This article describes the preliminary findings on the efficacy of a Comprehensive Telephonic Pain Self-Management Coaching Program (CTPSCP) in improving pain-related outcomes for adults being treated for chronic pain. Analyses of pain-related data collected by administering the Pain Outcomes Questionnaire-For Civilians (POQ-C) to participants in a CTPSCP at intake, at the 6-month mid-point (n = 51), and at the 12-month completion of the program (n = 33). A paired-sample t test was conducted to evaluate whether there was a reduction in scores on the POQ-C. The results indicated that there was a significant reduction in the POQ-C scores from intake to 6- and 12-months follow-up. The total scores on the POQ-C dropped from the 50%–74% range of pain to the 10%–24% range. Separate score decreases in the six subscales were statistically significant as well. These findings support the implementation of a CTPSCP as an effective adjunctive intervention, potentiating the standard medical treatments. Future studies should focus on direct comparisons between telephonic coaching and face-to-face coaching, and between pain management coaching and cognitive-behavioral therapy. What makes a good CTPSCP candidate and “optimal treatment dose” need to be elucidated. Finally, comparative cost-effectiveness and reimbursement models from insurance carriers should be explored as well.

中文翻译：

---

疼痛管理指导：慢性疼痛患者护理中缺失的环节

本文描述了关于综合电话疼痛自我管理指导计划 (CTPSCP) 在改善接受慢性疼痛治疗的成年人的疼痛相关结果方面的初步结果。对 CTPSCP 参与者在开始、6 个月中点 (n = 51) 和 12 个月完成时通过对平民的疼痛结果问卷 (POQ-C) 收集的疼痛相关数据进行分析程序 (n = 33)。进行配对样本 t 检验以评估 POQ-C 的分数是否下降。结果表明，从摄入到 6 个月和 12 个月的随访期间，POQ-C 评分显着降低。POQ-C 的总分从疼痛的 50%–74% 范围下降到 10%–24% 范围。六个子量表的单独得分下降也具有统计学意义。这些发现支持实施 CTPSCP 作为一种有效的辅助干预措施，加强标准的医疗。未来的研究应侧重于电话辅导和面对面辅导之间的直接比较，以及疼痛管理辅导和认知行为疗法之间的直接比较。需要阐明什么是好的 CTPSCP 候选者和“最佳治疗剂量”。最后，还应探索保险公司的比较成本效益和报销模式。以及疼痛管理指导和认知行为疗法之间。需要阐明什么是好的 CTPSCP 候选者和“最佳治疗剂量”。最后，还应探索保险公司的比较成本效益和报销模式。以及疼痛管理指导和认知行为疗法之间。需要阐明什么是好的 CTPSCP 候选者和“最佳治疗剂量”。最后，还应探索保险公司的比较成本效益和报销模式。