Clinical Outcomes of Multidisciplinary Pain Rehabilitation Among African American Compared with Caucasian Patients with Chronic Pain

W. Michael Hooten, Miranda Knight-Brown, Cynthia O. Townsend, Heidi J. Laures

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objectives. The primary aim of this study was to determine if the immediate outcomes of multidisciplinary pain rehabilitation were different for African Americans compared with Caucasians. Design. A retrospective repeated measures design was used, and all analyses were adjusted for marital and employment status, years of education, and pain duration. Setting. Multidisciplinary pain rehabilitation center. Subjects. Each African American (N=40) consecutively admitted to a multidisciplinary pain rehabilitation program was matched with three Caucasians (N=120) on age, sex, and treatment dates. Intervention. A 3-week outpatient multidisciplinary pain rehabilitation program. Outcome Measures. The Multidimensional Pain Inventory, Short Form-36 Health Status Questionnaire, Center for Epidemiologic Studies-Depression scale, and Pain Catastrophizing Scale were administered at admission and dismissal. Results. At baseline, African Americans had greater pain severity (P<0.001) and poorer physical function compared with Caucasians (P<0.001). At program completion, African Americans had greater pain severity (P<0.001) and poorer measures of life interference (P=0.004), perceived control (P= 0.013), affective distress (P<0.001), role physical (P=0.001) and role emotional function (P=0.001), physical (P<0.001) and social function (P=0.002), general health (P=0.005), depression (P<0.001), and pain catastrophizing (P<0.001). A repeated measures analysis demonstrated a time by race interaction effect for pain interference (P=0.038), affective distress (P=0.019), role physical function (P=0.007), social function (P=0.029), and depression (P=0.004), indicating African Americans experienced less improvement compared with Caucasians. Conclusions. The results of this study highlight an under-recognized health disparity which provides the basis for developing targeted interventions aimed at improving the clinical outcomes of African Americans with chronic pain.

Original languageEnglish (US)
Pages (from-to)1499-1508
Number of pages10
JournalPain Medicine (United States)
Volume13
Issue number11
DOIs
StatePublished - Nov 2012

Fingerprint

Chronic Pain
African Americans
Rehabilitation
Pain
Catastrophization
Depression
Pain Clinics
Rehabilitation Centers
Health
Marital Status
Health Status
Epidemiologic Studies
Outpatients
Outcome Assessment (Health Care)
Education
Equipment and Supplies

Keywords

  • African American
  • Chronic Pain
  • Pain Rehabilitation

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Clinical Outcomes of Multidisciplinary Pain Rehabilitation Among African American Compared with Caucasian Patients with Chronic Pain. / Hooten, W. Michael; Knight-Brown, Miranda; Townsend, Cynthia O.; Laures, Heidi J.

In: Pain Medicine (United States), Vol. 13, No. 11, 11.2012, p. 1499-1508.

Research output: Contribution to journalArticle

Hooten, W. Michael ; Knight-Brown, Miranda ; Townsend, Cynthia O. ; Laures, Heidi J. / Clinical Outcomes of Multidisciplinary Pain Rehabilitation Among African American Compared with Caucasian Patients with Chronic Pain. In: Pain Medicine (United States). 2012 ; Vol. 13, No. 11. pp. 1499-1508.
@article{7af183fcc890490593e48ca6b06abf3e,
title = "Clinical Outcomes of Multidisciplinary Pain Rehabilitation Among African American Compared with Caucasian Patients with Chronic Pain",
abstract = "Objectives. The primary aim of this study was to determine if the immediate outcomes of multidisciplinary pain rehabilitation were different for African Americans compared with Caucasians. Design. A retrospective repeated measures design was used, and all analyses were adjusted for marital and employment status, years of education, and pain duration. Setting. Multidisciplinary pain rehabilitation center. Subjects. Each African American (N=40) consecutively admitted to a multidisciplinary pain rehabilitation program was matched with three Caucasians (N=120) on age, sex, and treatment dates. Intervention. A 3-week outpatient multidisciplinary pain rehabilitation program. Outcome Measures. The Multidimensional Pain Inventory, Short Form-36 Health Status Questionnaire, Center for Epidemiologic Studies-Depression scale, and Pain Catastrophizing Scale were administered at admission and dismissal. Results. At baseline, African Americans had greater pain severity (P<0.001) and poorer physical function compared with Caucasians (P<0.001). At program completion, African Americans had greater pain severity (P<0.001) and poorer measures of life interference (P=0.004), perceived control (P= 0.013), affective distress (P<0.001), role physical (P=0.001) and role emotional function (P=0.001), physical (P<0.001) and social function (P=0.002), general health (P=0.005), depression (P<0.001), and pain catastrophizing (P<0.001). A repeated measures analysis demonstrated a time by race interaction effect for pain interference (P=0.038), affective distress (P=0.019), role physical function (P=0.007), social function (P=0.029), and depression (P=0.004), indicating African Americans experienced less improvement compared with Caucasians. Conclusions. The results of this study highlight an under-recognized health disparity which provides the basis for developing targeted interventions aimed at improving the clinical outcomes of African Americans with chronic pain.",
keywords = "African American, Chronic Pain, Pain Rehabilitation",
author = "Hooten, {W. Michael} and Miranda Knight-Brown and Townsend, {Cynthia O.} and Laures, {Heidi J.}",
year = "2012",
month = "11",
doi = "10.1111/j.1526-4637.2012.01489.x",
language = "English (US)",
volume = "13",
pages = "1499--1508",
journal = "Pain Medicine",
issn = "1526-2375",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - Clinical Outcomes of Multidisciplinary Pain Rehabilitation Among African American Compared with Caucasian Patients with Chronic Pain

AU - Hooten, W. Michael

AU - Knight-Brown, Miranda

AU - Townsend, Cynthia O.

AU - Laures, Heidi J.

PY - 2012/11

Y1 - 2012/11

N2 - Objectives. The primary aim of this study was to determine if the immediate outcomes of multidisciplinary pain rehabilitation were different for African Americans compared with Caucasians. Design. A retrospective repeated measures design was used, and all analyses were adjusted for marital and employment status, years of education, and pain duration. Setting. Multidisciplinary pain rehabilitation center. Subjects. Each African American (N=40) consecutively admitted to a multidisciplinary pain rehabilitation program was matched with three Caucasians (N=120) on age, sex, and treatment dates. Intervention. A 3-week outpatient multidisciplinary pain rehabilitation program. Outcome Measures. The Multidimensional Pain Inventory, Short Form-36 Health Status Questionnaire, Center for Epidemiologic Studies-Depression scale, and Pain Catastrophizing Scale were administered at admission and dismissal. Results. At baseline, African Americans had greater pain severity (P<0.001) and poorer physical function compared with Caucasians (P<0.001). At program completion, African Americans had greater pain severity (P<0.001) and poorer measures of life interference (P=0.004), perceived control (P= 0.013), affective distress (P<0.001), role physical (P=0.001) and role emotional function (P=0.001), physical (P<0.001) and social function (P=0.002), general health (P=0.005), depression (P<0.001), and pain catastrophizing (P<0.001). A repeated measures analysis demonstrated a time by race interaction effect for pain interference (P=0.038), affective distress (P=0.019), role physical function (P=0.007), social function (P=0.029), and depression (P=0.004), indicating African Americans experienced less improvement compared with Caucasians. Conclusions. The results of this study highlight an under-recognized health disparity which provides the basis for developing targeted interventions aimed at improving the clinical outcomes of African Americans with chronic pain.

AB - Objectives. The primary aim of this study was to determine if the immediate outcomes of multidisciplinary pain rehabilitation were different for African Americans compared with Caucasians. Design. A retrospective repeated measures design was used, and all analyses were adjusted for marital and employment status, years of education, and pain duration. Setting. Multidisciplinary pain rehabilitation center. Subjects. Each African American (N=40) consecutively admitted to a multidisciplinary pain rehabilitation program was matched with three Caucasians (N=120) on age, sex, and treatment dates. Intervention. A 3-week outpatient multidisciplinary pain rehabilitation program. Outcome Measures. The Multidimensional Pain Inventory, Short Form-36 Health Status Questionnaire, Center for Epidemiologic Studies-Depression scale, and Pain Catastrophizing Scale were administered at admission and dismissal. Results. At baseline, African Americans had greater pain severity (P<0.001) and poorer physical function compared with Caucasians (P<0.001). At program completion, African Americans had greater pain severity (P<0.001) and poorer measures of life interference (P=0.004), perceived control (P= 0.013), affective distress (P<0.001), role physical (P=0.001) and role emotional function (P=0.001), physical (P<0.001) and social function (P=0.002), general health (P=0.005), depression (P<0.001), and pain catastrophizing (P<0.001). A repeated measures analysis demonstrated a time by race interaction effect for pain interference (P=0.038), affective distress (P=0.019), role physical function (P=0.007), social function (P=0.029), and depression (P=0.004), indicating African Americans experienced less improvement compared with Caucasians. Conclusions. The results of this study highlight an under-recognized health disparity which provides the basis for developing targeted interventions aimed at improving the clinical outcomes of African Americans with chronic pain.

KW - African American

KW - Chronic Pain

KW - Pain Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84869226729&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869226729&partnerID=8YFLogxK

U2 - 10.1111/j.1526-4637.2012.01489.x

DO - 10.1111/j.1526-4637.2012.01489.x

M3 - Article

C2 - 22994358

AN - SCOPUS:84869226729

VL - 13

SP - 1499

EP - 1508

JO - Pain Medicine

JF - Pain Medicine

SN - 1526-2375

IS - 11

ER -