Group-based Integrative Pain Management in Primary Care Safety Net Clinics

Socioeconomically disadvantaged populations have a high prevalence of chronic pain, exacerbated by social isolation, intersectional stigma, and disparities in pain assessment and treatment options. Effective interventions using a multilevel, biopsychosocial approach are needed to decrease the unequal burden of pain. The proposed study will test group-based integrative models of pain management in primary care safety net clinics to improve pain care for racially and ethnically diverse low-income patients.

Inclusion Criteria: * Adults aged ≥ 18 * Fluency in English or Spanish * Panelled to a primary care provider at one of the study clinics * Diagnosis of chronic pain (\> 3 months) * Had a primary care visit for chronic pain within the past six months * Ability to provide a phone number * Able to participate in groups * Intent to be available for up to 24 weeks Exclusion Criteria: * Received group-based pain management in the past 3 months * Received acupuncture treatment for pain in the past 3 months * Active cancer treatment * Inability to provide informed consent due to mental illness or cognitive impairment