Trilingual app and telehealth coaching to help manage chronic pain with inclusion and equity
Integrating Nonpharmacologic Strategies for Pain With Inclusion, Respect, and Equity (INSPIRE): Tailored Digital Tools, Telehealth Coaching, and Primary Care Coordination
This project will test whether a trilingual mobile app combined with telehealth coaching helps Black, Chinese, and Latinx adults in the San Francisco Bay Area manage chronic non-malignant pain.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 586 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of California, San Francisco Academic / other |
| Locations | 2 sites (San Francisco, California and 1 other locations) |
| Trial ID | NCT06183281 on ClinicalTrials.gov |
What this trial studies
INSPIRE develops a trilingual (English, Spanish, Cantonese) mobile app paired with telehealth health coaching to deliver cognitive behavioral techniques, mindfulness, and movement for chronic non-malignant pain. In years 1–2 the team will build the app and run a brief single-arm pilot starting in November 2023. Beginning in early 2025 a full two-arm randomized controlled trial will compare the intervention arms, with change in PEG scores as the primary outcome and HEAL common data elements as secondary outcomes. The program is explicitly focused on engaging Black, Chinese, and Latinx communities served by UCSF Health and the San Francisco Health Network.
Who should consider this trial
Good fit: Ideal participants are adults (18+) with chronic non-malignant pain for at least 3 months who speak English, Spanish, or Cantonese, have a UCSF Health or SFHN provider, can use a smartphone, and can commit to 12 months of participation.
Not a fit: People who cannot provide informed consent due to severe mental illness, who do not speak the three supported languages, lack a UCSF/SFHN provider, or are unable/unwilling to use a smartphone are unlikely to benefit from this program.
Why it matters
Potential benefit: If successful, the program could reduce pain and improve function using nonpharmacologic strategies that are accessible in English, Spanish, or Cantonese and tailored to underrepresented communities.
How similar studies have performed: Prior trials of digital CBT, mindfulness, and movement programs have shown modest benefits for pain and function, but a trilingual, equity-focused intervention targeting Black, Chinese, and Latinx patients is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. age 18 or older 2. speak English, Spanish, or Cantonese 3. have a UCSF Health or SFHN medical provider (any type) 4. be willing to use a smartphone (iOS or Android - either their own or one provided by the study) 5. have chronic, non-malignant pain for at least 3 months 6. be willing to participate in a 12 month patient-centered chronic pain management study where they will be randomized into one of two comparison arms Exclusion Criteria: * Severe mental illness or other condition preventing informed consent
Where this trial is running
San Francisco, California and 1 other locations
- San Francisco General Hospital — San Francisco, California, United States (Recruiting)
- UCSF Adult Primary Care Mt. Zion Clinic — San Francisco, California, United States (Recruiting)
Study contacts
- Principal investigator: Jason Satterfield, PhD — University of California, San Francisco
- Study coordinator: Jason Satterfield, PhD
- Email: Jason.Satterfield@ucsf.edu
- Phone: 415-353-2104
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.