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| ID | Type | Description | Link |
|---|---|---|---|
| 1UG3AT012257-01 | U.S. NIH Grant/Contract | View source | |
| 4UH3AT012257-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Center for Complementary and Integrative Health (NCCIH) | NIH |
| Portland VA Medical Center | FED |
| Minneapolis Veterans Affairs Medical Center | FED |
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This is a randomized controlled trial comparing the effectiveness of a remotely delivered collaborative care intervention for chronic pain versus a minimally enhanced control group. The specific aims of the study are: (1) compare the effectiveness of tele-collaborative pain care vs. minimally enhanced usual care to improve pain interference over 12 months of follow-up, and (2) oversample women and rural veterans of minoritized race/ethnicity to test heterogeneity of treatment effects across birth sex and race/ethnicity.
The CORPs trial is a multisite pragmatic effectiveness trial taking place at four geographically diverse VA sites. The CORPs trial will assess the effectiveness of a nurse-led tele-collaborative pain care intervention (CORPs) compared to a one-time education session with a nurse (minimally enhanced usual care, or MEUC) at improving pain and health outcomes for Veterans living in rural areas. This study focuses on management of pain with non-medication services and therapies.
Veterans who enroll will participate for 12-months and will be randomized to one of 2 groups: 1) CORPs (with access to a nurse by phone/video for the duration of the study), or 2) One-time education session with the nurse by phone/video to review resources for pain. All participants complete research assessments at the start of the study, and at 3-, 6-, 9-, and 12-months by phone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CORPs Intervention | Active Comparator | The CORPs Intervention is a nurse-led intervention. A) An intake assessment with a Nurse Care Manager at the start of the study by phone or video to discuss the patient's pain experience, care options, and goals. Resources are provided and focus on non-medication options at the VA, and as appropriate, in the community. B) 5 Check-in phone/video appointments with a Nurse Care Manager, scheduled to take place near 2-, 4-, 8-, 12-, and 16-weeks. These visits will provide further assistance with goal planning and care coordination for pain management. C) Optional 6-week virtual group education class covering topics like complementary and integrative approaches to pain, sleep and pain, and the neurobiology of pain. D) Patients in this arm can contact their nurse with questions for the full 12 months of participation. |
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| Minimally Enhanced Usual Care (MEUC) | Placebo Comparator | The minimally enhanced usual care arm is a one-time education session. A) One-time education session with a Nurse Care Manager by phone/video to review pain resources. These resources focus on non-medication options at the VA, and as appropriate, in the community. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CORPs Intervention | Behavioral | Participants will be randomly assigned to the intervention or to the comparator arm. The follow-up period is 12 months. The primary outcome is a change in pain interference. After the baseline assessment, participants will complete a masked telephone assessments with research staff at 3-, 6-, 9-, and 12-months. A subset of individuals may be invited to participate in a qualitative interview at 12-month follow-up. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Interference - Brief Pain Inventory (BPI) | Pain Interference subscale from the Brief Pain Inventory. Scores are reported on a range of 0 - 10, with higher scores indicating more impairment due to pain. | Baseline, 3-, 6-, 9-, and 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity - Brief Pain Inventory (BPI) | Scores are on a range of 0 - 10, with higher scores indicating more severe pain. | Baseline, 3-, 6-, 9-, and 12 Months |
| Physical Functioning - PROMIS Physical Functioning Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Travis Lovejoy, PhD, MPH | Oregon Health & Science University, VA Portland Health Care System | Principal Investigator |
| Benjamin Morasco, PhD | Oregon Health & Science University, VA Portland Health Care System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Minneapolis Health Care System | Minneapolis | Minnesota | 55417 | United States | ||
| VA Portland Health Care System |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| North Texas Veterans Healthcare System |
| FED |
| VA Tennessee Valley Health Care System | FED |
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| Minimally Enhanced Usual Care (MEUC) | Behavioral | Participants will be randomly assigned to the intervention or to the comparator arm. The follow-up period is 12 months. The primary outcome is a change in pain interference. After the baseline assessment, participants will complete a masked telephone assessments with research staff at 3-, 6-, 9-, and 12-months. A subset of individuals may be invited to participate in a qualitative interview at 12-month follow-up. |
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Physical Functioning will be assessed with the 4-item PROMIS Physical Functioning scale. The physical function form asks the participant to rate a series of physical function related questions on a scale of 1-5 with one representing a better outcome.
| Baseline, 3-, 6-, 9-, and 12 Months |
| Quality of Life - Veterans RAND-12 (VR-12) | Quality of Life will be assessed with the Veterans RAND 12-item Health Survey (VR-12). VR-12 scores are summarized into two scores, a Physical Health component score and a Mental Health component score. Each component score is on a range of 0 - 100, with higher scores indicating more impairment in physical or mental health, respectively. | Baseline, 3-, 6-, 9-, and 12 Months |
| Depressive Symptoms - Patient Health Questionnaire-9 (PHQ-9) | Depressive symptoms will be assessed with the Patient Health Questionnaire-9 (PHQ-9). Scores on the PHQ-9 range from 0 - 24, with higher scores indicating more severe symptoms of depression. | Baseline, 3-, 6-, 9-, and 12 Months |
| Anxiety Symptoms - Generalized Anxiety Disorder-7 (GAD-7) | Anxiety symptoms will be assessed with the Generalized Anxiety Disorder-7 (GAD-7) questionnaire. Scores on the PHQ-9 range from 0 - 24, with higher scores indicating more severe symptoms of depression. Scores on the GAD-7 range from 0 - 21, with higher scores indicating more severe symptoms of anxiety. | Baseline, 3-, 6-, 9-, and 12 Months |
| Suicidal Behavior - Electronic Health Record (EHR) | Data on suicidal behaviors will be extracted from the electronic health record. | Baseline, 3-, 6-, 9-, and 12 Months |
| Quality of Sleep - PROMIS Sleep Disturbance Scale | Quality of sleep will be assessed with the PROMIS Sleep Disturbance 4-item short-form. The sleep disturbance form asks the participant to rate a series of sleep related questions on a scale of 1-5 with one representing a better outcome. | Baseline, 3-, 6-, 9-, and 12 Months |
| Engagement in Non-Pharmacological Services/Treatments - Nonpharmacological Self-Care Approaches survey (NSCAP) | Engagement in nonpharmacological pain treatment will be assess with the Use of Nonpharmacological Self-Care Approaches survey (NSCAP). This survey assesses the number of times each of 9 treatments were used in the past 3 months. | Baseline, 3-, 6-, 9-, and 12 Months |
| Portland |
| Oregon |
| 97239 |
| United States |
| VA Tennessee Valley Health Care System | Nashville | Tennessee | 37212 | United States |
| VA North Texas Health Care System | Dallas | Texas | 75216 | United States |