The PROmoting Pain Self-Management (PROs) Trial: Holistic Pain Care in the Military Health System
Brooke Army Medical Center
608 participants
Dec 19, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this study is to improve pain care in the MHS by identifying effective, whole-person, non-pharmacologic interventions for persons with chronic musculoskeletal pain. The investigators will evaluate two promising, evidence-based holistic health interventions and compare them to usual care.
Eligibility
Inclusion Criteria3
- Age 18 or older
- TRICARE Beneficiary
- Meets the case definition of chronic MSK pain requiring 2 or more medical encounters within the past year and at least 90 days apart for the same MSK condition indicated by medical encounter data or MSK pain ICD-10 codes in the electronic medical record
Exclusion Criteria5
- Actively receiving cancer treatment
- Currently known to be pregnant
- Receiving advanced chronic pain management, including multi-disciplinary or behavioral pain management or mental health or substance use programs (beyond the initial step of the VA/DoD stepped care model for pain management)
- Suicidal Ideation determined by a higher than lower risk score on the P4 Screener
- Currently undergoing post-surgical rehabilitation
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Interventions
ER is provided in a single, 2-hour session delivered remotely by trained instructors. ER has two main components: didactics and skills acquisition as outlined below. The ER class is administered virtually. The class includes the didactic and skill acquisition content. At the end of the class participants receive tangible items including the self-crafted, personalized catastrophizing cessation plan, a guided relaxation response audio file, and an electronic copy of the didactic class content.
The M2H intervention is delivered virtually by trained health coaches using a 6-step process. The administration of M2H begins with an initial session with follow-up sessions scheduled every 1-2 weeks for up to 8 weeks or until the participant is ready to transition to self-management.
Patients will receive care as determined by their primary care provider, with no input or control by the research team.
Locations(5)
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NCT06940986