Center for Accelerating Precision Pain Self-Management (CAPPS-M)

The purpose of the NINR funded Center for Accelerating Precision Pain Self-Management (CAPPS-M) (P20NR016605) at the University of Connecticut School of Nursing (UConn SON) is to advance theory-based symptom SM interventions, with a focus on pain, and improve pain self-management and health outcomes in diverse populations with acute and chronic pain. The purpose of this application in response to the RFA-NR-16-001 for Centers in Self- Management of Symptoms: Building Research Teams for the Future (P20) is to build interdisciplinary teams and feasibility research in precision pain SM through centralized infrastructure, mentorship, and shared resources.

Goals:

  1. Select and support pilot studies that advance the science of precision pain self-management for individuals and families across the lifespan
  2. Expand the number and quality of theory-driven research projects aimed at understanding the influence of the biological (genomic/-omic) context of pain on self-management process and outcomes
  3. Enhance the research infrastructure by expanding the number of nurse scientists and interdisciplinary collaborators involved in advancing the science of pain self-management;
  4. Build the capacity for sustainable research teams focused on precision pain self-management through collaborations among interdisciplinary scientists, community networks of individuals and families and partner centers and institutions.

Members of the UCONN P20 CAPPSM Team

Members of the UCONN P20 CAPPSM Team

Precision Pain Self-Management in Young Adults with Irritable Bowel Syndrome

Pilot Investigators

Dr. Xiaomei Cong (PI)

Dr. Erin Young

Summary

The proposed pilot project will provide foundational information about the contextual factors of IBS pain (pain catastrophizing, perceived stress, reactivity pain sensitivity, genetic and microbiome) on pain SM process and outcomes. In addition, we will gain insight on the potential impact of the personalized IBS-pain SM approach on pain SM behaviors and health outcomes. The knowledge gained from this pilot study will position the PPI and her team for future work in the area of precision pain SM, using innovative methods to improve quality of life and costs of care for individuals and families with IBS pain.  

Publications

  1. Cong, X., Perry, M., Bernier, K.M., Young, E.E., & Starkweather, A (2017). Effects of Self-Management Interventions in Patients with Irritable Bowel Syndrome: Systematic Review. Western Journal of Nursing Research

Promoting Self-Management of Breast and Nipple Pain in Breastfeeding Women

Pilot Investigator

Dr. Ruth Lucas 

 

Summary

The overarching goal of this program of research is to improve nipple and breast pain self-management in breast-feeding mothers and enhance their feeding  self-efficacy to achieve their feeding goals. Breastfeeding (BF) is one of the most important early determinants of infant health and development. Duration of BF is significantly related to reduced incidence of infantile respiratory and gastrointestinal tract infections, obesity and asthma . However, over 35% of mothers cease exclusive BF during the first 6 weeks due to nipple and breast pain . While 90% of mothers report acute nipple and breast pain during the first week of BF initiation, approximately 30% will experience persistent pain (>10 days). Based on the Individual & Family Self-Management Theory (IFSMT) model, the following pilot project will test the feasibility of a Breastfeeding Self-Management (BSM) Intervention on BF outcomes in mothers with nipple and breast pain. In addition, the proposed study will provide a preliminary examination of genetic, psychological and somatosensory factors that predict nipple and breast pain and possibly, early cessation of BF.