Pain training may improve respite workers’ (RW) knowledge and self-reported confidence and skill; however, little is known about pain training impact on skill application in respite contexts. Objectives: Within a parallel group RCT comparing pain and control training, this paper reports: (1) pain training impact on RW pain assessment and management approaches, and (2) training evaluations. Methods: RW (n = 158) from fourteen organizations received pain or control training following randomization with sequentially numbered, opaque, sealed envelopes. Researchers were blind until randomization; allocations were not shared explicitly with organizations and participants. Immediately before either training, participants completed a strategy use questionnaire. Evaluations were provided immediately after training. Four-to-six weeks after either training, participants again completed the strategy use questionnaire and semi-structured focus groups. Results: No differences in participant’s pain approaches were noted in strategy use questionnaires. Common and unique approaches between groups emerged from qualitative focus group analyses. Both groups had similar approaches for developing a ‘knowing’ about pain and applied similar approaches in practice. Participants receiving the pain training also identified the importance of ‘growing and strengthening’ their pain knowledge. Training endorsements were favorable. Discussion: Findings demonstrate the value of pain training for RW and potential impact on practice.