MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression
VA Office of Research and Development
Summary
The proposed study seeks to evaluate effectiveness, implementation processes, and cost of MOTIVATE among older Veterans with chronic musculoskeletal (MSK) pain and comorbid depressive symptoms.
Description
Investigators will conduct a randomized controlled trial (RCT) at two large VA facilities, to establish the effectiveness and scalability of MOTIVATE, a remotely delivered behavioral intervention for older Veterans with comorbid musculoskeletal (MSK) pain and depressive symptoms. The central hypothesis is that MOTIVATE will improve important patient-centered outcomes among older Veterans with co-occurring MSK pain and depressive symptoms.
Eligibility
- Age range
- 60–99 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Aged 60 and older * English- speaking * Self-reported MSK pain (include cLBP +/- radiating symptoms, OA, fibromyalgia) on most days for the past 3 months that interferes with daily activities * Pain intensity that is 4+/10 on the numerical pain rating scale * Pain interference threshold 5+ on PEG-3 * Depressive symptoms, 10+ on PHQ-9 * Capable of participating in home-based activity * Interested in participating in a non-pharmacologic program Exclusion Criteria: * Aged 59 or less * No telephone * Not English speaking * Unwilling to be randomized to either study arm * N…
Interventions
- BehavioralBehavioral Intervention Group (MOTIVATE)
Behavioral: Behavioral Intervention Group (MOTIVATE) The behavioral intervention is designed for older Veterans with musculoskeletal pain and depression and will include 8 individual telephone sessions delivered by health coaches (for up to 5 months total), accounting for additional time between sessions (if needed).
Locations (2)
- VA North Texas Health Care System Dallas VA Medical Center, Dallas, TXDallas, Texas
- Michael E. DeBakey VA Medical Center, Houston, TXHouston, Texas