KarunaHOME Fear Avoidance Belief Training (FABT)

At Home for Workers’ Compensation Patients

KarunaHOME Program Benefits

  • Decrease fear avoidance beliefs, improve function

  • Decrease medication usage

  • Decrease medical utilization for high medical utilizers, decreasing open claim time and moving patient to MMI more quickly

KarunaHOME Program Features

  • Fear Avoidance Belief Training recommended in MTUS Chronic Pain Guidelines

  • Behavioral health coaches trained in motivational interviewing

  • Opioid-sparing, evidence-based pain neuroscience education program

  • Digital health tools to track patient progress

The KarunaHOME Patient Journey

The KarunaHOME Patient Experience

Patients perform KarunaHOME sessions and activities at home, while progress data is sent back to their providers.

Pre-Program: Getting Started

Patient meets with a clinician (either in person or over video chat) to determine a plan of care for Fear Avoidance Belief Training (FABT).

Once authorized, the KarunaHOME Kit, including our proprietary FABT device and an educational workbook, is sent to the patient’s house. 

Weeks 1-2: Training and Coaching Begin

Training and coaching begin. The patient meets with his or her coach once per week to set and review goals, complete FABT activities, and review educational materials. All sessions are completed virtually from the comfort of the patient’s home.

Weeks 3-10: Program Continues

Patient continues FABT activities and exercises. Patient meets with their KarunaHOME coach once per week to review progress, refine your goals, and work towards unlearning their chronic pain. Coaches provide support and accountability throughout the program.

Provider is able to track patient progress through a dedicated Provider Portal.

Weeks 11-12: Real World Application

Patient’s pain coach will provide support and actionable steps to help them transition their progress to the real world. Patient continues to perform FABT exercises.

End of Program: Device Return

After completing the 12-week program, patients return the KarunaHOME FABT device to Karuna using a prepaid label (included in program cost).

Coaches continue to check in with their patients regularly after the end of the program to ensure they are making continued progress in regaining function and getting back to work.

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Research

Selected Fear Avoidance Beliefs Training (FABT) Research

Fear Avoidance Beliefs are associated with disability, reduced function, and impairment in chronic pain patients. FABT has demonstrated improvements in disability, function, impairment, and return to work in chronic pain patients

DESCRIPTION

TITLE

DESIGN

Fear Avoidance Beliefs Training improves disability and pain intensity in patient’s low back pain

Randomized Controlled Trial

Fear Avoidance Beliefs Training significantly improved work related fear avoidance beliefs in workers with chronic pain

Randomized Controlled Trial

Patients with high fear avoidance benefit from functional rehabilitation programs that include Fear Avoidance Beliefs Training

Comparative Study

Chronic low back pain patients with reduced function demonstrated superior benefits over treatment as usual on function, fear, and pain

Randomized Controlled Trial

Early Fear Avoidance Training prevents the onset of chronic pain

Exploratory Study

Function in chronic pain patients is significantly reduced in patients with high Fear Avoidance Beliefs

Randomized Controlled Trial

High fear avoidance beliefs is associated with sustained impairments in returning to work in chronic pain patients

Randomized Controlled Trial

Therapeutic patient education

Randomized Controlled Trial

“This product stood out from all the other treatments I’ve had…it has improved me the most. Everything else was more of a bandaid.”

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Our Evidence-Based Approach

Our integrative program helps people address pain from multiple angles. It is founded on the “biopsychosocial” approach to fear-avoidance beliefs-based pain management, which has been clinically shown to support lasting outcomes.

The KarunaHOME program is at the center of our integrative approach that focuses on the Biological, Psychological, and Social aspects of chronic pain.

Our coaching curriculum and proprietary FABT software fuse neuroplastic pain education paired with movement and relaxation exercises designed to mirror the type of activities you engage in on a daily basis in work, at home, and in life. The 12-week multi-disciplinary program is safe, non-invasive, and hyper-personalized.