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Chronic PainP4PNCT06696352

Partners4Pain & Wellbeing: A Randomized Trial of Community Supported Complementary and Integrative Health Self-management for Back Pain

A study testing Partners4Pain and Keys to Wellbeing in people with Chronic Pain and Back Pain, run by University of Minnesota at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The goal of this clinical trial is to learn how well two community-based self-management programs work in people with chronic back or neck pain. The main question it aims to answer is: How well does a community-based self-management program teaching mind-body skills such as mindfulness and cognitive behavioral… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Pain, Back Pain, Neck Pain
What is being tested?
Partners4Pain and Keys to Wellbeing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
376 participants
Where
1 siteUnited States
Study dates
6 Jan 2025to Aug 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years of age or older
  • Self-reported chronic back pain (defined as pain in the low or mid back, or neck pain) which has lasted for 3 months or longer
  • Score of 3 or higher on the self-reported Pain, Enjoyment of Life and General Activity scale (PEG scale - 0-10)
  • Member of one or more of the following populations: American Indian/Alaska Native; Asian; Black/African American; Hispanic/Latino; Native Hawaiian/Pacific Islanders; Socioeconomically disadvantaged (annual household income less than $50,000)
  • Reside within the Minneapolis/St. Paul metro region

Who cannot join

  • Severe unmanaged mental illness
  • Self-reported cancer with active treatment involving radiation or chemotherapy.
  • Dementia - Mini Mental State Exam score of 23 or lower for those with suspicion of cognitive impairment
  • Self-reported pregnancy

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Minnesota

    Minneapolis, Minnesota, 55455

Other trials in United States

About this study

Official title: Partners for Pain & Wellbeing: A Randomized Trial of Community Supported Complementary and Integrative Health Self Management for Back Pain

The goal of this clinical trial is to learn how well two community-based self-management programs work in people with chronic back or neck pain. The main question it aims to answer is:

How well does a community-based self-management program teaching mind-body skills such as mindfulness and cognitive behavioral approaches (Partners4Pain) work for reducing pain intensity and interference with general activities and enjoyment of life compared to a community-based self-management program focused on general health and wellbeing (Keys to Wellbeing)?

Read more

Participants will be asked to do the following:

  • Attend 2 screening visits to learn about the study and see if they meet the requirements to participate.
  • Be randomly assigned to one of the two community-based self-management programs.
  • Attend 9 weekly self-management program sessions (90 minutes each)
  • Complete surveys about their pain and overall health at 2 months (after the programs end), 4 months, and 6 months.

Funding for the project is provided through the National Center for Complementary and Integrative Health (NCCIH) and the National Institute of Neurological Disorders and Stroke (NINDS) through the NIH HEAL Initiative (https://heal.nih.gov/), R33AT012309.

Read the detailed description

This project is a full-scale, multi-level randomized hybrid effectiveness implementation trial (n=376) of 'Partners4Pain', a community supported self-management program for individuals with back or neck pain. Partners4Pain will be compared to an active control, Keys to Wellbeing. Both programs were optimized and feasibility tested in an earlier R61 pilot study of 51 individuals (NCT05786508).

Aims for the hybrid effectiveness implementation trial are:

AIM 1. To assess the relative effectiveness of Partners4Pain versus Keys to Wellbeing in terms of:

  • Primary effectiveness outcomes of pain intensity and interference over 6 months using bi-monthly assessments.
  • Secondary effectiveness outcomes of pain impact, self-efficacy and other HEAL outcomes.

AIM 2. To assess the impact of health factors on the effectiveness of Partners4Pain for primary and secondary outcomes through subgroup analyses which account for potential complexities between factors.

AIM 3. To describe important implementation related measures that can impact and inform sustained translation of the program with community partner organizations.

Being tested
Partners4Pain, Keys to Wellbeing
Keywords
Self-Management, Chronic Pain, Neck Pain, Low Back Pain, Complementary Therapies, Back Pain
Medical subject headings
Chronic Pain, Back Pain, Neck Pain, Low Back Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Partners4PainBehavioural

    This is a group program that will teach participants about different things they can do to manage their pain. They will watch educational videos and do workbook activities. They will learn and practice different exercises and mind-body strategies for pain including back and neck exercises (like strengthening and stretching), mind-body exercises (like meditation, relaxed breathing, guided imagery, and muscle relaxation), problem solving, and how to communicate with others about your pain. They will also have an opportunity to take part in discussions with other group members. The program will be delivered via weekly 90 minute sessions over 9 weeks and will be offered in-person or via videoconference.

  • Keys to WellbeingBehavioural

    This is a group program that will teach participants about different things they can do to improve their health and wellbeing. Participants will watch educational videos and do workbook activities. They will learn different back and neck exercises (like strengthening and stretching) and be introduced to different health-related topics including information and tips about health, pain and wellbeing; keeping active and well; the importance of rest and relaxation; and working with meaning and purpose in your life. They will also have an opportunity to take part in discussions with other group members. The program will be delivered in weekly 90 minute sessions over 9 weeks and will be offered in-person or via videoconference.

Study groups in NCT06696352
Study groupRoleWhat they receive
Partners4PainExperimentalCommunity-based program that focuses on evidence based mind-body tools (mindfulness, cognitive behavioral approaches) for pain self-management in addition to pain education and physical exercises.
Receives: Behavioral: Partners4Pain
Keys to WellbeingActive comparatorCommunity-based program that focuses on general health and well-being education for pain self-management in addition to pain education and physical exercises.
Receives: Behavioral: Keys to Wellbeing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain, Interference with Enjoyment of Life and General Activity

    Measured using the Pain, Enjoyment of Life and General Activity (PEG) scale that measures average pain intensity, interference with enjoyment of life, and interference with general activity in the past week. Each item is measured on a 0 (no pain/does not interfere) to 10 numeric rating scale (pain as bad as you can imagine/completely interferes).

    Measured: Baseline, 2, 4, 6 months

Secondary outcomes (20)
  1. Graded Chronic Pain Scale

    Measured using the Graded Chronic Pain Scale-Revised (GCPS-R), a six item scale developed to differentiate mild, bothersome, and high-impact chronic pain. Two questions to identify chronic pain and high impact chronic pain; frequency of pain during the prior 3 months and frequency of limitation in activities in the prior 3 months.

    Measured: Baseline, 2, 6 months

  2. Self-efficacy for Managing Chronic Conditions

    Measured using the PROMIS 4-item short forms for 1) managing daily activities; 2) managing symptoms; 3) managing emotions; and 4) managing social interactions. All Items are scored on a 5-point Likert scale (1=I am not confident at all to 5=I am very confident).

    Measured: Baseline, 2, 4, 6 months

  3. Domain Specific Life Satisfaction

    Domain-Specific Life Satisfaction is a 13-item PROMIS measure of satisfaction with various aspects of life (e.g. education, housing, family life, health, neighborhood). Agreement with statements of satisfaction for each domain are measured on a 5-point scale ranging from Not at all to Very much.

    Measured: Baseline, 2, 4, 6 months

  4. Quality of Life and Health Satisfaction

    Measured using the World Health Organizations 2-item measure which measures quality of life and satisfaction with health on a 1 to 5 scale.

    Measured: Baseline, 2, 4, 6 months

  5. Physical Functioning

    The PROMIS Physical functioning 6-item short form v2.0 which measures difficulty doing household activities and agreement with statements on health limitations in physical activities on a 1 to 5 scale.

    Measured: Baseline, 2, 4, 6 months

  6. Pain Catastrophizing

    Assessed using the Pain Catastrophizing Scale (PCS), a 6-item self-reported measure to indicate the degree to which a person may ruminate, magnify, and feel helpless about their pain. The PCS-6 measures a person's thoughts and feelings when they are experiencing pain using the 0 (not at all) to 4 (all the time) scale.

    Measured: Baseline, 2, 4, 6 months

  7. Interoceptive Awareness

    Measured using the Multidimensional Assessment of Interoceptive Awareness (MAIA) survey instrument (V2) using the 1) noticing; 2) attention regulation; 3) emotional awareness; and 4) self-regulation subscales.

    Measured: Baseline, 2, 4, 6 months

  8. Overall Improvement

    Overall improvement will be assessed with the Patient Global Impression of Change (PGIC) which has participants rate their overall change from very much worse to very much improved on a 7-point scale.

    Measured: Months 2, 4, 6

  9. Intervention Satisfaction

    Assessed using a question that has participants rate their overall satisfaction ranging from completely satisfied to completely dissatisfied on a 7-point scale.

    Measured: Months 2, 4, 6

  10. Social Isolation

    Measured using the PROMIS 4-item short form v2.0 which measures frequency of different feelings of social isolation on a 1 (Never) to 5 (Always) scale.

    Measured: Baseline, 2, 4, 6 months

  11. Healthcare Use

    Participant self report of provider visits, emergency department visits, diagnostic imaging scans, hospitalizations, injections and surgical procedures for neck and back pain.

    Measured: Baseline, 2, 4, 6 months

  12. Medication Use

    Participant self-report of over the counter and prescription medication use for back or neck pain.

    Measured: Baseline, 2, 4, 6 months

  13. Complementary Integrative Health Self-Management Use

    Includes self-reported complementary and integrative therapy use such as but not limited to massage, acupuncture, acupressure, chiropractic, mind-body therapies (e.g. Reiki), guided imagery, and others.

    Measured: Baseline, 2, 4, 6 months

  14. Adverse Events

    Participant self-report of any new or worsening health issue while participating in the study. Participants will also be asked to report potential side effects by choosing from a list of known potential risks of exercise and mindfulness interventions.

    Measured: 2, 4, 6, months

  15. Sleep Disturbance

    Sleep disturbance will be measured using the PROMIS 6-item short form v1.0 which measures sleep quality on a 1 to 5 scale from very poor to very good in addition to agreement with statements on sleep quality on a 1 to 5 scale.

    Measured: Baseline, 2, 6 months

  16. Sleep Duration

    Participant's will self-report their average amount of sleep per night in the past month in hours and minutes.

    Measured: Baseline, 2, 6 months

  17. Anxiety

    Anxiety will be measured using the Generalized Anxiety Disorder-2 survey (GAD-2) which includes 2 questions that are summed for a total score that can range from 0 to 6.

    Measured: Baseline, 2, 6 months

  18. Depression

    Depression will be measured using the Patient Health Questionnaire-2 (PHQ-2) which includes 2 questions that are summed for a total score that can range from 0 to 6.

    Measured: Baseline, 2, 6 months

  19. Participation in Social Roles and Activities

    Measured using the PROMIS 4-item short form v2.0 which measures frequency of trouble doing activities for leisure, work, or with family or friends on a 1 to 5 scale.

    Measured: Baseline, 2, 6 months

  20. Substance Use

    Measured using the Tobacco, Alcohol, Prescription medications, and other Substance (TAPS) survey. The TAPS is comprised of a 4-item screen for substance use.

    Measured: Baseline, 2, 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Nov 2024
  2. Study start6 Jan 2025
  3. Primary completionAug 2027 (estimated)
  4. Study completionAug 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
376 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06696352
Sponsor's protocol ID
R33AT012309
Other IDs
R33AT012309, STUDY00017917
Acronym
P4P
Status last verified
May 2026
First submitted
5 Nov 2024
Last updated
12 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The study data will be submitted to a generalist repository that is participating in the NIH Generalist Repository Ecosystem Initiative. Demographic and clinical outcome measures will be collected and shared using common data elements (CDEs ) from the NIH / HEAL CDE repository. Variable naming and permissible response values will be harmonized according to CDEs data dictionary specifications. Documentation to be made publicly available to the research community and will include: 1. The study protocol; 2. informed consent form; 3. data collection forms/case report forms; 4. data dictionary.

Questions about this trial

What is this clinical trial studying?

A study testing Partners4Pain and Keys to Wellbeing in people with Chronic Pain and Back Pain, run by University of Minnesota at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain, Interference with Enjoyment of Life and General Activity (time frame: Baseline, 2, 4, 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2026.

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