Partners4Pain & Wellbeing: A Randomized Trial of Community Supported Complementary and Integrative Health Self-management for Back Pain

This project is a full-scale, multi-level randomized hybrid effectiveness implementation trial (n=376) of 'Partners4Pain', a community supported self-management program for individuals with back or neck pain. Partners4Pain will be compared to an active control, Keys to Wellbeing. Both programs were optimized and feasibility tested in an earlier R61 pilot study of 51 individuals (NCT05786508). Aims for the hybrid effectiveness implementation trial are: AIM 1. To assess the relative effectiveness of Partners4Pain versus Keys to Wellbeing in terms of: * Primary effectiveness outcomes of pain intensity and interference over 6 months using bi-monthly assessments. * Secondary effectiveness outcomes of pain impact, self-efficacy and other HEAL outcomes. AIM 2. To assess the impact of health factors on the effectiveness of Partners4Pain for primary and secondary outcomes through subgroup analyses which account for potential complexities between factors. AIM 3. To describe important implementation related measures that can impact and inform sustained translation of the program with community partner organizations.