Cooperative Pain Education and Self-management: Expanding Treatment for Real-world Access (COPES ExTRA) (COPES ExTRA)

  • End date
    Sep 1, 2023
  • participants needed
  • sponsor
    Yale University
Updated on 15 June 2022
behavior therapy
cognitive therapy


To conduct a superiority trial of COPES versus standard Veterans Health Administration (VHA) Cognitive Behavioral Therapy Chronic Pain (CBT-CP)


Our prior efficacy trial found that COPES was not inferior to in-person CBT-CP and that participants attended, on average, a little over two more treatment weeks in COPES than in-person treatment, presumably due to the ease of in-home treatment attendance relative to in-person treatment.

Condition Pain, Chronic
Treatment COPES, CBT-CP
Clinical Study IdentifierNCT03469505
SponsorYale University
Last Modified on15 June 2022


Yes No Not Sure

Inclusion Criteria

Patients with chronic musculoskeletal pain receiving care in VHA
A pain-related musculoskeletal diagnosis indicated by an EHR identified ICD-9 or -10 code
The presence of chronic pain of at least moderate severity with EHR NRS pain scores ≥ 4 in three separate months for a period of 12 months
Absence of mental illness serious enough to have resulted in an inpatient psychiatric hospitalization in the prior 3 months excluding detoxification of alcohol or drugs
Absence of malignant cancer diagnosis or receipt of hospice or end-of-life palliative care
Ability to participate safely in the walking portion of the intervention as evidenced by patient-reported ability to walk at least one block and absence of diabetic foot ulcers at the time of the enrollment
Absence of significant cognitive impairment as identified by a dementia-related diagnosis
Availability of a touch-tone land-line or cellular telephone and no vision or hearing deficits that would impair participation verified by patient report at the time of the enrollment call

Exclusion Criteria

Patients not fitting criteria for inclusion
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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