Table 1.
PMC PCTs and Their Stakeholders.
| PI (Funder) | Study Title | Pain Type | Study Description/ Intervention | Stakeholders |
|---|---|---|---|---|
|
S. Hastings, S. George (NIH) |
Improving Veteran Access to Integrated Management of Chronic Back Pain |
LBP |
Multimodal integrated care pathway (pain modulatory treatment, tailored behavioral treatment, and home-based activity) vs. coordinated-care pathway (coordinated use of existing VA and non-VA pain management resources with guidance of a pain navigator) |
Patients: veterans research engagement group (veterans, caregivers, civilian care partners) Providers/staff: Physicians, nurses, PTs, social workers, psychologists |
|
K. Seal, W. Becker (NIH) |
Education to Promote Non-Pharmacological Strategies to Improve Pain, Functioning and Quality of Life in Veterans |
Moderate to severe chronic pain |
Two care delivery approaches: Intensive Whole Health team vs. less intensive primary care group education (i.e., modified form of CBT for chronic pain vs usual care) |
Stakeholders vary across sites but include VA leadership, veteran participants, primary care providers, CIH providers (e.g., physical therapists, yoga instructors, psychologists, chiropractors) |
|
C. Goertz, C. Long (NIH) |
Chiropractic Care for Veterans: A Pragmatic Randomized Trial Addressing Dose Effects for cLBP |
Chronic LBP |
Phase 1: Low (1–5) vs High (8–12) visit-dose chiropractic care Phase 2: Chiropractic care pain management vs. usual care |
Patients: VA patients Providers/staff: Chiropractors, VA CMs, PCPs |
|
J. Fritz, D. Rhon (NIH) |
SMART Stepped Care Management for Low Back Pain in Military Health Systems |
Chronic LBP |
Phase 1: PT vs. Move to Health Phase 2: Mindfulness vs. combined PT and Move to Health |
TRICARE beneficiaries (service members, dependents, veterans), PCPs, PT, behavioral health providers, clinic and department chiefs, and policy makers |
|
A. Heapy (NIH) |
COoperative Pain Education and Self-management: Expanding Treatment for Real-world Access |
Chronic MSD pain |
Asynchronous IVR-based CBT for chronic pain (COPES) vs. synchronous CBT for chronic pain (in-person, VVC, telephone) |
Veterans research engagement group, PCPs and behavioral health providers, CBT for chronic pain therapists (psychologists, social workers), VA Women’s Health Practice-based research network site leads |
|
M. Rosen, S. Martino (NIH) |
Engaging Veterans Seeking Service-Connection Payments in Pain Treatment |
Chronic MSD pain |
Test effectiveness and cost-effectiveness of Screening, Brief Intervention and Referral to Treatment for Pain Management (engaging veterans in nonpharmacological pain treatments) vs. usual care |
Veterans research engagement group, WH-PBRN, PCPs, behavioral health providers, VISN1 Mental Health Clinical Trials Network, VISN1 Pain Council |
|
S. Taylor, S. Zeliadt (VA) |
Assessing Pain, Patient Reported Outcomes and Complementary and Integrative Health |
Chronic MSD pain |
Test the effectiveness of self-care CIH (yoga, tai-chi, meditation/mindfulness), practitioner-delivered CIH (acupuncture, massage therapy, chiropractic care) vs. dual care (self-care + practitioner-delivered CIH), and examining CIH “nudges” | Veterans using CIH, VA CIH providers, nationally recognized CIH clinical and research experts, and the operational partner (OPCC&CT) |
|
D. McGeary, J. Goodie (DOD) |
Targeting Chronic Pain in Primary Care Settings Using Behavioral Health Consultants |
Chronic MSD pain and non-chronic MSD pain |
Behavioral health consultant delivered care for chronic pain in primary care setting | Active duty military, veterans, beneficiaries, Harker Heights Clinic-Fort Hood Internal Behavioral Health Consultants, Defense Health Agency clinical staff, CMs |
|
D. Burgess (DOD) |
Testing Two Scalable, Veteran-Centric Mindfulness-Based Interventions for Chronic Musculoskeletal Pain: A Pragmatic, Multisite Trial |
moderate to severe chronic pain |
Mobile mindfulness-based intervention + group (pre-recorded modules, viewed in an online group setting and interspersed with discussions led by a facilitator) vs. mobile mindfulness-based intervention (pre-recorded modules, without the group component) vs. usual Care |
Veterans with chronic pain, Veteran advocates for pain, women’s health, and mindfulness; VA CIH providers (Whole Health), VA leaders in CIH (Whole Health), VA leaders in pain management, VA leaders in women’s health, national pain advocates |
|
B. Ilfeld (DOD) |
Ultrasound Guided Percutaneous Peripheral Nerve Stimulation: A Non-Pharmacological Alternative for the Treatment of Postoperative Pain | Surgical patients with acute pain | Percutaneous peripheral nerve stimulation (a novel, non-pharmacologic analgesic technique) vs. sham/placebo | Patients undergoing certain types of ambulatory surgery, anesthesiologists, surgeons, recovery room nurses, hospital administrators, CMs |
|
S. Farrokhi, C. Dearth, E. Russell Esposito (DOD) |
Resolving the Burden of Low Back Pain in Military Service Members and Veterans: A Multi-Site Pragmatic Clinical Trial |
Acute and chronic LBP |
Clinical practice guidelines adherence (education/audit/feedback model - intervention arm) vs. usual care (comparison arm) |
Patients with LBP referred for PT, PTs, Program-specific staff, |
Abbreviations: chronic low back pain, cLBP; clinic manager, CM; CBT, cognitive behavioral therapy; complementary and integrated health, CIH; Department of Defense, DOD; interactive voice response, IVR; low back pain, LBP; musculoskeletal disorder, MSD; primary care provider, PCP; PT, physical therapist; VA, Veterans Affairs; DOD healthcare, TRICARE; VA Office of Patient-Centered Care and Cultural Transformation, OPCC&CT; VA video connect, VVC; VA Women's Health Research Network, WH-PBRN; VA New England Healthcare System, VISN1.