@article{1d9f82ea75f246c983e08b4097fe6297,
title = "Targeting chronic pain in primary care settings by using behavioral health consultants: Methods of a randomized pragmatic trial",
abstract = "Background. Manualized cognitive and behavioral therapies are increasingly used in primary care environments to improve nonpharmacological pain management. The Brief Cognitive Behavioral Therapy for Chronic Pain (BCBT-CP) intervention, recently implemented by the Defense Health Agency for use across the military health system, is a modular, primary care–based treatment program delivered by behavioral health consultants integrated into primary care for patients experiencing chronic pain. Although early data suggest that this intervention improves functioning, it is unclear whether the benefits of BCBT-CP are sustained. The purpose of this paper is to describe the methods of a pragmatic clinical trial designed to test the effect of monthly telehealth booster contacts on treatment retention and long-term clinical outcomes for BCBT-CP treatment, as compared with BCBT-CP without a booster, in 716 Defense Health Agency beneficiaries with chronic pain. Design. A randomized pragmatic clinical trial will be used to examine whether telehealth booster contacts improve outcomes associated with BCBT-CP treatments. Monthly booster contacts will reinforce BCBT-CP concepts and the home practice plan. Outcomes will be assessed 3, 6, 12, and 18 months after the first appointment for BCBT-CP. Focus groups will be conducted to assess the usability, perceived effectiveness, and helpfulness of the booster contacts. Summary. Most individuals with chronic pain are managed in primary care, but few are offered biopsychosocial approaches to care. This pragmatic brief trial will test whether a pragmatic enhancement to routine clinical care, monthly booster contacts, results in sustained functional changes among patients with chronic pain receiving BCBT-CP in primary care.",
keywords = "Chronic Pain, Integrated Primary Care, Pragmatic Trial, Primary Care Behavioral Health",
author = "Goodie, {Jeffrey L.} and Kanzler, {Kathryn E.} and McGeary, {Cindy A.} and Blankenship, {Abby E.} and Stacey Young-McCaughan and Peterson, {Alan L.} and Cobos, {Briana A.} and Dobmeyer, {Anne C.} and Hunter, {Christopher L.} and Star, {John Blue} and Aditya Bhagwat and McGeary, {Donald D.}",
note = "Funding Information: Funding sources: Research reported in this publication was supported by the National Center for Complementary and Integrative Health of the National Institutes of Health under Award Number U24AT009769. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: Disclosure: The U.S. Army Medical Research Acquisition Activity, 820 Chandler Street, Fort Detrick MD 21702-5014, is the awarding and administering acquisition office. This work was supported by the Assistant Secretary of Defense for Health Affairs endorsed by the Department of Defense, through the Pain Management Collaboratory–Pragmatic Clinical Trials Demonstration Projects under Award No. W81XWH-18-2-0008. Opinions, interpretations, conclusions, and recommendations are those of the authors and are not necessarily endorsed by the Uniformed Services University, the Department of Defense, the Department of Health and Human Services, the Department of Veterans Affairs. Funding Information: Supplement sponsorship: This article appears as part of the supplement entitled “NIH-DOD-VA Pain Management Collaboratory (PMC)”. This supplement was made possible by Grant Number U24 AT009769 from the National Center for Complementary and Integrative Health (NCCIH), and the Office of Behavioral and Social Sciences Research (OBSSR). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NCCIH, OBSSR, and the National Institutes of Health. Publisher Copyright: {\textcopyright} 2020 Oxford University Press. All rights reserved.",
year = "2020",
doi = "10.1093/PM/PNAA346",
language = "English (US)",
volume = "21",
pages = "S83--S90",
journal = "Pain Medicine",
issn = "1526-2375",
publisher = "Wiley-Blackwell",
}