Evaluation of a peer coach-led intervention to improve pain symptoms (ECLIPSE)

Rationale, study design, methods, and sample characteristics

Marianne Matthias, Joanne Daggy, Jasma Adams, Tetla Menen, Stephanie McCalley, Marina Kukla, Alan B. McGuire, Susan Ofner, Emilee Pierce, Carol Kempf, Michele Heisler, Matthew Bair

Research output: Contribution to journalArticle

Abstract

Chronic pain is prevalent, costly, and a leading cause of disability. Pain self-management (i.e., employing self-management strategies including behavioral modifications) is an effective, evidence-based treatment. However, implementation and delivery of a pain self-management model is challenging because of time and resources. Peer supported pain self-management offers a promising approach to implementing pain self-management programs using fewer clinical resources. Evaluation of a Peer Coach-Led Intervention for the Improvement of Pain Symptoms (ECLIPSE) is a randomized controlled trial testing effectiveness of peer coach-delivered pain self-management intervention versus controls receiving a class on pain and pain self-management. ECLIPSE is a Hybrid Type 1 study testing effectiveness while examining implementation factors. ECLIPSE enrolled 215 veterans randomly assigned to the peer coaching (N = 120) or control (N = 95) arm. The peer coaching intervention lasts 6 months, with patient-peer coach pairs instructed to talk twice per month. Coaches attend initial training, are provided a detailed training manual, and attend monthly booster sessions. Outcomes are assessed at baseline, 6 months, and 9 months. The primary outcome is overall pain (intensity and interference), measured by the Brief Pain Inventory (BPI). Secondary outcomes are self-efficacy, social support, pain catastrophizing, patient activation, health-related quality of life, and health care utilization. To maximize implementation potential of pain self-management, innovative delivery methods are needed that do not require additional resources from healthcare teams. A novel and promising approach is a peer-coaching model, in which patients who are successfully managing their pain offer information, ongoing support, and advice to other patients with pain. Clinical Trials Registration: NCT02380690

Original languageEnglish (US)
Pages (from-to)71-79
Number of pages9
JournalContemporary Clinical Trials
Volume81
DOIs
StatePublished - Jun 1 2019

Fingerprint

Self Care
Pain Management
Pain
Patient Acceptance of Health Care
Catastrophization
Patient Participation
Patient Care Team
Mentoring
Quality of Health Care
Veterans
Self Efficacy
Chronic Pain
Social Support
Randomized Controlled Trials
Quality of Life
Clinical Trials
Equipment and Supplies

Keywords

  • Chronic pain
  • Clinical trial
  • Self-management
  • Social support
  • Veterans

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Evaluation of a peer coach-led intervention to improve pain symptoms (ECLIPSE) : Rationale, study design, methods, and sample characteristics. / Matthias, Marianne; Daggy, Joanne; Adams, Jasma; Menen, Tetla; McCalley, Stephanie; Kukla, Marina; McGuire, Alan B.; Ofner, Susan; Pierce, Emilee; Kempf, Carol; Heisler, Michele; Bair, Matthew.

In: Contemporary Clinical Trials, Vol. 81, 01.06.2019, p. 71-79.

Research output: Contribution to journalArticle

Matthias, Marianne ; Daggy, Joanne ; Adams, Jasma ; Menen, Tetla ; McCalley, Stephanie ; Kukla, Marina ; McGuire, Alan B. ; Ofner, Susan ; Pierce, Emilee ; Kempf, Carol ; Heisler, Michele ; Bair, Matthew. / Evaluation of a peer coach-led intervention to improve pain symptoms (ECLIPSE) : Rationale, study design, methods, and sample characteristics. In: Contemporary Clinical Trials. 2019 ; Vol. 81. pp. 71-79.
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