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A 1-session pain relief skills class (Empowered Relief; ER) has shown efficacy for multidimensional symptom reduction in various homogenous pain populations. Comparative effectiveness evidence in heterogeneous chronic pain is needed to inform decision-making and patient matching to treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Conduct a non-inferiority comparative effectiveness trial of 2 evidence-based online (telehealth) behavioral group treatments for chronic pain (1-session ER vs 8-session CBT) in a nationally representative sample derived from 6 study sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>1200 adults \u226518\u2009years of age with any type of pain \u22653\u2009months with past-month intensity \u22653\/10 will be recruited from 6 study sites. Participants are randomized 1:1 to either the online 1-session or the 8-session behavioral intervention. Patient-reported data are collected to 6\u2009months post-treatment. Medical history, diagnoses, and healthcare utilization are obtained via medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Multi-primary outcomes are changes in pain intensity and pain interference from baseline to 3\u2009months post-treatment with hypothesized non-inferiority between the 2 study treatments. Statistical analyses include mixed models for repeated measures (MMRM). Priority secondary outcomes include sleep disturbance, pain catastrophizing, anxiety, and pain bothersomeness. Exploratory heterogeneity of treatment effects will be examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study protocol was approved by all 6 site Institutional Review Boards including Stanford University School of Medicine (IRB 65439) as the coordinating site. Results will be published in peer-reviewed journals. PCORI (funder), participants, and advisors will receive summaries of the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov Identifier: NCT 05612750.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pm\/pnag027","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T12:44:38Z","timestamp":1771418678000},"page":"839-850","source":"Crossref","is-referenced-by-count":2,"title":["Randomized comparative effectiveness study of 1-session vs 8-session online behavioral treatment for chronic pain: protocol for the national PROGRESS study"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5584-2457","authenticated-orcid":false,"given":"Emma","family":"Adair Monson","sequence":"first","affiliation":[{"name":"Stanford Pain Relief Innovations Lab, Division of Pain Medicine, 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