Life-Style Medicine for Chronic Musculoskeletal Pain in Older People
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Lifestyle medicine Health coaching.
- Who it may be relevant to
- Registry conditions: Musculoskeletal, Pain Management, Chronic Pain, Musculoskeletal Pain. Basic parameters: from 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Hong Kong
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Life-Style Medicine for Chronic Musculoskeletal Pain in Older People: A Pragmatic, Randomized Controlled Clinical Trial
Overview
The goal of this clinical trial is to determine the clinical effectiveness of lifestyle medicine in reducing chronic musculoskeletal pain in older adults, as measured by pain intensity, pain interference, self-management efficacy, stress level, sleep quality, healthier diet, better quality of life, and cost-effectiveness, compared to a waitlist control group. Participants will be randomly assigned to either the intervention or the waitlist group. The intervention group will meet the health coach face-to-face for four sessions to negotiate and set personalized health goals. The waitlist control group will continue to receive usual care without any additional intervention for 24 weeks. Both groups will complete three assessments: at the start of the study, one month after the intervention, and three months after the intervention. The waitlist control group will be offered the same intervention after completing the study.
Interventions
- Behavioral Lifestyle medicine Health coaching
Participants assigned to this group will have 4 face-to-face sessions with the health coach. Lifestyle modifications with the aim of pain reduction will be determined in a shared decision-making approach. Lifestyle modifications will be based on the 6 pillars of lifestyle medicine: Physical activity, Healthy eating, Stress reduction, Sleep restoration, Social Support, and Avoiding risky substances. The health coach will make use of motivational techniques such as motivational interviewing to gui
Primary outcome measures
- Brief Pain Inventory - Severity score [Time frame: Week 0, 12, 24]
Secondary outcome measures (10)
- BPI-Interference [Time frame: week 0, 12, 24]
- Pain-Self Efficacy questionnaire [Time frame: Week 0 12, 24]
- Chinese International Physical Activity Questionnaire (Short form) [Time frame: Week 0, 12, 24]
- Chinese Short Food Frequency Questionnaire [Time frame: Week 0, 12, 24]
- 10-item Perceived Stress Scale (PSS-10) [Time frame: Week 0, 12, 24]
- 7-item Insomnia Severity Index (ISI) [Time frame: Week 0, 12, 24]
- Lubben Social Network Scale-6 (LSNS-6) [Time frame: Week 0, 12, 24]
- EuroQuol-5D-5L (EQ-5D-5L) [Time frame: Week 0, 12, 24]
- Quantity of smoking and alcohol consumption [Time frame: Week 0, 12, 24]
- Quality-adjusted life years (QALYs) on EQ-5D-5L [Time frame: Week 0, 12, 24]
Eligibility criteria
Inclusion criteria
- chronic musculoskeletal pain, defined as pain that lasted for more than 3 months persistently or intermittently, including regional pain (joints, limbs, back, and/or neck)
- a degenerative joint condition, such as osteoarthritis, and/or musculoskeletal complaints that fall under the classification of the International Classification of Disease-11 as "chronic primary musculoskeletal pain" or "chronic secondary musculoskeletal pain"
- Pain intensity score ≥ 4 on a numerical rating scale of 10
- stable baseline physical activity
- ability to understand written and verbal Chinese
Exclusion criteria
- patient with cancer-related pain
- inflammatory rheumatic disease
- a recent history of stroke or major surgery in the past 6 months
- terminal illness
- serious mental illness
- severe or uncontrolled heart disease
- comorbid conditions that might impede active participation in the study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Hong Kong · 1 center
- 4/F, Lek Yuen Health Center, Shatin, New Territories, Hong Kong — Hong Kong
Identifiers
NCT: NCT07194239 · 2025.553 · 2025.553