Department of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Department of Health Behavior, University of North Carolina, Chapel Hill, NC, USA.
BMC Musculoskelet Disord. 2020 Aug 14;21(1):545. doi: 10.1186/s12891-020-03578-7.
Osteoarthritis (OA) disproportionately impacts African Americans compared to Caucasians, including greater pain severity. The Pain Coping Skills Training for African Americans with Osteoarthritis (STAART) study examined a culturally enhanced Pain Coping Skills Training (CST) program among African Americans with OA. This mixed methods study evaluated the acceptability of the Pain CST program among STAART participants.
STAART was a randomized controlled trial evaluating the effectiveness of an 11-session, telephone-based pain CST program, compared to a usual care control group. Participants were from the University of North Carolina and Durham Veterans Affairs Healthcare Systems. The present analyses included 93 participants in the CST group who completed a questionnaire about experiences with the program. Descriptive statistics of the questionnaire responses were calculated using SAS software. Thematic analysis was applied to open-response data using Dedoose software.
Participants' mean rating of overall helpfulness of the pain CST program for managing arthritis symptoms was 8.0 (SD = 2.2) on a scale of 0-10. A majority of participants reported the program made a positive difference in their experience with arthritis (83.1%). Mean ratings of helpfulness of the specific skills ranged from 7.7 to 8.8 (all scales 0-10). Qualitative analysis of the open-response data identified four prominent themes: Improved Pain Coping, Mood and Emotional Benefits, Improved Physical Functioning, and experiences related to Intervention Delivery.
The high ratings of helpfulness demonstrate acceptability of this culturally enhanced pain CST program by African Americans with OA. Increasing access to cognitive-behavioral therapy-based programs may be a promising strategy to address racial disparities in OA-related pain and associated outcomes.
NCT02560922 , registered September 25, 2015.
与高加索人相比，骨关节炎（OA）对非裔美国人的影响更大，包括更严重的疼痛。非裔美国人骨关节炎疼痛应对技能培训研究（STAART）研究检查了针对非裔 OA 患者的文化增强疼痛应对技能培训（CST）计划。这项混合方法研究评估了 STAART 参与者对疼痛 CST 计划的可接受性。
STAART 是一项随机对照试验，评估了 11 次电话为基础的疼痛 CST 方案与常规护理对照组相比的有效性。参与者来自北卡罗来纳大学和达勒姆退伍军人事务医疗保健系统。本分析包括 CST 组的 93 名参与者，他们完成了一份关于该计划体验的问卷。使用 SAS 软件计算问卷回答的描述性统计数据。使用 Dedoose 软件对开放式应答数据进行主题分析。
参与者对疼痛 CST 计划总体有助于管理关节炎症状的评分平均为 8.0（SD=2.2），评分范围为 0-10。大多数参与者报告该计划对他们的关节炎体验产生了积极的影响（83.1%）。特定技能的有用性评分平均为 7.7 至 8.8（所有评分范围为 0-10）。对开放式应答数据的定性分析确定了四个突出的主题：改善疼痛应对、情绪和情感益处、改善身体功能以及与干预交付相关的经验。
高评分表明该文化增强的疼痛 CST 计划对非裔 OA 患者是可以接受的。增加认知行为疗法为基础的方案的可及性可能是解决 OA 相关疼痛和相关结局的种族差异的一种有前途的策略。
NCT02560922，于 2015 年 9 月 25 日注册。
