MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression
- Conditions
- Chronic Back PainDepressionAgingMusculoskeletal Pain
- Registration Number
- NCT05220202
- Lead Sponsor
- VA Office of Research and Development
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 264
Inclusion Criteria:<br><br> - Aged 60 and older<br><br> - English- speaking<br><br> - Self-reported MSK pain (include cLBP +/- radiating symptoms, OA, fibromyalgia) on<br> most days for the past 3 months that interferes with daily activities<br><br> - Pain intensity that is 4+/10 on the numerical pain rating scale<br><br> - Pain interference threshold 5+ on PEG-3<br><br> - Depressive symptoms, 10+ on PHQ-9<br><br> - Capable of participating in home-based activity<br><br> - Interested in participating in a non-pharmacologic program<br><br>Exclusion Criteria:<br><br> - Aged 59 or less<br><br> - No telephone<br><br> - Not English speaking<br><br> - Unwilling to be randomized to either study arm<br><br> - Not interested in participating in a non-pharmacologic program<br><br> - Self-reported uncorrected hearing and visual impairments precluding ability to<br> participate in telephone sessions or read pedometer screen<br><br> - Significant (moderate or severe) cognitive impairment (3+ errors) on six-item<br> screening exam<br><br> - Self-reported dependence on wheelchair, bed-bound, or severe balance impairment or<br> severe OA* (resulting in inability to participate in physical activity intervention)<br><br> - Illness requiring hospitalization within the last 3 months that interferes with a<br> home-based physical activity intervention (e.g., fall, gout attack, stroke, heart<br> attack, heart failure, surgery for blocked arteries)<br><br> - Suicidal intent (see suicide screening protocol), uncontrolled psychotic disorder or<br> psychiatric hospitalization within 1 year, or enrolled in active substance use<br> program (confirmed with scripted protocol over telephone)
Not provided
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary Outcome: Pain interference
- Secondary Outcome Measures
Name Time Method Depressive symptoms, PHQ-9;Arthritis self-efficacy;Pain Catastrophizing;Psychological resilience;Pain Behavior;Quality of Life using PROMIS Global Health Scale;Social Functioning;Sleep Disturbance;Insomnia Severity Index;Patient Global Impression of change scale;FRAIL scale;Anxiety;Therapeutic Alliance