Cognitive behavioral therapy (CBT) adapted for low literacy and simplified education for pain self-management (EDU) delivered at low-income clinics significantly improved pain and physical function in patients with chronic pain, found a trial published in Annals of Internal Medicine.
About 70% of the 290 participants lived in poverty, 36% read below a fifth-grade level, and the average duration of chronic pain was more than 15 years. Patients were randomly assigned to CBT, EDU, or usual care alone. Cognitive behavioral therapy and EDU were delivered in 10 weekly 90-minute group sessions, with information modified for low literacy. All patients received usual care, including medication, chiropractic, or physical therapy for pain.
Slomski A. Disadvantaged Pain Patients Benefit From Psychological Interventions. JAMA. 2018;319(16):1649. doi:10.1001/jama.2018.4739
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