From 2019 to 2020, MSUE reached 468 older adults (55 years and older) across 15 counties with community-based prevention education. To improve individual awareness, knowledge, self-efficacy, and self-management behaviors around chronic pain and opioid/substance use, MSUE conducted: (1) 29 series of four evidence-based, self-management and prevention programs; (2) five train-the-trainer sessions to enhance staff and community implementation capacity of two programs; and (3) 16 one-time presentations to generate OUD awareness and reduce community stigma. Pre and post questionnaires were given during each first and last program sessions.

Program results for two of the four implemented programs (including the Self-Management Resource Center’s Chronic Disease and Chronic Pain Self-Management Programs) demonstrate statistically significant (p≤.05) reductions in perceived pain and changes in confidence to implement chronic pain management strategies (including the use of non-medication activities to reduce impact and interference of illness, fatigue and emotional distress on daily life).

Education programs play a key role in reducing perceived levels of chronic pain and improving awareness and self-efficacy of pain management behaviors. Ongoing interventions include the dissemination of an online resource toolkit and community and healthcare provider education trainings among rural communities to enhance prevention knowledge, treatment access, and stigma reduction around OUD.