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ACTIVE NOT RECRUITING
NCT04923334
PHASE3

Nonpharmacologic Pain Management in FQHC Primary Care Clinics

Sponsor: University of Utah

View on ClinicalTrials.gov

Summary

The goal of this study is to improve pain management and reduce opioid reliance for patients with chronic back pain in Utah Federally-Qualified Health Centers (FQHCs). The study compares the effectiveness of nonpharmacologic pain treatments using telehealth to overcome access barriers. We will use automated EHR reminders for electronic referral to teleconsult services. Our project tests adaptive treatments and uses a hybrid type I design - focused on effectiveness outcomes while gathering implementation data to inform future efforts to scale effective strategies.

Key Details

Gender

All

Age Range

18 Years - 80 Years

Study Type

INTERVENTIONAL

Enrollment

500

Start Date

2021-11-04

Completion Date

2026-10-31

Last Updated

2026-04-07

Healthy Volunteers

No

Interventions

BEHAVIORAL

Brief Pain Teleconsult

The Brief Pain Teleconsult intervention includes 2 sessions provided by a licensed physical therapist over about 1 week. The sessions focus on pain education from a biopsychosocial perspective that is designed to address negative pain appraisals and catastrophizing thoughts, providing advice to be active and engage in exercise and physical activity, and reassurance that activity is beneficial and safe.

BEHAVIORAL

Telehealth Physical Therapy

The Telehealth Physical Therapy intervention involves weekly telehealth sessions provided over 10 weeks. Telehealth Physical Therapy is provided by a licensed physical therapist. Key components of the intervention include reinforcing biopsychosocial education messages and developing an exercise and physical activity program using cognitive behavioral principles such as goal setting and positive reinforcement. Pain coping strategies including mindful breathing and progressive relaxation techniques will be included.

Locations (2)

Association of Utah Community Health

Salt Lake City, Utah, United States

The University of Utah Healthcare System

Salt Lake City, Utah, United States