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NIH grant 1K23AR085164-01A1: Trauma-Informed Care for Pain (TIC-P): An Acceptability and Preliminary Effectiveness Study of a Provider-Directed Training Intervention
Institute: {'code': 'AR', 'abbreviation': 'NIAMS', 'name': 'National Institute of Arthritis and Musculoskeletal and Skin Diseases', 'admin_org_id': '12500006', 'admin_funding_url': ''}. PI: Jolin B. Yamin. Award: $178185.
Start: 2026-09-25T00:00:00.
Project Summary/Abstract
Psychosocial trauma is a robust risk factor for the development, exacerbation, and maintenance of numerous
chronic musculoskeletal (MSK) pain conditions such as chronic back pain and fibromyalgia. Patients with
chronic pain who have trauma histories also experience reduced benefit in response to biomedical treatment
and pain rehabilitation compared to patients without trauma histories, and these adverse outcomes may be
exacerbated in individuals from marginalized backgrounds. Despite the well-established links between trauma
and MSK pain, such research findings have not significantly influenced clinical pain management; this K23
project aims to address this gap. I plan to develop, refine, and test the acceptability of a provider-directed
Trauma-Informed Care for Pain (TIC-P) training intervention aimed at increasing trauma-informed care (TIC)
practices among pain-focused healthcare providers, and assess its preliminary effectiveness on provider-
reported and patient-reported outcomes. My aims are to: (1) develop and iteratively refine the TIC-P training
program through evidence-based frameworks, input from interviews with patients with comorbid trauma and
pain (n= 20), and focus groups with pain-focused healthcare providers (n=20); (2) test, via a pilot randomized
controlled trial (RCT), the acceptability and preliminary effectiveness of the TIC-P training program (vs. waitlist
control) on pain providers’ (N=40) TIC knowledge and self-efficacy, and clinician burnout; (3) assess the
preliminary effectiveness of the TIC-P training versus waitlist control on patient-reported (N=160) outcomes
(satisfaction with pain management, working alliance, perceptions of patient-centered care, and pain and
psychological health outcomes) following an initial intake visit with their pain provider (patients will be clustered
within provider randomization from Aim 2). Training: My research aims are supported by four training goals: (1)
intervention development; (2) qualitative and mixed-methods research approaches; (3) randomized trial design
including cluster RCTs; and (4) advanced statistical methods. My multi-disciplinary mentorship team is led by
Dr. Robert Edwards, a clinical psychologist and expert in clinical and translational pain research, and Drs.
Meints, Afari, Matthias, and Collins, a diverse group of experts in psychosocial aspects of chronic pain, patient-
provider communication, mixed-methods approaches, and pain-focused clinical trials and outcomes research.
My training goals are supported by (1) multidisciplinary mentors, (2) a rich institutional environment at Brigham
and Women’s Hospital/Harvard Medical School, and (3) targeted coursework, seminars, workshops, scientific
meetings, and experiential training. This K23 proposal is in line with the NIAMS research priority areas of
“Patient-Centric Approaches to Health and Disease” and “Health and Disease in Diverse Populations.” This
K23 project is my first step towards becoming an independently funded investigator and will pave the way for
future trials of both provider- and patient-directed trauma-responsive interventions for chronic pain.document fetched 2026-10-04 02:43