The proposed study involves a randomized feasibility pilot trial of a culturally adapted psychological intervention for chronic pain for American Indian/Alaska Native (AI/AN) individuals receiving care for pain at the Portland Area Indian Health Service - Yakama Service Unit. The study will provide information on whether or not it is feasible to conduct a future fully-powered randomized controlled trial.
The prevalence of chronic pain is higher among American Indian/Alaskan Native (AI/AN) people than any other group in the United States. This proposed study aims to begin the process of developing a culturally-adapted psychological intervention for chronic pain among AI/AN individuals receiving care for pain at the Portland Area Indian Health Service - Yakama Service Unit. The K99 phase focused on the development of the intervention and the R00 entails a feasibility randomized pilot trial. The current study (i.e., the R00 phase) aims to assess the feasibility of conducting a future randomized controlled trial with the newly developed culturally-adapted psychological intervention for chronic pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
The intervention is a "braiding" or integration of Indigenous, Western, and Eastern beliefs and practices. Pain management skills involve evidence-based psychological techniques of behavioral activation, mindfulness meditation, relaxation techniques, and cognitive restructuring. Indigenous healing practices related to pain involve land-based healing, reconnecting with community, spirituality, narrative sharing, journaling, and restoration of cultural practices (e.g., eating Native foods, ceremonies).
Portland Area Indian Health Services - Yakama Service Unit
Yakima, Washington, United States
RECRUITINGRecruitment
Successful recruitment is defined by the randomization of 30 study participants
Time frame: Until the end of the recruitment phase (once all study participants have been recruited, an estimated 1-2 years).
Treatment adherence
Treatment adherence will be successful if the average treatment adherence rate is at least 70%
Time frame: From the start of treatment to the end of treatment at 7 weeks.
Treatment satisfaction
Treatment will be considered satisfactory if the mean on the Patient Global Assessment of Treatment Satisfaction questionnaire is 3 and above.
Time frame: Post-treatment assessment, conducted after completion of the 7 weeks of treatment.
Cultural congruency
Cultural congruency of treatment will be considered successful if qualitative interviews suggest themes of cultural congruency
Time frame: Post-treatment assessment, conducted after completion of the 7 weeks of treatment.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.