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Development and preliminary testing of a peer narrative video intervention for older adults with chronic pain

Award Number: R01AG089083
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/24/2024
PERIOD OF PERFORMANCE END DATE: 08/31/2025

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Development and preliminary testing of a peer narrative video intervention for older adults with chronic pain - Chronic musculoskeletal (MSK) pain, which includes spinal pain, osteoarthritis, and fibromyalgia, is a common and costly problem for older adults and is associated with decreased quality of life. There is a clear need for interventions that increase one’s ability to cope with chronic pain and engage in meaningful life activities even with the presence of chronic pain. Acceptance and Commitment Therapy (ACT) is a psychotherapy that uses mindfulness and psychological acceptance to support individuals in working toward behavioral goals guided by their personal values, even in the presence of undesirable experiences such as chronic pain. Clinical practice guidelines recommend the use of ACT for treating chronic pain based on evidence of effectiveness from multiple RCTs. However, uptake and reach are limited because there are insufficient numbers of mental health professionals who currently offer ACT or other recommended therapies (e.g., cognitive-behavioral therapy) for chronic pain. In addition, many older adults are not willing or able to engage in traditional psychotherapy for chronic pain even when it is available. Although some bibliotherapy and digital health interventions (e.g., apps) have been developed for treating pain, many older adults fail to use them due to low levels of comfort with technology or lack of motivation for intensive self-guided approaches. Narrative communication is an alternative way to deliver behavior change principles that involves “storytelling” involving real patients talking about their struggles and recovery progress. Therapeutic narratives delivered via videos may be more engaging and immersive than traditional self-help formats for older adults. In previous grant-funded research, our team has developed methods for creating narrative, video-based interventions designed to reduce depression in primary care patients and prevent suicide in patients following a psychiatric hospital. Thus, in this project, we propose to create Reclaim Your Day (RYD), which will consist of 6, 30-min weekly video episodes highlighting patients’ inspiring and illustrative experiences living with chronic pain in order to teach current patients with chronic MSK pain how to apply ACT’s evidence-based strategies. In Phase 1 of this project, we will interview older adults with chronic MSK pain about their coping history, and code interviews for consistency with ACT principles. We will invite a subset of these individuals to work with a professional storytelling coach to develop and videorecord their ACT-consistent stories. These documentary-style videos that will form the basis of RYD. In Phase 2, we will conduct a pilot RCT (n=100) of older adults with chronic MSK pain. All participants will receive a 30-min introductory pain education video. Participants will be randomized to receive either RYD or a comparison intervention (health education videos). We will examine RYD feasibility and acceptability as well as changes over time in outcomes (pain interference, depression, quality of life) and putative mediators.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2024	BUTLER HOSPITAL	345 BLACKSTONE BLVD STE 2	PROVIDENCE	RI	02906	PROVIDENCE	USA	Aging Research	000	1	1/30/2026	NEW	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	BUTLER HOSPITAL	345 BLACKSTONE BLVD STE 2	PROVIDENCE	RI	02906	PROVIDENCE	USA	Aging Research	000	1	9/18/2025	NEW	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $421,329 )
2024	2024	BUTLER HOSPITAL	345 BLACKSTONE BLVD STE 2	PROVIDENCE	RI	02906	PROVIDENCE	USA	Aging Research	000	1	9/23/2024	NEW	$421,329
														Subtotal = $421,329

Grand Total All Awards = $421,329

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Development and preliminary testing of a peer narrative video intervention for older adults with chronic pain

Award Number: R01AG089083

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/24/2024

PERIOD OF PERFORMANCE END DATE: 08/31/2025

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