Overview
This is a randomized controlled trial comparing the effectiveness of a remotely delivered collaborative care intervention for chronic pain versus a minimally enhanced control group. The specific aims of the study are: (1) compare the effectiveness of tele-collaborative pain care vs. minimally enhanced usual care to improve pain interference over 12 months of follow-up, and (2) oversample women and rural veterans of minoritized race/ethnicity to test heterogeneity of treatment effects across birth sex and race/ethnicity.
Description
The CORPs trial is a multisite pragmatic effectiveness trial taking place at four geographically diverse VA sites. The CORPs trial will assess the effectiveness of a nurse-led tele-collaborative pain care intervention (CORPs) compared to a one-time education session with a nurse (minimally enhanced usual care, or MEUC) at improving pain and health outcomes for Veterans living in rural areas. This study focuses on management of pain with non-medication services and therapies.
Veterans who enroll will participate for 12-months and will be randomized to one of 2 groups: 1) CORPs (with access to a nurse by phone/video for the duration of the study), or 2) One-time education session with the nurse by phone/video to review resources for pain. All participants complete research assessments at the start of the study, and at 3-, 6-, 9-, and 12-months by phone.
Eligibility
Inclusion Criteria:
- U.S. Veteran
- Rural Residence based on Rural Urban Commuting Area codes
- High Impact Chronic pain, determined through a phone screening
- Access to landline or cell phone
- English Speaking
Exclusion Criteria:
- Cognitive impairment that would impact participation in the study
- Plans to move in the next 3 months
- Surgery in the past 3 months
- In long-term inpatient or hospice care
- Terminal illness (defined as life expectancy of less than 12 months)
- Active participation in another pain intervention study