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Pain coping skills training in the management of osteoarthritic knee pain: a comparative study
Keefe FJ, Caldwell DS, Williams DA, Gil KM, Mitchell D, Robertson C, Martinez S, Nunley J, Beckham J, Crisson J, Helms M
Behavior Therapy 1990 Winter;21(1):49-62
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Examined whether a cognitive-behavioral intervention to improve pain coping skills (PCS) could reduce pain, physical and psychological disability, and pain behavior in 94 patients (mean age 64 yrs) with osteoarthritis of the knees. Ss were assigned to 1 of 3 conditions: training in PCS, arthritis education, or a standard care control condition. Questionnaire, symptom scale, interview, and observational data were collected from Ss before and after treatment. Ss who received PCS training had significantly lower levels of posttreatment pain and psychological disability than Ss receiving arthritis education or standard care. Ss training in PCS who reported increases in perceived effectiveness of their coping strategies were more likely to have lower levels of posttreatment physical disability.

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