Nurse-Delivered Brief Pain Relief Skills Treatment in Rural Communities

The goal of this randomized clinical trial is to learn if a nurse-delivered psychoeducational pain management skills intervention \[Empowered Relief\] can improve pain outcomes for adults with chronic pain who live in rural communities The main question\[s\] it aims to answer are: Does nurse-delivered Empowered Relief improve pain intensity and pain interference more than a health education intervention after 3 months? Does nurse-delivered Empowered Relief improve pain catastrophizing, pain self-efficacy, and relaxation response more than a health education intervention after 3 months? Does nurse-delivered Empowered Relief improve sleep disturbance, depression, fatigue, and anxiety more than a health education intervention after 3 months? Participants will: Attend either a single-session 2-hour Empowered Relief class or a Health Education intervention. Complete assessments measuring pain and related symptoms with online surveys immediately post-intervention and 3 months later. Receive daily prompts to practice skills from the intervention.

Inclusion Criteria: * ≥18 years of age * Pain condition with duration ≥ 3 months * Capacity to give informed consent * Able to read, speak, and understand English * Past month average pain intensity score ≥ 4/10 on a 0-10 Numerical Rating Scale Exclusion Criteria: * Cognition found to be moderately or severely impaired on screening * Active suicidality (online screening) * Receipt of Empowered Relief or digital Health Education in the past 6 months