Reducing the Transition From Acute to Chronic Musculoskeletal Pain Among Older Adults
CompletedNot applicableNCT04118595
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This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.
Brief summary (from the registry)
The investigators have developed a three component intervention to support shared decision-making during the early recovery phase for older adults who present to the emergency department (ED) or orthopedic urgent care with acute musculoskeletal pain. The first component is a brief interactive video to enhance patient knowledge and self-efficacy regarding treatment options with the intent of facilitating conversations between patients and emergency providers. The second component is a protocol-guided phone conversation (telecare) between a nurse care manager and the patient at 48-72 hours following discharge to assess pain severity and interference with daily activities, review analgesic use and side effects and recovery-promoting behaviors, and discuss adjustments to the patients treatment. The third component is communication with the patient's primary care provider following the telecare call to inform them of the patient's condition and treatment plan and encourage primary care followup. The short-term objective of this project is to test the efficacy of this intervention to reduce the transition from acute to chronic musculoskeletal pain among older adults and obtain data to inform implementation. The investigators will conduct a three-arm randomized controlled trial with adults aged 50 years and older who present to the ED or orthopedic urgent care with acute musculoskeletal pain. Patients will be randomized to (1) the full intervention (video + telecare + communication with primary provider), (2) video alone, or (3) usual care. The primary outcome will be pain, measured longitudinally over the course of the year following the acute care visit. Secondary outcomes will include physical function, analgesic side effects and adverse events, opioid use, depression and anxiety symptoms, sleep duration and quality, and healthcare utilization at one, three, six, and twelve months. Secondary analyses will (1) examine whether the intervention has its effect by promoting …
Study details
- Official title
- Reducing the Transition From Acute to Chronic Musculoskeletal Pain Among Older Adults
- Conditions
- Acute Musculoskeletal Pain
- Chronic Pain
- Interventions
- Behavioral: Educational Video
- Behavioral: Telecare
- Behavioral: Correspondence with Primary Care Provider
- Sponsor
- University of North Carolina, Chapel Hill
- Collaborators
- National Institute on Aging (NIA); Duke University; Indiana University; Yale University; Elon University
- Start date
- 2020-02-03
- Primary completion
- 2022-12-27
- Sex
- All
- Age range
- from 50 Years
- Results posted
- Yes, on ClinicalTrials.gov
- Countries
- United States
- Total sites listed
- 1
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Age 50 years and older * Present to UNC ED patient with primary complaint of acute musculoskeletal pain * Average pain score \>/= 4 on 0-10 scale * Expected discharge from the ED Exclusion Criteria: * patient does not speak English * primary pain located in the head, chest, or abdomen * pain due to ischemia, infection, or some other cause not due to MSP (blood clot, kidney stone, etc.) * primary pain due to self-injury * patient is critically ill determined by an acuity score of 1 in the tracking board * diagnosis of somatoform disorder, schizophrenia, dementia, or bipolar disorder * patient is a prisoner or in police custody * self-reported daily opioid use for more than 2 weeks * resides in a nursing home or is homeless * at-risk alcohol use * speech, hearing, vision problems * cognitively impaired (6-item Brief Screener) * nonworking phone number (follow-up occurs via phone calls)
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT04118595