Tele-Collaborative Outreach to Rural Patients With Chronic Pain: The CORPs Trial
Oregon Health and Science University
Summary
This is a randomized controlled trial comparing the effectiveness of a remotely delivered collaborative care intervention for chronic pain versus a minimally enhanced control group. The specific aims of the study are: (1) compare the effectiveness of tele-collaborative pain care vs. minimally enhanced usual care to improve pain interference over 12 months of follow-up, and (2) oversample women and rural veterans of minoritized race/ethnicity to test heterogeneity of treatment effects across birth sex and race/ethnicity.
Description
The CORPs trial is a multisite pragmatic effectiveness trial taking place at four geographically diverse VA sites. The CORPs trial will assess the effectiveness of a nurse-led tele-collaborative pain care intervention (CORPs) compared to a one-time education session with a nurse (minimally enhanced usual care, or MEUC) at improving pain and health outcomes for Veterans living in rural areas. This study focuses on management of pain with non-medication services and therapies. Veterans who enroll will participate for 12-months and will be randomized to one of 2 groups: 1) CORPs (with access to…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * U.S. Veteran * Rural Residence based on Rural Urban Commuting Area codes * High Impact Chronic pain, determined through a phone screening * Access to landline or cell phone * English Speaking Exclusion Criteria: * Cognitive impairment that would impact participation in the study * Plans to move in the next 3 months * Surgery in the past 3 months * In long-term inpatient or hospice care * Terminal illness (defined as life expectancy of less than 12 months) * Active participation in another pain intervention study
Interventions
- BehavioralCORPs Intervention
Participants will be randomly assigned to the intervention or to the comparator arm. The follow-up period is 12 months. The primary outcome is a change in pain interference. After the baseline assessment, participants will complete a masked telephone assessments with research staff at 3-, 6-, 9-, and 12-months. A subset of individuals may be invited to participate in a qualitative interview at 12-month follow-up.
- BehavioralMinimally Enhanced Usual Care (MEUC)
Participants will be randomly assigned to the intervention or to the comparator arm. The follow-up period is 12 months. The primary outcome is a change in pain interference. After the baseline assessment, participants will complete a masked telephone assessments with research staff at 3-, 6-, 9-, and 12-months. A subset of individuals may be invited to participate in a qualitative interview at 12-month follow-up.
Locations (4)
- VA Minneapolis Health Care SystemMinneapolis, Minnesota
- VA Portland Health Care SystemPortland, Oregon
- VA Tennessee Valley Health Care SystemNashville, Tennessee
- VA North Texas Health Care SystemDallas, Texas