Table 1.

Baseline demographic and clinical characteristics of CaRISMA trial participants

CharacteristicTotal (N = 359)Intervention arm
CBT (n = 181)Education (n = 178)
Enrolled via    
Clinic 265 (73.8%) 133 (73.5%) 132 (74.2%) 
Virtual 94 (26.2%) 48 (26.5%) 46 (25.8%) 
Age at baseline (y)    
Mean (SD) 36 (10) 36 (10) 36 (11) 
Gender    
Male 119 (33.1%) 70 (38.7%) 49 (27.5%) 
Female 238 (66.3%) 110 (60.8%) 128 (71.9%) 
Prefer not to answer 2 (0.6%) 1 (0.6%) 1 (0.6%) 
Race    
Black/African American 332 (92.5%) 169 (93.4%) 163 (91.6%) 
White 2 (0.6%) 2 (1.1%) 
American Indian/Alaska Native 1 (0.3%) 1 (0.6%) 
Mixed/other 15 (4.2%) 7 (3.9%) 8 (4.5%) 
Prefer not to answer 9 (2.5%) 5 (2.8%) 4 (2.2%) 
Education    
Some high school 22 (6.1%) 12 (6.6%) 10 (5.6%) 
Completed high school or equivalent 69 (19.2%) 33 (18.2%) 36 (20.2%) 
Some college 160 (44.6%) 83 (45.9%) 77 (43.3%) 
Completed college 61 (17.0%) 31 (17.1%) 30 (16.9%) 
Graduate studies 47 (13.1%) 22 (12.2%) 25 (14.0%) 
Employment status    
Yes, employed 132 (36.8%) 67 (37.0%) 65 (36.5%) 
No, not employed 63 (17.5%) 31 (17.1%) 32 (18.0%) 
Disability 164 (45.7%) 83 (45.9%) 81 (45.5%) 
Pain interference (PROMIS-8a)    
Mean (SD) 62.6 (7.1) 62.2 (7.3) 62.9 (7.0) 
Proportion of days in happy mood (2 wk)    
Mean (SD) 0.1 (0.2) 0.1 (0.2) 0.1 (0.2) 
Average daily pain intensity (2 wk)    
Mean (SD) 4.4 (2.5) 4.2 (2.5) 4.5 (2.5) 
PHQ-9 depressive symptomseverity     
Minimal (0-4) 35 (12.0%) 13 (9.0%) 22 (14.9%) 
Mild (5-9) 116 (39.7%) 60 (41.7%) 56 (37.8%) 
Moderate (10-14) 76 (26.0%) 34 (23.6%) 42 (28.4%) 
Moderately severe (15-19) 50 (17.1%) 29 (20.1%) 21 (14.2%) 
Severe (20-27) 15 (5.1%) 8 (5.6%) 7 (4.7%) 
Did not complete 67 37 30 
Suicidal ideation (PHQ) item 9    
No 175 (85.4%) 84 (84.8%) 91 (85.8%) 
Yes 30 (14.6%) 15 (15.2%) 15 (14.2%) 
GAD-7 anxiety symptom severity     
Minimal (0-4) 46 (18.3%) 23 (17.6%) 23 (19.2%) 
Mild (5-9) 113 (45.0%) 61 (46.6%) 52 (43.3%) 
Moderate (10-14) 62 (24.7%) 31 (23.7%) 31 (25.8%) 
Severe (15-21) 30 (12.0%) 16 (12.2%) 14 (11.7%) 
Did not complete 108 50 58 
ASCQ-Me: pain episode frequency    
Mean (SD) 48.3 (12.3) 48.2 (12.1) 48.3 (12.6) 
ASCQ-Me: pain episode severity    
Mean (SD) 47.3 (13.3) 47.7 (13.3) 46.8 (13.4) 
ASCQ-Me: social functioning impact    
Mean (SD) 47.3 (7.9) 47.4 (8.6) 47.1 (7.1) 
ASCQ-Me: emotional impact    
Mean (SD) 48.0 (8.8) 47.2 (8.8) 48.8 (8.8) 
Pain catastrophizing scale score    
Mean (SD) 9 (4.0) 9 (4.0) 9 (4.0) 
Sickle Cell Self-Efficacy Scale (SCSES)    
Mean (SD) 29 (7.0) 28 (6.0) 29 (7.0) 
CharacteristicTotal (N = 359)Intervention arm
CBT (n = 181)Education (n = 178)
Enrolled via    
Clinic 265 (73.8%) 133 (73.5%) 132 (74.2%) 
Virtual 94 (26.2%) 48 (26.5%) 46 (25.8%) 
Age at baseline (y)    
Mean (SD) 36 (10) 36 (10) 36 (11) 
Gender    
Male 119 (33.1%) 70 (38.7%) 49 (27.5%) 
Female 238 (66.3%) 110 (60.8%) 128 (71.9%) 
Prefer not to answer 2 (0.6%) 1 (0.6%) 1 (0.6%) 
Race    
Black/African American 332 (92.5%) 169 (93.4%) 163 (91.6%) 
White 2 (0.6%) 2 (1.1%) 
American Indian/Alaska Native 1 (0.3%) 1 (0.6%) 
Mixed/other 15 (4.2%) 7 (3.9%) 8 (4.5%) 
Prefer not to answer 9 (2.5%) 5 (2.8%) 4 (2.2%) 
Education    
Some high school 22 (6.1%) 12 (6.6%) 10 (5.6%) 
Completed high school or equivalent 69 (19.2%) 33 (18.2%) 36 (20.2%) 
Some college 160 (44.6%) 83 (45.9%) 77 (43.3%) 
Completed college 61 (17.0%) 31 (17.1%) 30 (16.9%) 
Graduate studies 47 (13.1%) 22 (12.2%) 25 (14.0%) 
Employment status    
Yes, employed 132 (36.8%) 67 (37.0%) 65 (36.5%) 
No, not employed 63 (17.5%) 31 (17.1%) 32 (18.0%) 
Disability 164 (45.7%) 83 (45.9%) 81 (45.5%) 
Pain interference (PROMIS-8a)    
Mean (SD) 62.6 (7.1) 62.2 (7.3) 62.9 (7.0) 
Proportion of days in happy mood (2 wk)    
Mean (SD) 0.1 (0.2) 0.1 (0.2) 0.1 (0.2) 
Average daily pain intensity (2 wk)    
Mean (SD) 4.4 (2.5) 4.2 (2.5) 4.5 (2.5) 
PHQ-9 depressive symptomseverity     
Minimal (0-4) 35 (12.0%) 13 (9.0%) 22 (14.9%) 
Mild (5-9) 116 (39.7%) 60 (41.7%) 56 (37.8%) 
Moderate (10-14) 76 (26.0%) 34 (23.6%) 42 (28.4%) 
Moderately severe (15-19) 50 (17.1%) 29 (20.1%) 21 (14.2%) 
Severe (20-27) 15 (5.1%) 8 (5.6%) 7 (4.7%) 
Did not complete 67 37 30 
Suicidal ideation (PHQ) item 9    
No 175 (85.4%) 84 (84.8%) 91 (85.8%) 
Yes 30 (14.6%) 15 (15.2%) 15 (14.2%) 
GAD-7 anxiety symptom severity     
Minimal (0-4) 46 (18.3%) 23 (17.6%) 23 (19.2%) 
Mild (5-9) 113 (45.0%) 61 (46.6%) 52 (43.3%) 
Moderate (10-14) 62 (24.7%) 31 (23.7%) 31 (25.8%) 
Severe (15-21) 30 (12.0%) 16 (12.2%) 14 (11.7%) 
Did not complete 108 50 58 
ASCQ-Me: pain episode frequency    
Mean (SD) 48.3 (12.3) 48.2 (12.1) 48.3 (12.6) 
ASCQ-Me: pain episode severity    
Mean (SD) 47.3 (13.3) 47.7 (13.3) 46.8 (13.4) 
ASCQ-Me: social functioning impact    
Mean (SD) 47.3 (7.9) 47.4 (8.6) 47.1 (7.1) 
ASCQ-Me: emotional impact    
Mean (SD) 48.0 (8.8) 47.2 (8.8) 48.8 (8.8) 
Pain catastrophizing scale score    
Mean (SD) 9 (4.0) 9 (4.0) 9 (4.0) 
Sickle Cell Self-Efficacy Scale (SCSES)    
Mean (SD) 29 (7.0) 28 (6.0) 29 (7.0) 

SD, standard deviation.

PHQ-9 for clinic participants and PHQ-8 for virtual participants with PHQ-2 >0.

GAD-7 for all participants with GAD-2 >0.

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