Beverly E. Thorn|Melissa A. Day|John W. Burns|Melissa C. Kuhajda|Susan Gaskins|Kelly Sweeney|Regina L. McConley|Charles L. Ward|Chalanda M Cabbil
Randomized trial of group cognitive behavioral therapy compared with a pain education control for low-literacy rural people with chronic pain
University of Alabama|University of Alabama|Rush University Medical Center|University of Alabama|University of Alabama|University of Alabama|Tuscaloosa VA Medical Center|University of Alabama
chronic pain common costly experience cognitive behavioral therapies cbt efficacious array chronic pain conditions however literature based primarily urban white samples unknown whether cbt works lowsocioeconomic status ses minority nonminority groups address question conducted randomized controlled trial within lowses rural chronic pain population specifically examined feasibility tolerability acceptability efficacy group cbt compared group education intervention edu hypothesized although interventions would elicit short longterm improvement across painrelated outcomes cognitivelyfocused cbt protocol would uniquely influence pain catastrophizing mixed design analyses variance conducted sample eligible participants commence treatment n26 intentiontotreat sample itt n83 completer sample n61 factors associated treatment completion examined results indicated significantly dropouts occurred cbt itt analyses showed participants conditions reported significant improvement across painrelated outcomes nonsignificant trend found depressed mood improve cbt edu results completer analyses produced similar pattern findings however cbt produced greater gains cognitive affect variables edu treatment gains maintained 6month followup n54 clinical significance findings number treatment responders reported overall findings indicate cbt edu viable treatment options lowses minority nonminority groups research target disseminating sustaining psychosocial treatment options within underserved populations