RecruitingNot ApplicableNCT05220202

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

Sponsor

VA Office of Research and Development

Enrollment

264 participants

Start Date

Sep 20, 2023

Study Type

INTERVENTIONAL

Conditions

Depression Musculoskeletal Pain Aging Chronic Back Pain

Summary

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

Min Age: 60 YearsMax Age: 99 Years

Inclusion Criteria8

Aged 60 and older
English- speaking
Self-reported MSK pain (include cLBP +/- radiating symptoms, 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 PEG-3
Depressive symptoms, 10+ on PHQ-9
Capable of participating in home-based activity
Interested in participating in a non-pharmacologic program

Exclusion Criteria10

Aged 59 or less
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 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)

Interventions

BEHAVIORALBehavioral Intervention Group (MOTIVATE)

Behavioral: Behavioral Intervention Group (MOTIVATE) The behavioral intervention is designed for older Veterans with musculoskeletal pain and depression and will include 8 individual telephone sessions delivered by health coaches (for up to 5 months total), accounting for additional time between sessions (if needed).