Clinical Research Directory

Inclusion Criteria:Participants must meet all of the following eligibility criteria to be enrolled in the study: * Be a Veteran receiving care at the VA Augusta Health Care System Pain Medicine Service. * Be aged 18 or older. * Have a documented diagnosis of chronic pain (defined as pain persisting longer than 3 months). * Be classified as a high utilizer of VA in-person outpatient services, defined as having 4 or more in-person primary care, behavioral health, or pain-related visits within the past 6 months. * Be English-speaking. * Have access to a telephone (landline or cell phone). * Have capacity to provide informed consent. Exclusion Criteria: * Individuals will be excluded from the study if they: * Have moderate to severe cognitive impairment that would interfere with the ability to engage with a text/telephone-based chatbot (as determined through medical record review or clinical judgment). * Have active psychosis or acute psychiatric instability (e.g., recent psychiatric hospitalization in the past month) that would impair study participation. * Are enrolled in another conflicting behavioral intervention study. * Are non-English speaking, due to the current availability of the chatbot only in English.