Objective To investigate the effectiveness of chronic pain self-management support with
pain science education and exercise (COMMENCE) on improving function, pain
interference, work status, pain intensity, fatigue, psychological factors associated with pain,
health care visits, satisfaction, and perceived change compared with usual care. Design
Parallel group randomized controlled trial with 1-and 12-week follow-ups. Setting
Community health center. Participants Adults (N= 102) with chronic noncancer pain referred …

Background Previous research suggests that self-management programs for people with
chronic pain improve knowledge and self-efficacy but result in negligible effects on function.
This study will investigate the effectiveness self-management support with pain science
education and exercise on improving function for people with chronic pain in comparison to
a wait-list control. A secondary objective is to determine which variables help to predict
response to the intervention. Methods/Design This study will be an unblinded, randomized …