Cooperative Pain Education and Self-management (COPES)
Chronic Low Back Pain
About this trial
This is an interventional health services research trial for Chronic Low Back Pain focused on measuring low back pain, chronic pain, cognitive behavior therapy
Eligibility Criteria
Inclusion Criteria:
Veterans COPES:
- Back-pain-related International Classification of Diseases (ICD)-9 diagnosis
- Pain intensity rating of ≥4 (indicating moderate pain) on the 0-10 Numerical Rating Scale on at least two separate outpatient encounters at a CBOC in the prior year
- CBOC patient at VA Boston, VA Palo Alto or Roudebush VA
Veterans Interviews:
- Those who are eligible for COPES, but who have not been asked to enroll (pre-implementation period)
- Those who participate in COPES (post-implementation)
- Those who decline enrollment in COPES (post-implementation)
- CBOC patients at VA Boston, VA Palo Alto or Roudebush VA
Admin, Champion, Provider Interviews:
1. Employed at the project implementation sites
Exclusion Criteria:
Veterans (COPES & Interviews):
- Diagnosis of cancer, dementia, schizophrenia, and active alcohol or substance abuse
- Psychiatric hospitalization in the past 30 days
- Patients who are designated as fall risks and/or have active diabetic foot ulcers
Admin, Champion, Provider Interviews:
1. Not employed at the project implementation sites
Sites / Locations
- VA Palo Alto Healthcare System
- Richard L. Roudebush VA Medical Center
- VA Boston Healthcare System
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Standard Implementation
Implementation Facilitation
Standard COPES implementation consists of provider education including brief in-person presentations and written material.
Enhanced facilitation of COPES implementation. All clusters start in the standard implementation group and cross-over from the control group to the intervention group in a randomized stepped-wedge fashion at 7 time points over the course of the 33 week implementation.