Improving Veteran Access to Integrated Management of Back Pain

  • End date
    Jan 19, 2024
  • participants needed
  • sponsor
    Duke University
Updated on 19 March 2021


The purpose and objective of this pragmatic trial is to examine the effectiveness of two different quality improvement care pathways for low back pain (LBP); a sequenced, integrated care pathway (ICP) and 2) a coordinated, care management pathway (CCP). We will test the central hypothesis that the ICP will reduce pain interference with normal activities and improve physical function, as measured by Patient Reported Outcomes Measurement Information System (PROMIS) Short Form scores when compared to the CCP.

Condition Low Back Pain, Lower Back Pain, Back Pain, Chronic Back Pain, Chronic Back Pain, Lower Back Pain, lumbago, Veterans Family
Treatment Pain modulation with physical pain treatment, Telephone delivered self-management counseling for increasing physical activity, Telephone delivered behavioral treatment for participants with high risk for continued disability, Patient preference treatment protocol, Nonpharmacological guideline adherent treatment protocol, Facilitated referrals to existing VA or non-VA pain management resources
Clinical Study IdentifierNCT04411420
SponsorDuke University
Last Modified on19 March 2021


Yes No Not Sure

Inclusion Criteria

Age >= 18
Seeking care for LBP with or without radiating symptoms from a participating VA primary care clinic
Provider determines LBP is appropriate for conservative management
Referred to integrated ICP pathway or CCP pathway by participating clinic provider

Exclusion Criteria

Receiving or referred for hospice/ palliative care (defined by encounter codes and CPRS consults)
No documented phone number in the electronic health record
Clear my responses

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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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