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 Starrels; Dorothy Pekmezi; Mallory O. Johnson

doi:10.1007/s10461-018-2028-2

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 Starrels
, Dorothy Pekmezi
, Mallory O. Johnson

Medicine

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

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 language	English (US)
Pages (from-to)	2733-2742
Number of pages	10
Journal	AIDS and Behavior
Volume	22
Issue number	8
DOIs	https://doi.org/10.1007/s10461-018-2028-2
State	Published - Aug 1 2018

Keywords

HIV
Pain
Self-management
Social cognitive theory

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-018-2028-2

Cite this

Merlin, J. S., Westfall, A. O., Long, D., Davies, S., Saag, M., Demonte, W., Young, S., Kerns, R. D., Bair, M. J., Kertesz, S., Turan, J. M., Kilgore, M., Clay, O. J., Starrels, J., Pekmezi, D., & Johnson, M. O. (2018). A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV. AIDS and Behavior, 22(8), 2733-2742. https://doi.org/10.1007/s10461-018-2028-2

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, J, 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, vol. 22, no. 8, pp. 2733-2742. https://doi.org/10.1007/s10461-018-2028-2

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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.",

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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.

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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