meredith; Clay, Olivio J.; Starrels, Joanna L.; Pekmezi, Dorothy; Johnson, Mallory O.

In: AIDS and Behavior, 16.01.2018, p. 1-10.

Research output: Contribution to journalArticle

Merlin, JS, Westfall, AO, Long, D, Davies, S, Saag, M, Demonte, W, Young, S, Kerns, RD, Bair, MJ, Kertesz, S, Turan, JM, Kilgore, M, Clay, OJ, Starrels, JL, Pekmezi, D & Johnson, MO 2018, 'A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV', AIDS and Behavior, pp. 1-10. https://doi.org/10.1007/s10461-018-2028-2
Merlin, Jessica S. ; Westfall, Andrew O. ; Long, Dustin ; Davies, Susan ; Saag, Michael ; Demonte, William ; Young, Sarah ; Kerns, Robert D. ; Bair, Matthew J. ; Kertesz, Stefan ; Turan, Janet M. ; Kilgore, Meredith ; Clay, Olivio J. ; Starrels, Joanna L. ; Pekmezi, Dorothy ; Johnson, Mallory O. / A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV. In: AIDS and Behavior. 2018 ; pp. 1-10.
@article{caff1f2944d8430382277a218148f132,
title = "A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV",
abstract = "Chronic pain is an important and understudied comorbidity in people living with HIV (PLWH). We conducted a pilot trial of Skills TO Manage Pain (STOMP), an innovative social cognitive theory-based pain self-management intervention tailored to PLWH, to assess feasibility, acceptability, and preliminary efficacy. Eligibility criteria included being HIV+, ≥ moderate pain for ≥ 3 months and a score of ≥ 4 on the three-item PEG pain severity and interference scale. Participants were randomized in a 1:1 fashion to STOMP or a usual care comparison. Among 22 participants randomized to STOMP, median session attendance was 9/12 (75{\%}). Of 19 STOMP participants surveyed, 13 reported being “much better” overall since beginning treatment. Brief pain inventory-total scores decreased by 2 points in the intervention group and 0.9 in the control group (p = 0.11). STOMP is feasible, acceptable, and shows preliminary evidence of efficacy and promise for a full-scale trial.",
keywords = "HIV, Pain, Self-management, Social cognitive theory",
author = "Merlin, {Jessica S.} and Westfall, {Andrew O.} and Dustin Long and Susan Davies and Michael Saag and William Demonte and Sarah Young and Kerns, {Robert D.} and Bair, {Matthew J.} and Stefan Kertesz and Turan, {Janet M.} and Meredith Kilgore and Clay, {Olivio J.} and Starrels, {Joanna L.} and Dorothy Pekmezi and Johnson, {Mallory O.}",
year = "2018",
month = "1",
day = "16",
doi = "10.1007/s10461-018-2028-2",
language = "English (US)",
pages = "1--10",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV

AU - Merlin, Jessica S.

AU - Westfall, Andrew O.

AU - Long, Dustin

AU - Davies, Susan

AU - Saag, Michael

AU - Demonte, William

AU - Young, Sarah

AU - Kerns, Robert D.

AU - Bair, Matthew J.

AU - Kertesz, Stefan

AU - Turan, Janet M.

AU - Kilgore, Meredith

AU - Clay, Olivio J.

AU - Starrels, Joanna L.

AU - Pekmezi, Dorothy

AU - Johnson, Mallory O.

PY - 2018/1/16

Y1 - 2018/1/16

N2 - Chronic pain is an important and understudied comorbidity in people living with HIV (PLWH). We conducted a pilot trial of Skills TO Manage Pain (STOMP), an innovative social cognitive theory-based pain self-management intervention tailored to PLWH, to assess feasibility, acceptability, and preliminary efficacy. Eligibility criteria included being HIV+, ≥ moderate pain for ≥ 3 months and a score of ≥ 4 on the three-item PEG pain severity and interference scale. Participants were randomized in a 1:1 fashion to STOMP or a usual care comparison. Among 22 participants randomized to STOMP, median session attendance was 9/12 (75%). Of 19 STOMP participants surveyed, 13 reported being “much better” overall since beginning treatment. Brief pain inventory-total scores decreased by 2 points in the intervention group and 0.9 in the control group (p = 0.11). STOMP is feasible, acceptable, and shows preliminary evidence of efficacy and promise for a full-scale trial.

AB - Chronic pain is an important and understudied comorbidity in people living with HIV (PLWH). We conducted a pilot trial of Skills TO Manage Pain (STOMP), an innovative social cognitive theory-based pain self-management intervention tailored to PLWH, to assess feasibility, acceptability, and preliminary efficacy. Eligibility criteria included being HIV+, ≥ moderate pain for ≥ 3 months and a score of ≥ 4 on the three-item PEG pain severity and interference scale. Participants were randomized in a 1:1 fashion to STOMP or a usual care comparison. Among 22 participants randomized to STOMP, median session attendance was 9/12 (75%). Of 19 STOMP participants surveyed, 13 reported being “much better” overall since beginning treatment. Brief pain inventory-total scores decreased by 2 points in the intervention group and 0.9 in the control group (p = 0.11). STOMP is feasible, acceptable, and shows preliminary evidence of efficacy and promise for a full-scale trial.

KW - HIV

KW - Pain

KW - Self-management

KW - Social cognitive theory

UR - http://www.scopus.com/inward/record.url?scp=85040598362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040598362&partnerID=8YFLogxK

U2 - 10.1007/s10461-018-2028-2

DO - 10.1007/s10461-018-2028-2

M3 - Article

SP - 1

EP - 10

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -