Show simple item record

dc.contributor.authorHeapy, Alicia A.
dc.contributor.authorMattocks, Kristin M.
dc.date2022-08-11T08:08:09.000
dc.date.accessioned2022-08-23T15:44:41Z
dc.date.available2022-08-23T15:44:41Z
dc.date.issued2020-12-12
dc.date.submitted2020-12-18
dc.identifier.citation<p>Heapy AA, Driscoll MA, Buta E, LaChappelle KM, Edmond S, Krein SL, Piette JD, Mattocks K, Murphy JL, DeBar L, MacLean RR, Ankawi B, Kawecki T, Martino S, Wagner T, Higgins DM. Co-Operative Pain Education and Self-management (COPES) Expanding Treatment for Real-World Access (ExTRA): Pragmatic Trial Protocol. Pain Med. 2020 Dec 12;21(12 Suppl 2):S21-S28. doi: 10.1093/pm/pnaa365. PMID: 33313733; PMCID: PMC7734659. <a href="https://doi.org/10.1093/pm/pnaa365">Link to article on publisher's site</a></p>
dc.identifier.issn1526-2375 (Linking)
dc.identifier.doi10.1093/pm/pnaa365
dc.identifier.pmid33313733
dc.identifier.urihttp://hdl.handle.net/20.500.14038/27368
dc.description<p>Full author list omitted for brevity. For the full list of authors, see article.</p>
dc.description.abstractBACKGROUND: Given access barriers to cognitive behavioral therapy for chronic pain (CBT-CP), this pragmatic superiority trial will determine whether a remotely delivered CBT-CP intervention that addresses these barriers outperforms in-person and other synchronous forms of CBT-CP for veterans with musculoskeletal pain. DESIGN: This pragmatic trial compares an asynchronous form of CBT-CP that uses interactive voice response (IVR) to allow patients to participate from their home (IVR CBT-CP) with synchronous CBT-CP delivered by a Department of Veterans Affairs (VA) clinician. Veterans (n=764; 50% male) with chronic musculoskeletal pain throughout nine VA medical centers will participate. The primary outcome is pain interference after treatment (4 months). Secondary outcomes, including pain intensity, depression symptom severity, sleep, self-efficacy, and global impression of change, are also measured after treatment. Where possible, outcomes are collected via electronic health record extraction, with remaining measures collected via IVR calls to maintain blinding. Quantitative and qualitative process evaluation metrics will be collected to evaluate factors related to implementation. A budget impact analysis will be performed. SUMMARY: This pragmatic trial compares the outcomes, cost, and implementation of two forms of CBT-CP as delivered in the real-world setting. Findings from the trial can be used to guide future policy and implementation efforts related to these interventions and their use in the health system. If one of the interventions emerges as superior, resources can be directed to this modality. If both treatments are effective, patient preferences and health care system factors will take precedence when making referrals. Implications of COVID-19 on treatment provision and trial outcomes are discussed.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=33313733&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1093/pm/pnaa365
dc.subjectCognitive Behavioral Therapy
dc.subjectInteractive Voice Response
dc.subjectNonpharmacologic Treatment
dc.subjectPragmatic Trial
dc.subjectTechnology
dc.subjectChronic Pain
dc.subjectCOVID-19
dc.subjectCognitive Behavioral Therapy
dc.subjectHealth Services Administration
dc.subjectInfectious Disease
dc.subjectPain Management
dc.subjectPathological Conditions, Signs and Symptoms
dc.subjectPsychiatry and Psychology
dc.subjectTelemedicine
dc.subjectVirus Diseases
dc.titleCo-Operative Pain Education and Self-management (COPES) Expanding Treatment for Real-World Access (ExTRA): Pragmatic Trial Protocol
dc.typeJournal Article
dc.source.journaltitlePain medicine (Malden, Mass.)
dc.source.volume21
dc.source.issue12 Suppl 2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/covid19/163
dc.identifier.contextkey20689326
html.description.abstract<p>BACKGROUND: Given access barriers to cognitive behavioral therapy for chronic pain (CBT-CP), this pragmatic superiority trial will determine whether a remotely delivered CBT-CP intervention that addresses these barriers outperforms in-person and other synchronous forms of CBT-CP for veterans with musculoskeletal pain.</p> <p>DESIGN: This pragmatic trial compares an asynchronous form of CBT-CP that uses interactive voice response (IVR) to allow patients to participate from their home (IVR CBT-CP) with synchronous CBT-CP delivered by a Department of Veterans Affairs (VA) clinician. Veterans (n=764; 50% male) with chronic musculoskeletal pain throughout nine VA medical centers will participate. The primary outcome is pain interference after treatment (4 months). Secondary outcomes, including pain intensity, depression symptom severity, sleep, self-efficacy, and global impression of change, are also measured after treatment. Where possible, outcomes are collected via electronic health record extraction, with remaining measures collected via IVR calls to maintain blinding. Quantitative and qualitative process evaluation metrics will be collected to evaluate factors related to implementation. A budget impact analysis will be performed.</p> <p>SUMMARY: This pragmatic trial compares the outcomes, cost, and implementation of two forms of CBT-CP as delivered in the real-world setting. Findings from the trial can be used to guide future policy and implementation efforts related to these interventions and their use in the health system. If one of the interventions emerges as superior, resources can be directed to this modality. If both treatments are effective, patient preferences and health care system factors will take precedence when making referrals. Implications of COVID-19 on treatment provision and trial outcomes are discussed.</p>
dc.identifier.submissionpathcovid19/163
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.source.pagesS21-S28


This item appears in the following Collection(s)

Show simple item record