Pain Management Teams Using Whole Health to Optimize Function and Safety in Veterans: The TEAMWOR… (NCT07149870) | Clinical Trial Compass
RecruitingNot Applicable
Pain Management Teams Using Whole Health to Optimize Function and Safety in Veterans: The TEAMWORK Trial
United States432 participantsStarted 2025-11-20
Plain-language summary
The focus of this study is to determine whether adding Whole Health Coaching (WHC) improves pain care among adults with chronic pain and who are currently working with a pain management team (PMT) at the VA.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. High-impact chronic pain (defined using the Graded Chronic Pain Scale - Revised).
✓AND-
✓. Active prescription for LTOT (\>90 days continuous prescription). -AND-
✓. Exhibit evidence of at least ONE opioid safety concern (\*indicators of opioid safety concerns described below).
✓. comorbid conditions that increase the risk of opioids including chronic pulmonary disease (e.g., emphysema, chronic bronchitis, asthma, or other breathing problems), sleep apnea, chronic kidney disease, chronic hepatitis or cirrhosis
✓. active high-risk co-prescriptions, including benzodiazepine prescription (any dose of long-term treatment), gabapentin prescription (1800mg or higher) or pregabalin prescription (150mg or higher)
✓. risk of substance use and/or potential opioid misuse as evidenced by unexpected urine toxicology findings in past 6-months OR any documented active substance use disorder (other than tobacco or caffeine) as evidenced by at least 2 encounters within the previous 12-months with a substance use disorder diagnosis.
Exclusion criteria
✕. Moderate to severe cognitive impairment as measured by the Blessed Orientation Memory Concentration (BOMC) screening tool.
✕OR-
✕. Current/active prescription for buprenorphine or receipt of buprenorphine in the previous 6-months.