Participants will receive the 10-week tailored EmpowerSpine program previously co-developed by the Team and Patient Oriented Steering Committee. The program consists of 1) education designed to improve participants' understanding of the biopsychosocial nature of chronic pain by presenting information on the nature of pain biology, address erroneous beliefs about pain (e.g. that chronic pain is always associated with pathology) and outline links between chronic pain and health behaviour risks (inactivity, weight, smoking, and so on); 2) behavioural activation through goal setting and development of a physical activity action and coping plan; 3) managing overdoing-underdoing cycle of activity levels, tackling fear avoidance; 4) developing self-monitoring and regulation practices; 5) occurrence of setbacks, signs of setbacks and creating setback plans. Materials will be presented in a didactic (i.e., text-based and audio with visual images and animation videos) and case-enhanced learning

Guidance: Weekly Guidance will be provided by a trained Guide. The Guide will spend ~15 -20 mins. per week/per participant. Weekly interaction will consist of: 1) assist participants practice skills, reinforce progress, engage with the program; 2) guide participants to learn material, highlight lesson content, answer questions, and problem solve on how to apply skills; 3) provide support through warmth and concern; 4) monitor symptoms and risk management.

In addition to ES program, participants will receive focused peer group discussions. Focused Peer Group Discussion: The focused discussion will take the form of a group based virtual session of approximately 6-8 participants in each group The Groups will be moderated by a team member once every two weeks for the duration of the 10-week program.

Participants will receive the 10-week tailored EmpowerSpine program previously co-developed by the Team and Patient Oriented Steering Committee. The program consists of 1) education designed to improve participants' understanding of the biopsychosocial nature of chronic pain by presenting information on the nature of pain biology, address erroneous beliefs about pain (e.g. that chronic pain is always associated with pathology) and outline links between chronic pain and health behaviour risks (inactivity, weight, smoking, and so on); 2) behavioural activation through goal setting and development of a physical activity action and coping plan; 3) managing overdoing-underdoing cycle of activity levels, tackling fear avoidance; 4) developing self-monitoring and regulation practices; 5) occurrence of setbacks, signs of setbacks and creating setback plans. Materials will be presented in a didactic (i.e., text-based and audio with visual images and animation videos) and case-enhanced learning

Brief Pain Inventory Short Form: assesses pain severity and functional interference using 0-10 numeric rating scales. It calculates two main indices: Pain Severity (average of 4 items) and Pain Interference (average of 7 items), with higher scores (0-10) indicating greater intensity or impairment