Functional and Occupational Rehabilitation of Troops

NCT06898866 | Not Yet Recruiting DMC

• 2 other identifiers: STUDY00001264W81XWH-22-2-0041
• Study Type: observational
• Target: 480
• Locations: 0 countries
• Sites: N/A

Brief Summary

The proposed implementation science project will evaluate the factors that support or hinder the successful implementation of the FORT Functional Restoration Program at six Military Treatment Facilities (MTF) across the Military Health System. It will also evaluate the associated effectiveness outcomes related to chronic musculoskeletal pain management in active-duty military personnel.

Conditions

Chronic Musculoskeletal Pain

Outcome Measures

Primary Outcomes (1)

• Pain Impact Score (PIS)

  The Pain Impact Score (PIS) is based on the Defense and Veterans Pain Rating Scale (DVPRS), which measures 7-day average pain intensity (0-10 scale) and adaptive PROMIS pain interference and physical function using numeric, color, facial, and word descriptors and is validated. PROMIS T-scores are converted to compute the PIS, ranging from 8-50 with a higher score indicating greater pain.

  Baseline to 13 months

Study Arms (3)

Treatment as Usual

At their assigned step, each site will receive 6 months of Treatment as Usual (TAU). This step will include patients seen at each of the six study sites who participate in the current interdisciplinary chronic pain management program that is available at those sites prior to the initiation of the FORT Implementation Facilitation.

Implementation Facilitation + FORT

At their assigned step, each site will receive 6 months of External Facilitation kicked off with an initial site visit. At the site visit, the external facilitators will meet with key stakeholders, clinic providers, and staff. Together, the team will review the FORT Implementation Site-Assessment Survey as a baseline assessment of implementation as well as the FORT Program Implementation Planning Guide. The team will work together to develop a site-specific implementation blueprint called the Site Action Plan.

FORT Functional Restoration

During the subsequent 6 months, the site action plan will be executed, monitored, and refined to meet the implementation goals. As per Implementation Facilitation, the facilitator will apply many different implementation strategies to support the uptake of FORT, tailoring strategies to the needs of the site and the stakeholders engaged in the process. Implementation Facilitation will be conducted virtually through a combination of scheduled video teleconferences or phone calls. Regular implementation team meetings will be scheduled to support the implementation process

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Active duty military personnel diagnosed with chronic musculoskeletal pain.

You may qualify if:

• "patient referred to functional restoration program by provider"

You may not qualify if:

• "patient not referred to functional restoration program by provider"

Sponsors & Collaborators

• United States Department of Defense: collaborator
• University of Washington: collaborator
• The University of Texas Health Science Center at San Antonio: lead

Central Study Contacts

Alan L Peterson, PhD

CONTACT

210.562.6700; Petersona3@uthscsa.edu

Katherine A Comtois, PhD, MPH

CONTACT

206-744-1752; kcomtois@uw.edu

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 18, 2025
• First Posted: March 27, 2025
• Study Start (Estimated): June 1, 2026
• Primary Completion (Estimated): January 1, 2028
• Study Completion (Estimated): January 1, 2028
• Last Updated: January 20, 2026

Record last verified: 2026-01