Lay health workers may ease pain in seniors without pills
NCT ID NCT05278234
First seen Jun 24, 2026 · Last updated Aug 20, 2026 · Updated 3 times
Summary
This study tested whether community health workers (CHWs) can teach older adults with chronic pain how to manage their symptoms using a 7-week program called STEPS. The program included phone sessions with a CHW, online videos, and a wearable activity tracker. Researchers enrolled 414 mostly African American older adults in Detroit to see if the program reduced pain interference in daily life compared to usual care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- behavioral intervention: community health worker-delivered pain self-management program (STEPS) with wearable activity tracker
- What this could lead to
- If successful, this approach could provide a low-cost, scalable way to help older adults in underserved communities better manage chronic pain without relying solely on medication.
- What could go wrong
- This is a completed efficacy trial, but results may not apply to all populations. The intervention relies on participant engagement and technology access, which could limit effectiveness for some individuals.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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414 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Community-living * Have a cell or landline phone * Self-reported chronic musculoskeletal pain (pain in muscles or joints for \>= 3 months); \>=4 (0-10 scale) average pain level over last week; \>=1 day/previous 30 when pain made it difficult to do usual activities. * Able to converse comfortably in English Exclusion Criteria: * Serious acute illness or hospitalization in last month * Planned major surgery in next three months that would interfere with program participation (e.g., knee or hip replacement); * Severe cognitive impairment or other severe physical or psychiatric disorder judged by study team to pose significant barrier to participation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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Other studies related to the condition(s) this trial covers.
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