Adapting and Implementing a Nurse Care Management Model to Care for Rural Patients With Chronic Pain
Enrolling by invitationNot applicableNCT06407115
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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)
Chronic pain affects over 20% U.S. adults and has debilitating effects on quality of life and physical and mental health. Individuals living in rural communities experience higher rates of chronic pain as well as poorer health outcomes due to pain. The 46 million Americans who live in rural areas frequently lack access to evidence-based, non-pharmacologic treatments for chronic pain. As such, a critical need exists to implement effective, comprehensive programs for pain management that include treatment options other than medications. Nurse care management (NCM) has been successfully used to enhance care for individuals with other long-term health issues. The study teams proposes to adapt, pilot, and implement a NCM model that includes care coordination, cognitive behavioral therapy (CBT), and referrals to a remotely delivered exercise program for rural patients with chronic pain.
Study details
- Official title
- Expanding Rural Access to Chronic Pain Care Through Nurse Care Management
- Conditions
- Interventions
- Behavioral: Cognitive Behavioral Therapy (CBT)
- Behavioral: Exercise Counseling and tele-EnhanceFitness
- Other: Care Coordination
- Other: Standard Clinical Practice Regimen
- Sponsor
- University of Washington
- Collaborators
- National Institute of Nursing Research (NINR)
- Start date
- 2026-04-01
- Primary completion
- 2028-05
- Sex
- All
- Age range
- from 18 Years
- Results posted
- No results posted in this snapshot
- Countries
- United States
- Total sites listed
- 1
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Current primary care patient with one care visit in the last year * Have a chronic pain diagnosis (more than 3 months) * Live in a rural area * Proficient in English or Spanish * A total score ≥ 12 on the 3-item Pain, Enjoyment, and General Activities scale Exclusion Criteria: * Ongoing treatment with chemotherapy and/or radiation therapy * Scheduled surgical procedures in the next 6 months * Has received skills training or education for pain management in the past 6 months * Moderate or severe cognitive impairment (documented Alzheimer's or dementia diagnosis in EHR or score 12 or lower on the telephone Montreal Cognitive Assessment) * Living in a nursing home or inpatient treatment facility * Receipt of palliative care
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT06407115