Trial reportJournal of acquired immune deficiency syndromes (1999)2025
Trajectories of Pain Impact and Pain Self-Efficacy in People With HIV and Chronic Pain: Extending Findings From the Skills TO Manage Pain Randomized Clinical Trial.
Trial report in Journal of acquired immune deficiency syndromes (1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPeople with HIV (PWH) frequently experience chronic pain, which negatively affects their health and functioning. To improve health outcomes, we need effective interventions for HIV-related chronic pain. Skills TO Manage Pain (STOMP), a novel pain self-management intervention tailored for PWH and chronic pain, has demonstrated efficacy in reducing pain impact (measured by the Brief Pain Inventory) and improving pain self-efficacy immediately after a 12-week intervention and 3 months later.
settingWe conducted this study at 2 Center for AIDS Research Network of Integrated Clinical Systems clinics.
methodsWe evaluated the efficacy of STOMP across 12 months by comparing trajectories of pain impact and pain self-efficacy among 244 adults (49% female, M age = 53.62) randomized equally to the STOMP intervention or an Enhanced Usual Care (EUC) control condition. We also examined whether pain self-efficacy is a mechanism of change that helps explain how STOMP affects pain impact.
resultsFor 12 months, individuals who participated in STOMP reported lower pain impact and higher pain self-efficacy than those in EUC. Over time, the difference in pain impact attenuated slightly between the 2 groups but remained statistically significant. Pain self-efficacy remained significantly higher for the STOMP group. Individuals in STOMP showed greater improvements in their confidence to manage pain than those in EUC, resulting in less severe pain and reduced interference in daily life.
conclusionsSTOMP is an efficacious chronic pain intervention for PWH, improving pain outcomes 1 year later. Future research should evaluate mechanisms of change and best practices for implementing STOMP.
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