Pain SMART: Shared Medical Appointments to Refocus Treatment
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Chronic Pain, Chronic Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/18/2018 |
| Start Date: | August 31, 2018 |
| End Date: | March 2020 |
The proposed study will test whether a shared medical appointment for Veterans with chronic
pain is feasible and acceptable to veteran patients and their providers. The shared medical
appointment, called Pain SMART (Shared Medical Appointments to Refocus Treatment), is a
brief, one-visit shared medical appointment where providers in primary care and a behavioral
health specialist (e.g., a psychologist) meet with a group of patients with chronic pain. The
overall goal of Pain SMART is to improve pain care for Veterans. Veterans will be randomized
in equal numbers to either attend a Pain SMART visit or to receive educational information in
the mail. The primary outcome of this pilot study is whether or not the shared medical
appointment is feasible and acceptable to patients and providers.
pain is feasible and acceptable to veteran patients and their providers. The shared medical
appointment, called Pain SMART (Shared Medical Appointments to Refocus Treatment), is a
brief, one-visit shared medical appointment where providers in primary care and a behavioral
health specialist (e.g., a psychologist) meet with a group of patients with chronic pain. The
overall goal of Pain SMART is to improve pain care for Veterans. Veterans will be randomized
in equal numbers to either attend a Pain SMART visit or to receive educational information in
the mail. The primary outcome of this pilot study is whether or not the shared medical
appointment is feasible and acceptable to patients and providers.
Objectives: The primary purpose of this study is to understand the feasibility and
acceptability of a shared medical appointment for patients with chronic pain called Pain
SMART (Shared Medical Appointments to Refocus Treatment).
Intervention: The overall goal of Pain SMART is to increase the use of evidenced-based pain
management strategies including pain self-management and other non-pharmacological pain
management approaches. Pain SMART is a brief one-visit shared medical appointment delivered
by primary care team members (e.g., primary care providers) and a behavioral health
specialist (e.g., a clinical health psychologist). Pain SMART uses motivational interviewing
to enhance effective and mutually rewarding communication among providers and Veterans to
increase pain self-management, including uptake of non-pharmacological approaches to pain
management, to ultimately enhance quality of care and Veteran functioning.
Study Participants: Primary care providers/staff will be recruited to participate in Pain
SMART visits as shared medical appointment facilitators. Additionally, up to 80 veterans with
chronic pain will be recruited.
Research Design: This study is a randomized pilot study in which Veteran participants are
randomized to attend Pain SMART or to a minimally enhanced usual care condition (i.e.,
receive an educational brochure via mail). Veteran participants will be randomized in equal
numbers to both conditions. Data collected from Veteran participants at baseline and three
months following baseline; data will also be collected from primary care participants
regarding their experience with Pain SMART. Data collection will include quantitative
measures (e.g., information regarding pain and pain management approaches used) and
qualitative measures (e.g., interviews about participants' experiences with Pain SMART).
acceptability of a shared medical appointment for patients with chronic pain called Pain
SMART (Shared Medical Appointments to Refocus Treatment).
Intervention: The overall goal of Pain SMART is to increase the use of evidenced-based pain
management strategies including pain self-management and other non-pharmacological pain
management approaches. Pain SMART is a brief one-visit shared medical appointment delivered
by primary care team members (e.g., primary care providers) and a behavioral health
specialist (e.g., a clinical health psychologist). Pain SMART uses motivational interviewing
to enhance effective and mutually rewarding communication among providers and Veterans to
increase pain self-management, including uptake of non-pharmacological approaches to pain
management, to ultimately enhance quality of care and Veteran functioning.
Study Participants: Primary care providers/staff will be recruited to participate in Pain
SMART visits as shared medical appointment facilitators. Additionally, up to 80 veterans with
chronic pain will be recruited.
Research Design: This study is a randomized pilot study in which Veteran participants are
randomized to attend Pain SMART or to a minimally enhanced usual care condition (i.e.,
receive an educational brochure via mail). Veteran participants will be randomized in equal
numbers to both conditions. Data collected from Veteran participants at baseline and three
months following baseline; data will also be collected from primary care participants
regarding their experience with Pain SMART. Data collection will include quantitative
measures (e.g., information regarding pain and pain management approaches used) and
qualitative measures (e.g., interviews about participants' experiences with Pain SMART).
Veteran Inclusion Criteria:
- Receives primary care from provider at VA Connecticut who is participating in the
study
- Prescribed an opioid for chronic pain
Veteran Exclusion Criteria:
- Active suicidal ideation
- Psychotic disorder
- Active consult to opioid reassessment clinic at VA Connecticut
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VA Connecticut Healthcare System VA Connecticut encompasses an inpatient facility and Ambulatory Care Center in...
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