Telehealth Outreach for Chronic Back Pain
Completed · Not applicable
Conditions studied: Pain, Back Pain
In brief
Two separate double double blind, randomized, parallel groups, two-arm, 8 week clinical trials with 6-moth follow-up were conducted using identical inclusion/exclusion criteria and assessment batteries. In both studies patients had chronic low back pain of non-neoplastic origin. In both studies patients were randomized to one of two conditions, either a Cognitive Behavioral-based Therapy or a control condition, a supportive (Rogerian) psychotherapy. Both the cognitive-behavioral and supportive psychotherapy conditions consisted of home-based, telephone supported treatment, with 10 hours of contact time delivered over 8 weeks. In the first study (Study 1) the behavioral and Rogerian interventions were delivered by a licensed psychologist. In the second (Study 2) the interventions were delivered by a medical primary care nurse.
Key facts
- Study ID
- NCT00608530
- Run by
- VA Office of Research and Development
- People needed
- 127
- Starts
- 2008-03-01
- Expected to finish
- 2015-12-31
- Last updated by the study team
- 2018-02-19
Who can join
Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Ages 18-75 inclusive;
- chronic musculoskeletal low back pain (pain "on a daily basis" for at least six months) as the primary pain problem;
- not eligible for back surgery;
- presently lives in the San Diego area and will do so six months after baseline examination;
- English-speaking, literate, with stable residence and phone.
You may not qualify if…
- Major medical illness (e.g., insulin-dependent diabetes mellitus with neuropathy or "poor control", heart disease with New York Heart Association Functional Class III or IV, or chronic obstructive pulmonary disease requiring supplemental oxygen which might confound effects of pain on function);
- candidate for spine surgery;
- back pain associated with pregnancy, rheumatoid arthritis, neoplastic disease, osteomyelitis, or neural arch lesions, since their treatment and prognosis differs from the usual back pain population, or spinal stenosis, since increased physical activity would be contraindicated;
- history of Diagnostic and Statistical Manual (DSM)-IV bipolar disorder, dementia, or schizophrenia;
- current active DSM-IV diagnosed alcohol or non-prescribed substance dependence;
- current active DSM-IV major depressive episode or post-traumatic stress disorder since specialty mental health care would be indicated;
- non-opioid and opioid analgesics are permitted, except we will exclude patients on a hospital-initiated opioid treatment "contract," since at this medical center "contracting" identifies patients with history of opioid diversion, multiple VA and non-VA opioid prescribers, and repeated dose escalation in the absence of evidence of disease progression.
Where it is running
- VA San Diego Healthcare System, San Diego — San Diego, California, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.