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| Name | Class |
|---|---|
| Durham VA Health Care System | FED |
| VISN 6 MIRECC | UNKNOWN |
| Bedford VA Health Care System | UNKNOWN |
| Stanford University |
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The goal of this clinical trial is to [primary purpose learn if a team that involves five types of pain specialists (interventional pain, psychology, pharmacy, nutrition, physical therapy) can treat chronic pain in Veterans. The main questions it aims to answer are:
Participants will
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interdisciplinary Team | Experimental | Participants complete surveys, meet with five pain specialists to develop individualized treatment plans based on whole health, receive monthly coaching calls for five months, then meet with the pain specialists once more for a 6-month follow-up appointment and complete surveys. |
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| Waitlist Control | No Intervention | Participants complete surveys but do not engage with the pain specialists for 6 months. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PREVAIL Interdisciplinary Team | Behavioral | Patient meets simultaneously with an interdisciplinary team (IDT) five pain specialists and develops an individualized treatment plan based on Whole Health. Participants receive five months of coaching calls then return six months later for a follow-up visit with the IDT. |
| Measure | Description | Time Frame |
|---|---|---|
| Brief Pain Inventory (BPI) | A 9-item scale used to quantify an individual's pain experience (0-10) with higher scores suggesting worse pain severity and pain interference. | Baseline, 6-months |
| Measure | Description | Time Frame |
|---|---|---|
| Short Form-36 Item (SF-36) | A 36-item scale to assess quality of life, including any impact of health problems on completing activities, as well as energy and emotions, with lower scores indicating a higher impact of health problems. | Baseline, 6-months |
| Insomnia Severity Index |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rena E Courtney, PhD | Contact | 540-982-2463 | 4478 | rena.courtney2@va.gov |
| Kris Ann Oursler, MD | Contact | 540-982-2463 | krisann.oursler@va.gov |
| Name | Affiliation | Role |
|---|---|---|
| Rena E Courtney, PhD | Salem VA Health Care System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Salem VA Health Care System | Recruiting | Salem | Virginia | 24153 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37245954 | Background | Courtney RE, Schadegg MJ. Chronic, Noncancer Pain Care in the Veterans Administration: Current Trends and Future Directions. Anesthesiol Clin. 2023 Jun;41(2):519-529. doi: 10.1016/j.anclin.2023.02.004. Epub 2023 Mar 15. | |
| 37547824 | Background | Darnall BD, Edwards KA, Courtney RE, Ziadni MS, Simons LE, Harrison LE. Innovative treatment formats, technologies, and clinician trainings that improve access to behavioral pain treatment for youth and adults. Front Pain Res (Lausanne). 2023 Jul 20;4:1223172. doi: 10.3389/fpain.2023.1223172. eCollection 2023. |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| OTHER |
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A 7-item scale that assesses sleep disturbances, with higher scores reflecting more sleep difficulty. |
| Baseline, 6-months |
| Pain Self-Efficacy Questionnaire | A 10-item scale used to determine how confident an individual is in accomplishing tasks despite the pain (0=not at all confident and 6= completely confident) with higher scores denoting higher levels of pain self-efficacy. | Baseline, 6-months |
| University of Washington- Concerns about Pain Scale 24-item | A 24-item scale used to assess one's perception of their pain experience (1= never, 5= always), with higher scores indicating higher levels of pain catastrophizing. | Baseline, 6-months |
| 37839983 | Background | Courtney RE, Schadegg MJ, Bolton R, Smith S, Harden SM. Using a Whole Health Approach to Build Biopsychosocial-Spiritual Personal Health Plans for Veterans with Chronic Pain. Pain Manag Nurs. 2024 Feb;25(1):69-74. doi: 10.1016/j.pmn.2023.09.010. Epub 2023 Oct 13. |