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MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression

NCT05220202

CompletedNA

Sponsor: VA Office of Research and Development

Conditions: Chronic Back Pain, Depression, Aging, Musculoskeletal Pain

Interventions: Behavioral Intervention Group (MOTIVATE)

Countries: United States

The proposed study seeks to evaluate effectiveness, implementation processes, and cost of MOTIVATE among older Veterans with chronic musculoskeletal (MSK) pain and comorbid depressive symptoms.

Eligibility overview

Sex: ALL

Age: 60 Years to 99 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* English- speaking
* Self-reported musculoskeletal (MSK) pain (include Chronic low back pain (cLBP) +/- radiating symptoms, osteoarthritis (OA), fibromyalgia) on most days for the past 3 months that interferes with daily activities
* Pain intensity that is 4+/10 on the numerical pain rating scale
* Pain interference threshold 5+ on 3-item Pain, Enjoyment of Life, and General Activity scale (PEG-3)
* Depressive symptoms, 10+ on the Patient Health Questionnaire-9 (PHQ-9)
* Capable of participating in home-based activity
* Interested in participating in a non-pharmacologic program

Exclusion Criteria:

* No telephone
* Not English speaking
* Unwilling to be randomized to either study arm
* Not interested in participating in a non-pharmacologic program
* Self-reported uncorrected hearing and visual impairments precluding ability to participate in telephone sessions or read pedometer screen
* Significant (moderate or severe) cognitive impairment (3+ errors) on six-item screening exam
* Self-reported dependence on wheelchair, bed-bound, or severe balance impairment or severe osteoarthritis (OA)\* (resulting in inability to participate in physical activity intervention)
* Illness requiring hospitalization within the last 3 months that interferes with a home-based physical activity intervention (e.g., fall, gout attack, stroke, heart attack, heart failure, surgery for blocked arteries)
* Suicidal intent (see suicide screening protocol), uncontrolled psychotic disorder or psychiatric hospitalization within 1 year, or enrolled in active substance use program (confirmed with scripted protocol over telephone)

Locations (2)

Dallas, Texas, United States
Houston, Texas, United States