PREVAIL Interdisciplinary Track: A Pragmatic Randomized Clinical Trial

Salem Veterans Affairs Medical Center

Status: Not yet enrolling

Conditions: Chronic Pain

Treatments: Behavioral: PREVAIL Interdisciplinary Team

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT06427356

REC 0004

Details and patient eligibility

About

The goal of this clinical trial is to [primary purpose learn if a team that involves five types of pain specialists (interventional pain, psychology, pharmacy, nutrition, physical therapy) can treat chronic pain in Veterans. The main questions it aims to answer are:

• Do patients report less pain after six months in the program?
• Do patients report that pain gets in the way of their life less after six months in the program? The researchers will compare participants who participate in the program to those that wait for six months before participating in the program.

Participants will

• Meet with the team of pain specialists to develop a plan to treat their pain
• Receive calls from a coach once per month
• Return to meet with the team of pain specialists for a six-month follow-up appointment
• Fill out surveys

Enrollment: 150 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Veteran receiving care at the Salem VA Health Care System (Salem VAHCS) per electronic medical record (EMR)
• Patient participating in PREVAIL Interdisciplinary Team Track per EMR
• Chronic Pain Diagnosis: Defined as pain lasting more than three months per EMR

Exclusion criteria

• Diagnosis of Mild Neurocognitive Disorder or Major Neurocognitive Disorder based on Diagnostic Statistical Manual of Mental Disorders, 5th edition, Text Revision (DSM-5-TR) per EMR
• Veteran has a current acute physical injury that would artificially elevate pain scores during study period per EMR
• Veteran intends to have a pain-related surgery during the study period per EMR

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 2 patient groups

Interdisciplinary Team

Experimental group

Description:

Participants complete surveys, meet with five pain specialists to develop individualized treatment plans based on whole health, receive monthly coaching calls for five months, then meet with the pain specialists once more for a 6-month follow-up appointment and complete surveys.

Treatment:

Behavioral: PREVAIL Interdisciplinary Team

Waitlist Control

No Intervention group

Description:

Participants complete surveys but do not engage with the pain specialists for 6 months.