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Behavioral Intervention for Chronic Pain and Depression in Older Veterans (MOTIVATE_IIR Trial)
N/A
Recruiting
Led By Una E. Makris, MD MSc
Research Sponsored by VA Office of Research and Development
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Pain intensity that is 4+/10 on the numerical pain rating scale
Aged 60 and older
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, mid (~5 weeks), end (~3 months) and 6 months
Awards & highlights
MOTIVATE_IIR Trial Summary
This trial will test a new pain management program for older Veterans with both chronic pain and depression.
Who is the study for?
This trial is for older Veterans aged 60+ who speak English, have chronic musculoskeletal pain and depressive symptoms. They must be able to do home-based activities, score 10+ on the PHQ-9 depression scale, experience pain most days with an intensity of 4+/10 and interference level of 5+ on PEG-3. Exclusions include severe cognitive impairment, recent hospitalization that affects physical activity, suicidal intent or uncontrolled psychotic disorders.Check my eligibility
What is being tested?
The MOTIVATE program is being tested in this study. It's a behavioral intervention aimed at improving outcomes for older veterans dealing with both musculoskeletal pain and depression by using non-pharmacologic methods tailored to be done at home.See study design
What are the potential side effects?
Since MOTIVATE is a behavioral intervention involving non-drug approaches like exercise and mental health strategies rather than medication, it may not have typical 'side effects.' Participants might experience discomfort from new activities or emotional distress during therapy sessions.
MOTIVATE_IIR Trial Eligibility Criteria
Inclusion Criteria
You may be eligible if you check βYesβ for the criteria belowSelect...
My pain level is at least 4 out of 10.
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I am 60 years old or older.
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I have scored 10 or higher on a depression screening test.
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I have had muscle or joint pain almost daily for the past 3 months that affects my daily activities.
Select...
My pain often interferes with my daily activities.
MOTIVATE_IIR Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, mid (~5 weeks), end (~3 months) and 6 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, mid (~5 weeks), end (~3 months) and 6 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
: Pain interference
Secondary outcome measures
Anxiety
Arthritis self-efficacy
Depressive symptoms, PHQ-9
+10 moreMOTIVATE_IIR Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Behavior Intervention Group (MOTIVATE)Experimental Treatment1 Intervention
For participants assigned to the intervention arm, trained health coaches will deliver the 8 session intervention via telephone. MOTIVATE users motivational interviewing techniques, values elicitation and physical activity based goal setting. All participants, regardless of what group they have been assigned to will undergo several outcome assessments (pre-screening, baseline, midpoint, final assessments) conducted by a blinded research assistant.
Group II: Waitlist Control GroupActive Control1 Intervention
The waitlist control group will continue with usual care management of musculoskeletal pain and depression. All participants, regardless of what group they have been assigned to will undergo several outcome assessments (pre-screening, baseline, midpoint, final assessments) conducted by a blinded research assistant. Subjects randomized to the waitlist control group will be offered the intervention once they have completed the end outcomes assessment.
Find a Location
Who is running the clinical trial?
VA Office of Research and DevelopmentLead Sponsor
1,609 Previous Clinical Trials
3,306,339 Total Patients Enrolled
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Dallas VA Medical CenterFED
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4,571 Total Patients Enrolled
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Michael E. DeBakey VA Medical CenterFED
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334 Patients Enrolled for Aging
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My pain level is at least 4 out of 10.I am 60 years old or older.I have scored 10 or higher on a depression screening test.I rely on a wheelchair, am bed-bound, or have severe balance issues or osteoarthritis that prevents me from being active.I am not interested in non-drug treatments.I have had muscle or joint pain almost daily for the past 3 months that affects my daily activities.I am not willing to be assigned randomly to a treatment group.I can do activities at home.You have moderate or severe problems with memory and thinking, as shown by a simple test.My pain often interferes with my daily activities.I can hear and see well enough to use a phone and read a pedometer.I do not speak English.I haven't been hospitalized for a condition that would stop me from exercising at home in the last 3 months.I am interested in a treatment program that does not involve drugs.I am 59 years old or younger.You have thoughts of hurting yourself, a severe mental illness that is not well controlled, or have been in a program for substance use recently.
Research Study Groups:
This trial has the following groups:- Group 1: Behavior Intervention Group (MOTIVATE)
- Group 2: Waitlist Control Group
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are elderly individuals being considered as potential participants in this research project?
"According to the trial's prerequisites, those who wish to take part must be between 60 and 99 years of age."
Answered by AI
Could you elucidate if this clinical trial is currently accepting participants?
"Unfortunately, clinicaltrials.gov states that this trial is not open to new participants as of now. This study was initially posted on February 1st 2023 and last edited August 5th 2022; though there are 1855 other trials currently recruiting patients at present."
Answered by AI
What qualifications must be met to participate in this research endeavor?
"People aged between 60 and 99 with musculoskeletal pain can qualify to be enrolled in this clinical trial, for which 264 patients are needed."
Answered by AI
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