Chronic Pain Clinical Trial
Official title:
Acupuncture Approaches to Decrease Disparities in Outcomes of Pain Treatment - A Two Arm Comparative Effectiveness Trial
Chronic pain is a major public health problem that places many burdens on individuals,
including impairment of physical and psychological functioning, lost productivity, and side
effects of medications used to treat pain. There is also substantial evidence that minority
populations differ both in prevalence and outcomes of chronic pain; access to care is a key
component in these differences. Strong evidence now supports the use of acupuncture in the
treatment of chronic pain conditions, including when provided in the primary care setting to
participants from ethnically diverse, medically underserved populations. Acupuncture is
slowly being integrated into pain management in many conventional health care settings, but
cost and reimbursement for this service remain obstacles to offering acupuncture, especially
in primary care and safety net settings. Because group acupuncture can be offered at much
lower cost, demonstrating that individual and group delivery are equally effective could
reduce barriers to use of this effective pain management approach.
The primary aim of this study will be to evaluate whether acupuncture delivered in the group
setting for participants with chronic pain is equal to acupuncture delivered in the
individual setting. A secondary objective will be to use qualitative analysis to understand
and describe the participants' experience of both acupuncture approaches, and to utilize this
data to inform intervention delivery and dissemination, to better incorporate the
participants' perspective.
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