This aim research was to determine the effect of spiritual distraction therapy in reducing chronic joint pain among elderly living in coastal area. This study was quantitative with quasi-experiment and pre-post-test control group design. The number of respondents was 70. Spiritual distraction therapy was given during seven days. The data collection used observation sheet which contain PQRST pain assessment and the VAS pain scale. Statistical test using the Wilcoxon and Mann-Whitney tests. The study results of the Wilcoxon rank test showed that there was a significance difference in pain area (p-value<0.000) and the time of pain (p-value <0.000) in the treatment group. The Mann Whitney test results showed that there was a significance difference between control and treatment group in pain area (p-value=0.038) and the time of pain (p-value=0.45). The spiritual distraction therapy was effective in reducing the pain area and time of pain occurrence of joint pain in the elderly who live in coastal area. Further study needs to explore the effect of spiritual distraction on pain in other population.