Abstract:Objective To boost self-management of pain in patients with axial spondyloarthritis (axSpA). Methods Patients with axSpA were enrolled and chronologically divided into a control group (n=41), who received routine care, and an intervention group (n=45), who were subjected to the pain self-management program which was developed based on Delphi method. The stages of pain self-management, pain intensity and interference, and pain self-efficacy were measured at three months after the intervention. Results There were significant changes in stages of pain self-management in the intervention group into the intervention, and the distribution of stages of pain self-management had significant difference between the 2 groups (P<0.05).The intervention group significant before-after changes in pain intensity and overall pain interference (general activities, mood, walking, work, relations with others, sleep, and enjoyment of life); the control group also saw significant changes in all the above-mentioned outcomes except relations with others (P<0.05,P<0.01). There were also significant before-after changes in average pain intensity and pain self-efficacy in either of the 2 groups, though the changes between the 2 groups were not significant (P>0.05 for both). Conclusion Implementation of the pain self-management program could improve axSpA patients′ readiness to change pain-related behaviors, alleviate pain intensity, and enhance pain self-efficacy.