JAMA Study: Single pain management skills class shows 'meani
Chronic low back pain (CLBP), the most prevalent chronic pain condition, imparts substantial disability and discomfort. Cognitive behavioral therapy (CBT) reduces the effect of CLBP, but access is limited.

A Study was conducted to determine whether a single class in evidence-based pain management skills is noninferior to 8-session CBT and superior to health education at 3 months after treatment for improving pain catastrophizing, pain intensity, pain interference, and other secondary outcomes. Participants included individuals in the community with self-reported CLBP for 6 months or more and an average pain intensity of at least 4.

Results:
--A total of 263 participants were included in the analysis and were randomized into 3 groups: empowered relief (n = 87), CBT (n = 88), and health education (n = 88).

--Empowered relief was noninferior to CBT for pain catastrophizing scores at 3 months.

--Empowered relief and CBT were superior to health education for pain catastrophizing scores.

--Pain catastrophizing score reductions for empowered relief and CBT at 3 months after treatment were clinically meaningful.

--Between-group comparisons for pain catastrophizing at months 1 to 3 were adjusted for baseline pain catastrophizing scores and used intention-to-treat analysis.

--Empowered relief was noninferior to CBT for pain intensity and pain interference, sleep disturbance, pain bothersomeness, pain behavior, depression, and anxiety. Empowered relief was inferior to CBT for physical function.

Among adults with CLBP, a single-session pain management class resulted in clinically significant improvements in pain catastrophizing, pain intensity, pain interference, and other secondary outcomes that were noninferior to 8-session CBT at 3 months.

Source: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783047
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