The PROmoting Pain Self-Management (PROs) Trial: Holistic Pain Care in the Military Health System
Brooke Army Medical Center
Summary
The goal of this study is to improve pain care in the MHS by identifying effective, whole-person, non-pharmacologic interventions for persons with chronic musculoskeletal pain. The investigators will evaluate two promising, evidence-based holistic health interventions and compare them to usual care.
Description
Chronic pain is a ubiquitous problem and growing concern for the Military Health System (MHS). Chronic musculoskeletal (MSK) pain conditions are the most common chronic pain conditions in the MHS. Numerous recommendations have been made to improve care for chronic MSK pain in the MHS. First, the Office of the Army Surgeon General is promoting the transition of the MHS to a holistic health system that seeks to maintain, restore, and improve health through team-based care supporting self-management and recognizing the complex, biopsychosocial nature of chronic pain. Second, a stepped care approa…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Age 18 or older * TRICARE Beneficiary * Meets the case definition of chronic MSK pain requiring 2 or more medical encounters within the past year and at least 90 days apart for the same MSK condition indicated by medical encounter data or MSK pain ICD-10 codes in the electronic medical record Exclusion Criteria: * Actively receiving cancer treatment * Currently known to be pregnant * Receiving advanced chronic pain management, including multi-disciplinary or behavioral pain management or mental health or substance use programs (beyond the initial step of the VA/DoD ste…
Interventions
- BehavioralEmpowered Relief
ER is provided in a single, 2-hour session delivered remotely by trained instructors. ER has two main components: didactics and skills acquisition as outlined below. The ER class is administered virtually. The class includes the didactic and skill acquisition content. At the end of the class participants receive tangible items including the self-crafted, personalized catastrophizing cessation plan, a guided relaxation response audio file, and an electronic copy of the didactic class content.
- BehavioralMove to Health
The M2H intervention is delivered virtually by trained health coaches using a 6-step process. The administration of M2H begins with an initial session with follow-up sessions scheduled every 1-2 weeks for up to 8 weeks or until the participant is ready to transition to self-management.
- OtherUsual Care as determined by primary care provider
Patients will receive care as determined by their primary care provider, with no input or control by the research team.
Locations (5)
- Bassett Army Community HospitalFairbanks, Alaska
- Desmond Doss Health ClinicSchofield Barracks, Hawaii
- Brooke Army Medical CenterSan Antonio, Texas
- Wilford Hall Ambulatory Surgical CenterSan Antonio, Texas
- Madigan Army Medical CenterTacoma, Washington