TY - JOUR
KW - Chronic Pain
KW - integrated primary care
KW - Pragmatic trial
KW - primary care behavioral health
AU - J. L. Goodie
AU - K. E. Kanzler
AU - C. A. McGeary
AU - A. E. Blankenship
AU - S. Young-McCaughan
AU - A. L. Peterson
AU - B. A. Cobos
AU - A. C. Dobmeyer
AU - C. L. Hunter
AU - Blue Star
AU - A. Bhagwat
AU - D. D. McGeary
A1 - 
AB - 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.
AD - Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; South Texas Veterans Health Care System, San Antonio, Texas.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; South Texas Veterans Health Care System, San Antonio, Texas.; Department of Psychology, University of Texas at San Antonio, San Antonio, Texas.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; Psychological Health Center of Excellence, Defense Health Agency, Falls Church, Virginia.; Patient Centered Medical Home Branch, Defense Health Agency, Falls Church, Virginia.; Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas.; Patient Centered Medical Home Branch, Defense Health Agency, Falls Church, Virginia.; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.; South Texas Veterans Health Care System, San Antonio, Texas.; Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San A(TRUNCATED)
BT - Pain medicine (Malden, Mass.)
C5 - Healthcare Disparities; HIT & Telehealth
CP - Suppl 2
CY - England
DO - 10.1093/pm/pnaa346
IS - Suppl 2
JF - Pain medicine (Malden, Mass.)
LA - eng
M1 - Journal Article
N2 - 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.
PP - England
PY - 2020
SN - 1526-4637; 1526-2375
SP - S83
EP - S90
EP - 
T1 - Targeting Chronic Pain in Primary Care Settings by Using Behavioral Health Consultants: Methods of a Randomized Pragmatic Trial
T2 - Pain medicine (Malden, Mass.)
TI - Targeting Chronic Pain in Primary Care Settings by Using Behavioral Health Consultants: Methods of a Randomized Pragmatic Trial
U1 - Healthcare Disparities; HIT & Telehealth
U2 - 33313725
U3 - 10.1093/pm/pnaa346
VL - 21
VO - 1526-4637; 1526-2375
Y1 - 2020
Y2 - Dec 12
ER -