Treating Pain to Reduce Disability Among Older Home Health Patients
NCT ID: NCT01614340
Last Updated: 2018-08-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
658 participants
INTERVENTIONAL
2012-10-31
2015-12-31
Brief Summary
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Detailed Description
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The specific aims of this CER study that will include sizeable numbers of Hispanics, non-Hispanic African Americans and non-Hispanic white patients ages 55 and older are: (1) to compare the effectiveness of usual care provided to older home health patients admitted with activity-limiting pain to usual care plus instruction by PTs in CBPSM techniques; and (2) to examine the heterogeneity of CBPSM treatment effects among patients with different pain conditions and minority group status.
Conditions
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Study Design
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RANDOMIZED
SINGLE_GROUP
TREATMENT
DOUBLE
Study Groups
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Usual Care
Usual Physical Therapy Plan of Care
Cognitive-Behavioral Pain Self-management Program
The main study intervention is training of the PTs on teams randomized into the intervention group in the evidence-based CBPSM program which has been translated for use in home health care with patients who have activity-limiting pain. The program is designed to be implemented in a manner that allows for maximal integration into routine PT care of home health patients. This will be possible because the CBPSM techniques, together with exercise and other PT techniques that constitute customary PT care, are reciprocally reinforcing. Both treatments (CBPSM and PT) encourage the use of similar behavioral and pain self-management coping skills to enhance behavioral activation, perceptions of self-efficacy, self-control, and personal mastery with regard to the management of pain.
Usual Care Plus Pain Management Program
Behavioral: Cognitive-Behavioral Pain Self-management Program.
Cognitive-Behavioral Pain Self-management Program
The main study intervention is training of the PTs on teams randomized into the intervention group in the evidence-based CBPSM program which has been translated for use in home health care with patients who have activity-limiting pain. The program is designed to be implemented in a manner that allows for maximal integration into routine PT care of home health patients. This will be possible because the CBPSM techniques, together with exercise and other PT techniques that constitute customary PT care, are reciprocally reinforcing. Both treatments (CBPSM and PT) encourage the use of similar behavioral and pain self-management coping skills to enhance behavioral activation, perceptions of self-efficacy, self-control, and personal mastery with regard to the management of pain.
Interventions
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Cognitive-Behavioral Pain Self-management Program
The main study intervention is training of the PTs on teams randomized into the intervention group in the evidence-based CBPSM program which has been translated for use in home health care with patients who have activity-limiting pain. The program is designed to be implemented in a manner that allows for maximal integration into routine PT care of home health patients. This will be possible because the CBPSM techniques, together with exercise and other PT techniques that constitute customary PT care, are reciprocally reinforcing. Both treatments (CBPSM and PT) encourage the use of similar behavioral and pain self-management coping skills to enhance behavioral activation, perceptions of self-efficacy, self-control, and personal mastery with regard to the management of pain.
Eligibility Criteria
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Inclusion Criteria
* Services are being provided in the Bronx, Brooklyn, Manhattan, Queens, Staten Island, Nassau or Westchester
* VNSNY Plan of Care includes physical therapy
* Age 55 or older
* Speaks English
* Has a telephone
* Activity-limiting pain
Exclusion Criteria
55 Years
ALL
No
Sponsors
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Agency for Healthcare Research and Quality (AHRQ)
FED
Weill Medical College of Cornell University
OTHER
Ithaca College
OTHER
Cornell University
OTHER
Visiting Nurse Service of New York
OTHER
Responsible Party
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Principal Investigators
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Christopher M Murtaugh, PhD
Role: PRINCIPAL_INVESTIGATOR
Visiting Nurse Service of New York
Cary Reid, MD
Role: PRINCIPAL_INVESTIGATOR
Weill Medical College of Cornell University
Locations
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Visiting Nurse Service of New York
New York, New York, United States
Countries
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Related Links
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Related Info
Other Identifiers
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