Chronic Pain Management In Primary Care Using Behavioral Health Consultants

Running, not enrolling · Not applicable

Conditions studied: Chronic Pain

In brief

The purpose of this randomized pragmatic trial is to assess the effect of monthly booster contacts on long-term Brief Cognitive Behavioral Therapy for Chronic Pain (BCBT-CP) pain outcomes compared to BCBT-CP without a booster in 716 Military Health Systems (MHS) beneficiaries referred to a Behavioral Health Consultant (BHC) for pain management using BCBT-CP. Patients will be randomly assigned to receive either standard BCBT-CP (working with a BHC in the medical home clinic) or standard BCBT-CP with adjunctive monthly booster contacts. Patient participants will be assessed 3-, 6-, 12- and 18-Months following their first appointment for BCBT-CP. Prospective data will be supplemented by a national data pull in collaboration with the Defense Health Agency and the Uniformed Services University Center for Rehabilitation Sciences Research. Pulled data will include a national deidentified dataset of electronic health record data for all individuals treated in the military health system who had access to a Behavioral Health Consultant for the treatment under study in this trial.

Key facts

Study ID

NCT04680000

Run by

The University of Texas Health Science Center at San Antonio

People needed

716

Starts

2021-08-17

Expected to finish

2027-01-01

Last updated by the study team

2026-06-30

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• DoD/MHS beneficiary (including active duty service members, veterans, and family members) age 18 and older.
• Presenting with a chronic pain complaint (pain occurring more days than not over the past three months that is ongoing at the time of baseline evaluation).
• Referred for BCBT-CP with a BHC by a Primary Care provider.
• Speaks and reads/understands English well enough to fully participate in the intervention and to reliably complete assessment measures.

You may not qualify if…

• Scheduled for a planned pain-related surgery or pain intervention within 6 weeks of enrollment (because the intervention may obscure BCBT-CP outcomes).
• Inability or unwillingness of individual to give written informed consent.
• Experiencing another health problem of higher priority for care or that prohibits ability to attend BCBT-CP or research appointments.
• Some research activities (i.e., Focus Groups) will include Clinic Providers and Staff:
• Inclusion Criteria for Clinic Provider/Staff Participants
• BHC trained to deliver care according to the Chronic Pain Clinical Pathway
• Clinic providers/staff caring for patient participants enrolled in this study
• Exclusion Criteria for Clinic Provider/Staff Participants: none

Where it is running

• Uniformed Services University for the Health Sciences — Bethesda, Maryland, United States
• Fort Cavazos — Fort Hood, Texas, United States
• University of Texas Health Science Center San Antonio — San Antonio, Texas, United States
• Wilford Hall Ambulatory Surgical Center — San Antonio, Texas, United States
• Brooke Army Medical Center — San Antonio, Texas, United States

Full record on ClinicalTrials.gov

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