CompletedNot Applicable

Improving Veteran Access to Integrated Management of Back Pain

United States1,817 participantsStarted 2021-03-08

Plain-language summary

The purpose and objective of this pragmatic trial is to examine the effectiveness of two different quality improvement care pathways for low back pain (LBP); a sequenced, integrated care pathway (ICP) and 2) a coordinated, care management pathway (CCP). We will test the central hypothesis that the ICP will reduce pain interference with normal activities and improve physical function, as measured by Patient Reported Outcomes Measurement Information System (PROMIS) Short Form scores when compared to the CCP.

Who can participate

Age range18 Years

SexALL

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Inclusion criteria

✓. Age \>= 18
✓. Seeking care for LBP with or without radiating symptoms from a participating VA primary care clinic
✓. Provider determines LBP is appropriate for conservative management
✓. Referred to integrated ICP pathway or CCP pathway by participating clinic provider

Exclusion criteria

✕. Receiving or referred for hospice/ palliative care (defined by encounter codes and CPRS consults)
✕. No documented phone number in the electronic health record.

What they're measuring

Change in Pain Interference Measure

Timeframe: Baseline, three months post baseline

Change in Physical Function Measure

Timeframe: Baseline, three months post baseline

Trial details

NCT IDNCT04411420

SponsorDuke University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-05-13

Results submitted2025-04-23

View on ClinicalTrials.gov More Low Back Pain trials