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OBJECTIVE To investigate the effectiveness of chronic pain self-management support with pain science education and exercise (COMMENCE) on improving function, pain interference, work status, pain intensity, fatigue, psychological factors associated with pain, health care visits, satisfaction, and perceived change compared with usual care. DESIGN Parallel group randomized controlled trial with 1- and 12-week follow-ups. SETTING Community health center. PARTICIPANTS Adults (N=102) with chronic noncancer pain referred for self-management supp
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