Effect of self-management interventions on high impact chronic pain prevalence.
J PainJun 7, 2026 (epub)
Michael VonKorff, Robert D Wellman, Francis J Keefe et al.
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In 30 seconds
This randomized controlled trial evaluated the effects of cognitive behaviorally-based self-management interventions on high impact chronic pain (HICP) in 2,331 adults. At 6 and 12 months, over 40% of intervention participants reported favorable chronic pain outcomes, compared to about 30% in the Usual Care group. The interventions modestly reduced sustained HICP rates.
Key findings
- At 6 and 12 months, 36-42% of intervention participants had sustained HICP, compared to 50-52% in Usual Care.
- Relative risks for favorable chronic pain outcomes were 1.24-1.44 for intervention participants compared to Usual Care.
- At 3 months, relative risks of favorable outcomes were 1.43 for painTRAINER and 1.39 for Health Coach.
Why it matters
Understanding the effectiveness of self-management interventions can help clinicians support patients with high impact chronic pain in achieving better pain outcomes and potentially reducing the burden of sustained pain.