将干预措施用于解决家庭护理人员的慢性疼痛：COMPASS-NP 试点。
Translating an Intervention to Address Chronic Pain among Home Care Workers: The COMPASS-NP Pilot.
机构信息
From the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon (R.O., C.D., S.A.S., I.D.A.); School of Public Health, Oregon Health & Science University-Portland State University (PSU), Portland, Oregon (R.O.); Department of Psychology, Portland State University, Portland, Oregon (R.O.); Labor Education and Research Center, University of Oregon, Eugene, Oregon (J.A.H.); Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington; GSK/Novartis, Brentford, Middlesex, United Kingdom; and Vertex, Boston MA; Clinical Journal of Pain, Philadelphia, PA; Analgesic, Anesthetic, and Addiction Clinical Trials, Innovation, Opportunities and Network (ACTION), Rochester, NY; FDA Public-Private Partnership (D.T.); Department of Family Medicine, Oregon Health & Science University, Portland, OR (M.M., R.S.); and Service Employees International Union 775 Benefits Group, Seattle, Washington (E.N.-K.).
出版信息
J Occup Environ Med. 2024 Sep 1;66(9):757-765. doi: 10.1097/JOM.0000000000003152. Epub 2024 May 21.
OBJECTIVE
To pilot test the COMmunity of Practice And Safety Support for Navigating Pain (COMPASS-NP) intervention for home care workers experiencing chronic pain.
METHODS
Home care workers with chronic pain participated (n = 19; 2 groups) in a 10-week online group program focused on workplace safety and pain self-management. Primary outcomes were changes in pain interference with work and life. Other outcomes related to ergonomics, pain levels, opioid misuse risk, mental health, sleep, and physical activity.
RESULTS
The intervention produced a large reduction in pain interference with life ( d = -0.85) and a moderate reduction in pain interference with work time demands ( d = -0.61). Secondary outcomes showed favorable effect sizes, including a substantial increase in the use of ergonomic tools and techniques ( d = 1.47).
CONCLUSION
Findings were strongly encouraging. The effectiveness of COMPASS-NP will be evaluated in a future randomized controlled trial.
目的
对社区实践和安全支持导航疼痛（COMPASS-NP）干预措施进行试点测试，以帮助患有慢性疼痛的家庭护理人员。
方法
患有慢性疼痛的家庭护理人员参与了为期 10 周的在线小组计划（n = 19；2 组），该计划侧重于工作场所安全和疼痛自我管理。主要结果是疼痛对工作和生活的干扰程度的变化。其他结果与人体工程学、疼痛水平、阿片类药物滥用风险、心理健康、睡眠和身体活动有关。
结果
该干预措施大大降低了生活中疼痛的干扰（d = -0.85），适度降低了工作时间需求中疼痛的干扰（d = -0.61）。次要结果显示出有利的效果大小，包括对人体工程学工具和技术的大量使用（d = 1.47）。
结论
研究结果非常令人鼓舞。COMPASS-NP 的有效性将在未来的随机对照试验中进行评估。
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