Cooperative Pain Education and Self-management: Expanding Treatment for Real-world Access (COPES ExTRA)

Inclusion Criteria: * Patients with chronic musculoskeletal pain receiving care in VHA. * A pain-related musculoskeletal diagnosis indicated by an EHR identified ICD-9 or -10 code. * The presence of chronic pain of at least moderate severity with EHR NRS pain scores ≥ 4 in three separate months for a period of 12 months. * Absence of mental illness serious enough to have resulted in an inpatient psychiatric hospitalization in the prior 3 months excluding detoxification of alcohol or drugs. * Absence of malignant cancer diagnosis or receipt of hospice or end-of-life palliative care. * Ability to participate safely in the walking portion of the intervention as evidenced by patient-reported ability to walk at least one block and absence of diabetic foot ulcers at the time of the enrollment. * Absence of significant cognitive impairment as identified by a dementia-related diagnosis. * Availability of a touch-tone land-line or cellular telephone and no vision or hearing deficits that would impair participation verified by patient report at the time of the enrollment call. Exclusion Criteria: * Patients not fitting criteria for inclusion.