Braided Skills for Chronic Pain

(CAP-I Trial)

This trial tests a new method for managing chronic pain by combining psychological tools with traditional Indigenous healing practices, known as Braided Skills for Managing Pain. It targets American Indian/Alaska Native individuals experiencing pain that disrupts daily life. Participants will join small remote groups for weekly sessions over seven weeks. The trial aims to determine if this approach is effective enough to justify a larger study. It suits those who identify as Native, speak English, and have experienced pain affecting daily life for over three months. As an unphased trial, it offers a unique opportunity to explore innovative pain management techniques tailored to cultural needs.

Past studies have shown that self-management techniques for chronic pain are safe and easy to handle. These methods often involve learning skills to manage pain without medication. Research indicates that managing pain through education and self-care can reduce the risk of medication-related side effects.

"Braided Skills for Managing Pain" is unique because it combines evidence-based psychological tools with Indigenous healing practices, offering a holistic approach to chronic pain management. Unlike conventional treatments, which often rely heavily on medication like opioids or NSAIDs, this method is group-based and conducted remotely, making it more accessible and community-focused. Researchers are excited about this treatment because it not only addresses physical pain but also integrates cultural and psychological aspects, potentially leading to more comprehensive and sustainable pain relief.

This trial will compare the effectiveness of a new program, Braided Skills for Managing Pain, with treatment-as-usual for chronic pain. Research has shown that combining psychological tools with traditional healing methods can help manage chronic pain. Studies have found that programs using different treatment methods together often help people better manage their pain and feel more in control. Techniques like cognitive-behavioral therapy (a type of talk therapy) and mindfulness can lower pain levels and improve quality of life. For example, one study reported a 22% decrease in pain after a structured program. Mixing these methods with Indigenous healing practices, as done in the Braided Skills program, might be a promising way to manage chronic pain effectively.¹⁶⁷⁸⁹