Stepped-Care Intervention of Music and Imagery to Assess Relief (SCIMITAR) Trial
Henry M. Jackson Foundation for the Advancement of Military Medicine
Summary
Th Stepped-Care Intervention of Music and Imagery to Assess Relief (SCIMITAR) Trial. SCIMITAR builds on our pilot study, the Feasibility and Acceptability of Music Imagery and Listening Interventions for Analgesia (FAMILIA), which demonstrated that telehealth delivery of music listening (ML) and music imagery (MI) interventions is feasible and acceptable to Veterans with chronic musculoskeletal pain. SCIMITAR leverages what we learned from FAMILIA into a fully powered trial, harnessing the benefits of sequential ML and MI into a stepped-care, music therapy intervention via telehealth for Veterans needing relief from pain.
Description
More than 100 million Americans have chronic pain. Chronic pain affects 40%-70% of Veterans and is a leading cause of disability, with a substantial negative impact on millions of veterans' lives. Chronic pain is frequently accompanied by psychological comorbidity that adds to patient suffering and complicates treatment. Veterans with pain and PTSD demonstrate greater pain, depression, and healthcare utilization, and patients with comorbid pain and depression have worse outcomes than patients with pain or depression alone. Musculoskeletal (MSK) pain conditions are widespread, accounting for tw…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * musculoskeletal pain in the low back, cervical spine, or extremities (hips, knees, or shoulders) for ≥ 3 months * at least moderate pain severity, defined as a PEG score ≥ 4 on a 0 (no pain) to 10 (worst pain) * access to computer, tablet, or smartphone * ability to pass a technology assessment Exclusion Criteria: * Past month hospitalization for medical or psychiatric illness * housing insecurity * suicidal ideation with current intent/plan * hearing or cognitive impairment that may interfere with music listening or abstract thinking needed for imagery work * currentl…
Interventions
- BehavioralStepped-care
Music listening in Step 1 and Music and imagery in step 2
Location
- Veterans Health IndianaIndianapolis, Indiana