Pain Program for Active Coping & Training

NCT01888146 | Completed

• 1 other identifier: 1UH2AT007788-01
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The overall aim of this study is to adopt an integrative rehabilitation approach for helping patients adopt self-management skills for managing chronic pain, limiting use of opioid medications, and identifying exacerbating factors amenable to treatment (e.g., depression, sleep problems) that is feasible and sustainable within the primary care setting.

Conditions

Chronic Non-malignant Pain

Keywords

Pain management; Opioid use; Pragmatic; Collaborative care; Primary care

Outcome Measures

Primary Outcomes (1)

• Brief Pain Inventory

  Reliable and valid tool that measures patients' pain intensity and functional interference.

  Collected every 3 months for 1 year

Secondary Outcomes (1)

• Health care utilization and cost

  Collected every 3 months for 1 year

Other Outcomes (2)

• Morphine equivalents

  Collected every 3 months for 1 year

• Patient satisfaction

  Collected every 3 months for 1 year

Study Arms (2)

Interdisciplinary pain program

EXPERIMENTAL

Interdisciplinary pain program, which includes behavioral health, nurse case management, physical therapy, and pharmacy embedded in primary care.

Behavioral: Interdisciplinary pain program

Treatment as usual

NO INTERVENTION

Patients in this arm will receive care as usual and utilize services as they currently exist in the health plan system.

Interventions

Interdisciplinary pain program BEHAVIORAL

Interdisciplinary pain program, which includes behavioral health, nurse case management, physical therapy, and pharmacy embedded in primary care.

Interdisciplinary pain program

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Paneled to a primary care provider practicing at one of the primary care clinics participating in the study
• Within the last 180 days either:
• day supply of short acting opioid spanning at least 120 days
• or more long acting opioid dispenses
• Pain diagnostic ICD-9 code within the past 180 days
• Diagnostic categories include but are not limited to: Back pain, neck pain, fibromyalgia, arthritis, myofascial pain, neuropathies, migraine, tension headache, temporomandibular joint disorder, carpal tunnel syndrome, nonspecific chronic pain, abdominal pain, pelvic pain

Sponsors & Collaborators

• Kaiser Permanente: lead
• Oregon Health and Science University: collaborator
• Duke University: collaborator

Study Sites (1)

Kaiser Permanente Center for Health Research

Portland, Oregon, 97227, United States

Location

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Lynn DeBar, PhD, MHP

  Kaiser Permanente

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 16, 2013
• First Posted: June 27, 2013
• Study Start: May 1, 2013
• Primary Completion: June 1, 2014
• Study Completion: June 1, 2014
• Last Updated: December 23, 2015

Record last verified: 2015-12

Locations

US (1)