This workbook is based on a multi-year effort to disseminate efficacious cognitive-behavioral therapy (CBT) for chronic pain to people with low health literacy. Typical approaches to the management of chronic pain have focused on biomedical treatments, which are expensive and have undesirable side-effects. Recent clinical practice guidelines stress non-pharmacological approaches to chronic pain management, but access to CBT is limited, particularly
in low-SES communities. The problem of limited literacy is a growing concern and many Americans lack the ability to use print materials in everyday life. Many studies have demonstrated the link between limited literacy skills and poor health outcomes among adults in the U.S. Further, cognitive therapy requires some abstract thinking and problem solving, and this workbook provides a simplified approach in an effort to best promote these skills in patients with limited literacy. The written materials in this patient workbook were reduced from the tenth-grade level to the fifth-grade level, consistent with health literacy guidelines. The therapist edition of this simplified patient workbook includes scripts for session summaries (referred to as “Session Tips” in the workbook) and relaxation scripts used in this program. The therapist can make audios from the scripts and give these to patients, who can, in turn, remind themselves about the sessions without the burden of reading. Further, relaxation audios are a common way of helping patients gain and practice these important pain management skills.