Stepped Care to Optimize Pain Care Effectiveness

Completed · Phase 3

Conditions studied: Pain

In brief

Pain is the most common physical symptom in primary care, accounting for an enormous burden in terms of patient suffering, quality of life, work and social disability, and health care and societal costs. Pain is particularly prevalent among veterans. Four major barriers to optimal care include underdetection of pain, inadequate initial treatment, failure to monitor adherence and symptom response, and failure to adjust treatment in patients not responding or intolerant of initial therapy. Therefore, we propose to conduct the Stepped Care to Optimize Pain care Effectiveness (SCOPE) study, a randomized clinical effectiveness trial in primary care.

Key facts

Study ID

NCT00926588

Run by

US Department of Veterans Affairs

People needed

250

Starts

2009-10-01

Expected to finish

2015-06-01

Last updated by the study team

2015-08-07

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• SCOPE will enroll 250 primary care veterans with persistent (3 months or longer) musculoskeletal pain of moderate severity and randomize them to either the stepped care intervention or usual care control group.

You may not qualify if…

• Individuals who:
• have filed a pain-related disability claim in the last 6 months;
• do not speak English;
• have moderately severe cognitive impairment;
• have schizophrenia, bipolar disorder, or other psychosis;
• are actively suicidal;
• have current illicit drug use; or
• have an anticipated life expectancy of less than 12 months.

Where it is running

• Richard L. Roudebush VA Medical Center, Indianapolis, IN — Indianapolis, Indiana, United States

Full record on ClinicalTrials.gov

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