Testing a stepped care program for chronic pain and trauma

This trial is testing a new approach called CIH Stepped Care—a mindfulness-based coaching program designed specifically for people struggling with both chronic pain and post-traumatic stress disorder (PTSD). The program starts with simpler strategies like education and mindfulness, then gradually increases to more intensive support based on how you're doing and what you prefer. Researchers want to see if this personalized approach works better and feels more acceptable than standard care.

Many people experience chronic pain and PTSD together, but these conditions are usually treated separately, which can feel fragmented and overwhelming. This trial is testing whether treating them together with a stepped, mindfulness-based approach could be more effective and easier for patients to stick with.