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Evaluation of Stepped Care for Chronic Pain in Iraqi/Afghanistan Veterans (ESCAPE)
The purpose of this study is to determine if a stepped-care intervention makes pain symptoms better and reduces activity limitations because of pain. Our two primary hypotheses are that in OIF/OEF veterans with chronic pain: 1. Stepped care is more effective than usual care in reducing pain-related disability 2. Stepped care is more effective than usual care in reducing psychological distress
Details
| Lead sponsor | VA Office of Research and Development |
|---|---|
| Phase | NA |
| Status | COMPLETED |
| Enrolment | 242 |
| Start date | 2007-12 |
| Completion | 2012-09 |
Conditions
- Low Back Pain
- Pain
- Pain, Intractable
Interventions
- Cognitive behavioral therapy
- Pain self-management program
- Co-Analgesic Therapy
- Opioid Analgesics
Primary outcomes
- Roland-Morris Disability Questionnaire — at baseline and 9 months
This is a 24-item pain specific disability questionnaire consisting of 24 questions which are related specifically to physical functions that are likely to be affected by back pain. The questionnaire is scored by adding up the number of items checked by the subject (0-24 range). Greater levels of disability are reflected by higher numbers. - Brief Pain Inventory (Interference) — Baseline and 9 months
This is an 7-item measure that provides scores for pain-related functional impairment. The seven (7) pain interference items are rated on a simple numeric rating scale from 0-10. On the scale 0 represents "no interference" and 10 is "completely interferes". The pain interference score is achieved by taking the total of all seven (7) scores and dividing it by the number of items (7).
Countries
United States