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

Principal Investigator:

Alicia Heapy, PhD

Institution: VA Health Care System, Yale School of Medicine

Institute Providing Oversight: National Center for Complementary and Integrative Health (NCCIH)

Program Officer: David Clark (NCCIH)

Project Scientist: Qi-Ying Liu; (National Institute of Alcohol Abuse and Alcoholism (NIAAA)) Identifier: NCT03469505

Trial Status: Currently in planning.

Project Summary:

Little is known about the relative effectiveness of available psychological treatments for chronic pain, which patients are most likely to benefit from specific treatments, and what patient-, provider-, and system-level factors represent barriers to patient engagement, participation and sustained benefit in real-world care settings.

Cognitive behavioral therapy for chronic pain (CBT-CP) is an evidence-based psychological intervention that is effective for reducing pain and improving function for patients with chronic pain. Numerous barriers exist to face-to-face delivery of this treatment, including patient travel limitations, the need for frequent in-person sessions, and the scarcity of trained therapists. Leveraging technology-based interventions, like interactive voice response (IVR), which allow patients to engage in treatment from their home, may improve access to CBT-CP. The overall goal of this project is to conduct a pragmatic trial to examine the real world effectiveness of an IVR-based form of CBT-CP called Co-Ooperative Pain Education and Self-management (COPES) versus in-person CBT-CP provided by clinicians previously trained through VHA’s evidence based psychotherapy program.

As such, this project stands to improve the care of Veterans, and by extension, others with chronic musculoskeletal pain, by demonstrating the feasibility of a low burden, cost-effective intervention that overcomes many known organizational, provider and patient-level barriers to accessing effective pain self-management interventions.