MAGIC Study: More Access to Group Integrative Care

University of North Carolina (UNC)

Status: Invitation-only

Conditions: Chronic Pain

Treatments: Behavioral: Integrative Medicine Group Visit; Other: Implementation Strategies

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06228755

5K01AT011578-02 (U.S. NIH Grant/Contract)

23-2481

Details and patient eligibility

About

Chronic pain impacts about 20% of US Adults. Though non-pharmacologic, integrative pain management therapies are now considered first-line treatment by clinical guidelines, these therapies are still rarely covered by health insurance and therefore inaccessible to lower-income individuals. The Integrative Medical Group Visit (IMGV) program was developed to offer low-income, diverse patients with chronic pain an introduction to integrative pain management approaches, through a model that is covered by health insurance under existing billing codes. An initial pragmatic randomized control trial found that IMGV led to significant improvement in mental health related quality of life and lower use of high-cost care. However, there has been little research investigating the implementation of IMGV, and none in Federally-Qualified Health Centers (FQHCs), where the program was initially designed to be implemented. In this study, the investigators test strategies to implement IMGV in FQHCs, including training and coaching clinic staff, and measure the effectiveness of the IMGV on health outcomes for patients with chronic pain.

Enrollment: 70 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Staff and clinicians at each clinic who are involved in implementation of the IMGV.
• Only patients who have enrolled in the Integrative medical group visit (IMGV) programs for patients with chronic pain at their Federally Qualified Health Center will be eligible for enrollment in the study. Physicians at each clinical site will determine enrollment criteria for their IMGV program specific to their clinical site--patients who are enrolled in the program will then be invited to participate in the research study.

Exclusion criteria

• All staff, clinicians, and patients who are not involved in the IMGV at the specific clinical sites are excluded from participation.

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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70 participants in 1 patient group

Training, Coaching, and Orientation

Experimental group

Description:

Clinic personnel will receive training for delivering integrative medicine group visits (IMGV) and ongoing coaching in delivering IMGV for patients with chronic pain. Clinic patients will participate in orientation and the 9-week IMGV.

Treatment:

Other: Implementation Strategies

Behavioral: Integrative Medicine Group Visit