Treating Pain to Reduce Disability Among Older Home Health Patients



Status:Completed
Conditions:Arthritis
Therapuetic Areas:Rheumatology
Healthy:No
Age Range:55 - Any
Updated:8/19/2018
Start Date:October 2012
End Date:December 2015

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The overall goal of this real-world comparative effectiveness research (CER) study is to
reduce disability among older home health patients by treating their pain more effectively.
To achieve this goal the investigators will conduct a cluster randomized controlled trial of
a physical therapist (PT) delivered intervention provided to VNSNY home health care patients
with activity-limiting pain. The intervention is an evidence-based non-pharmacological
program to reduce pain and pain-related disability that utilizes cognitive-behavioral pain
self-management (CBPSM) techniques.

This project will compare the effectiveness of usual care provided to older home health
patients admitted with activity-limiting pain to usual care plus instruction by PTs in CBPSM
techniques. The project also will examine differences in the effectiveness of the
intervention among different race/ethnicity groups and individuals with different pain types,
as well as the fidelity of intervention-group PTs to the CBPSM program.

The specific aims of this CER study that will include sizeable numbers of Hispanics,
non-Hispanic African Americans and non-Hispanic white patients ages 55 and older are: (1) to
compare the effectiveness of usual care provided to older home health patients admitted with
activity-limiting pain to usual care plus instruction by PTs in CBPSM techniques; and (2) to
examine the heterogeneity of CBPSM treatment effects among patients with different pain
conditions and minority group status.

Inclusion Criteria:

- VNSNY patient in the adult home healthcare program

- Services are being provided in the Bronx, Brooklyn, Manhattan, Queens, Staten Island,
Nassau or Westchester

- VNSNY Plan of Care includes physical therapy

- Age 55 or older

- Speaks English

- Has a telephone

- Activity-limiting pain

Exclusion Criteria:

- Significant cognitive impairment
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New York, New York 10001
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