Dataset from Equity Using Interventions for Pain and Depression (EQUIPD) - Phase 1

This project is part of the NIH Helping to End Addiction Long-term (HEAL) initiative
(https://heal.nih.gov/). This pilot randomized controlled trial (RCT) is part of phase 1 of a
two-phase, 5-year project with the overarching goal of testing a decision aid (DA)/coaching
intervention, tailored to Black patients with comorbid chronic pain and depression, to
encourage use of and adherence to nonpharmacological pain treatments (NPTs).

This 2-arm pilot trial will aim to enroll up to 40 Black patients with comorbid chronic
musculoskeletal pain and depression in primary care from an urban safety-net health system
with the end goal of at least 30 patients completing the trial. After the baseline
assessment, patients randomized to the intervention will be asked to participate in 4
coaching sessions over approximately 12 weeks. Sessions will use Motivational Interviewing
principles to foster openness to NPTs and self-efficacy by helping patients identify their
goals and priorities, understand their NPT options, prepare them to discuss and choose
options with their primary care providers (PCPs), and reinforce these choices to foster
maintenance of these changes. DA contents will be integrated into these sessions, which will
facilitate discussion of these options with their PCP. The first 3 sessions take place prior
to the patient's next scheduled PCP visit; the final session occurs after this visit.
Assessments will be conducted at baseline, 3 months (i.e., after completing the final
coaching session), and 6 months.

Patients randomized to the wait-list control group will receive usual care (in addition to
study assessments at baseline, 3 months, and 6 months). After completing the final
assessment, they will then be given the DA along with a 20-minute coaching session to walk
them through it (patients may decline the coaching session or schedule for a future time).