Two hundred twelve patients with orthopedic trauma were randomized to receive either a personalized pain education and management intervention delivered by paraprofessional coaches (n=104) or usual care consisting of written discharge instructions on pain management and opioid safety (n=108). The primary outcome of interest was change in pain intensity scores over 12 weeks. Secondary outcomes included opioid consumption (measured in daily morphine milligram equivalents), patient-reported outcomes using PROMIS measures (physical functioning, pain interference, and sleep disturbance), and the proportion of patients achieving the minimum clinically important difference (MCID) on these measures. Outcomes were assessed at baseline and at 2, 6, and 12 weeks post-discharge. Overall, the study found no significant differences between the intervention and control groups in mean pain scores at 12 weeks, opioid consumption, or patient-reported outcomes. Although a higher proportion of intervention participants reported improved pain scores from baseline, this difference was not clinically significant.