STOMP
Trial question
What is the effect of a pain self-management intervention Skills to Manage Pain for chronic pain in patients with HIV infection?
Study design
Multi-center
Open label
RCT
Population
Characteristics of study participants
45.9% female
54.1% male
N = 278
278 patients (126 female, 146 male)
Inclusion criteria: adults with HIV infection who experienced at least moderate chronic pain for ≥ 3 months
Key exclusion criteria: unable to attend group sessions; no access to phone; previous participation in the STOMP pilot study
Interventions
N=139 Skills to Manage Pain (12-week pain self-management intervention, including staff-led one-on-one skill-building sessions and group sessions co-led by peers)
N=139 enhanced usual care (participants provided with Skills to Manage Pain manual)
Primary outcome
Mean Brief Pain Inventory total score immediately after intervention
4.74
5.99
6.0 points
4.5 points
3.0 points
1.5 points
0.0 points
Skills to Manage
Pain
Enhanced usual
care
Significant
decrease ▼
Significant decrease in mean BPI total score immediately after intervention (4.74 points vs. 5.99 points; MD -1.25, 95% CI -1.71 to -0.78)
Secondary outcomes
Significant decrease in mean BPI total score at 3 months follow-up (5.13 points vs. 5.74 points; MD -0.62, 95% CI -1.09 to -0.14)
Significant decrease in mean Pain, Enjoyment of Life and General Activity scale score immediately after intervention (5.61 points vs. 6.94 points; MD -1.34, 95% CI -1.86 to -0.82)
Significant decrease in mean BPI pain severity subscore immediately after intervention (5.13 points vs. 6.23 points; MD -1.1, 95% CI -1.6 to -0.61)
Conclusion
In adults with HIV infection who experienced at least moderate chronic pain for ≥ 3 months, Skills to Manage Pain was superior to enhanced usual care with respect to mean BPI total score immediately after intervention.
Reference
Katie Fitzgerald Jones, Dustin M Long, Matthew J Bair et al. Efficacy of a Pain Self-Management Intervention Tailored to People With HIV: A Randomized Clinical Trial. JAMA Intern Med. 2024 Jul 15. Online ahead of print.
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