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Chronic Pain Management In Primary Care Using Behavioral Health Consultants

Active, not recruitingNot applicableNCT04680000
View the official record on ClinicalTrials.gov

Recruiting status changes often. Contact the study team listed on ClinicalTrials.gov, and talk to your doctor before joining a study.

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 purpose of this randomized pragmatic trial is to assess the effect of monthly booster contacts on long-term Brief Cognitive Behavioral Therapy for Chronic Pain (BCBT-CP) pain outcomes compared to BCBT-CP without a booster in 716 Military Health Systems (MHS) beneficiaries referred to a Behavioral Health Consultant (BHC) for pain management using BCBT-CP. Patients will be randomly assigned to receive either standard BCBT-CP (working with a BHC in the medical home clinic) or standard BCBT-CP with adjunctive monthly booster contacts. Patient participants will be assessed 3-, 6-, 12- and 18-Months following their first appointment for BCBT-CP. Prospective data will be supplemented by a national data pull in collaboration with the Defense Health Agency and the Uniformed Services University Center for Rehabilitation Sciences Research. Pulled data will include a national deidentified dataset of electronic health record data for all individuals treated in the military health system who had access to a Behavioral Health Consultant for the treatment under study in this trial.

Study details

Official title
Targeting Chronic Pain in Primary Care Settings Using Behavioral Health Consultants, A Randomized Pragmatic Trial
Conditions
Interventions
  • Behavioral: Brief Cognitive Behavioral Therapy for Chronic Pain (BCBT-CP)
  • Other: BCBT-CP Booster
Sponsor
The University of Texas Health Science Center at San Antonio
Collaborators
Uniformed Services University of the Health Sciences; Massachusetts General Hospital; Defense Health Agency; 59th Medical Wing; Brooke Army Medical Center; C.R.Darnall Army Medical Center; United States Department of Defense
Start date
2021-08-17
Primary completion
2026-09-11
Sex
All
Age range
from 18 Years
Results posted
No results posted in this snapshot
Countries
United States
Total sites listed
3

Eligibility criteria

Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: 1. DoD/MHS beneficiary (including active duty service members, veterans, and family members) age 18 and older. 2. Presenting with a chronic pain complaint (pain occurring more days than not over the past three months that is ongoing at the time of baseline evaluation). 3. Referred for BCBT-CP with a BHC by a Primary Care provider. 4. Speaks and reads/understands English well enough to fully participate in the intervention and to reliably complete assessment measures. Exclusion Criteria: 1. Scheduled for a planned pain-related surgery or pain intervention within 6 weeks of enrollment (because the intervention may obscure BCBT-CP outcomes). 2. Inability or unwillingness of individual to give written informed consent. 3. Experiencing another health problem of higher priority for care or that prohibits ability to attend BCBT-CP or research appointments. Some research activities (i.e., Focus Groups) will include Clinic Providers and Staff: Inclusion Criteria for Clinic Provider/Staff Participants 1. BHC trained to deliver care according to the Chronic Pain Clinical Pathway 2. Clinic providers/staff caring for patient participants enrolled in this study Exclusion Criteria for Clinic Provider/Staff Participants: none

Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT04680000