Whole Health Options and Pain Education (wHOPE): A Pragmatic Trial Comparing Whole Health Team vs Primary Care Group Education to Promote Nonpharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans-Rationale, Methods, and Implementation
| العنوان: | Whole Health Options and Pain Education (wHOPE): A Pragmatic Trial Comparing Whole Health Team vs Primary Care Group Education to Promote Nonpharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans-Rationale, Methods, and Implementation |
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| المؤلفون: | Lauren M Denneson, Shira Maguen, Benjamin J. Morasco, Natalie Purcell, Karen H. Seal, Marianne S. Matthias, Alejandro Nunez, Jennifer L. Murphy, William C. Becker, John Hixon, Allan Chan, Akshaya Krishnaswamy, Daniel Bertenthal, Kavitha P. Reddy, Joseph W. Frank, Brian Borsari, Yongmei Li, Thomas C. Neylan, Theresa van Iseghem, Aaron M. Martin, Carolyn J. Gibson, Jacob M. Painter, Beth DeRonne, Hildi Hagedorn, Erin E. Krebs, Nicole McCamish, Jeffrey M. Pyne |
| المصدر: | Pain Med Pain medicine (Malden, Mass.), vol 21, iss Suppl 2 |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Comparative Effectiveness Research, medicine.medical_treatment, law.invention, 0302 clinical medicine, Randomized controlled trial, 7.1 Individual care needs, law, Anesthesiology, 030212 general & internal medicine, Veterans, Pain Research, Chronic pain, General Medicine, Pharmacology and Pharmaceutical Sciences, Health Services, Test (assessment), Cognitive behavioral therapy, Pragmatic Trial, United States Department of Veterans Affairs, Cognitive Behavior Therapy, Public Health and Health Services, Chronic Pain, medicine.medical_specialty, Evidence-based practice, Clinical Trials and Supportive Activities, Clinical Sciences, Chronic PainVeterans, 03 medical and health sciences, Quality of life (healthcare), Clinical Research, Complementary and Integrative Health, Behavioral and Social Science, medicine, Humans, Veterans Affairs, Primary Care, Primary Health Care, business.industry, Prevention, medicine.disease, Mental health, United States, Anesthesiology and Pain Medicine, Good Health and Well Being, Physical therapy, Quality of Life, Neurology (clinical), Management of diseases and conditions, business, 030217 neurology & neurosurgery, EDITORIALS |
| الوصف: | Background The Whole Health model of the U.S. Department of Veterans Affairs (VA) emphasizes holistic self-care and multimodal approaches to improve pain, functioning, and quality of life. wHOPE (Whole Health Options and Pain Education) seeks to be the first multisite pragmatic trial to establish evidence for the VA Whole Health model for chronic pain care. Design wHOPE is a pragmatic randomized controlled trial comparing a Whole Health Team (WHT) approach to Primary Care Group Education (PC-GE); both will be compared to Usual VA Primary Care (UPC). The WHT consists of a medical provider, a complementary and integrative health (CIH) provider, and a Whole Health coach, who collaborate with VA patients to create a Personalized Health Plan emphasizing CIH approaches to chronic pain management. The active comparator, PC-GE, is adapted group cognitive behavioral therapy for chronic pain. The first aim is to test whether the WHT approach is superior to PC-GE and whether both are superior to UPC in decreasing pain interference in functioning in 750 veterans with moderate to severe chronic pain (primary outcome). Secondary outcomes include changes in pain severity, quality of life, mental health symptoms, and use of nonpharmacological and pharmacological therapies for pain. Outcomes will be collected from the VA electronic health record and patient-reported data over 12 months of follow-up. Aim 2 consists of an implementation-focused process evaluation and budget impact analysis. Summary This trial is part of the Pain Management Collaboratory, which seeks to create national-level infrastructure to support evidence-based nonpharmacological pain management approaches for veterans and military service personnel. |
| وصف الملف: | application/pdf |
| تدمد: | 1526-4637 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f4c827ebd4ecd21a3f2a361c9fe8eaf3 https://pubmed.ncbi.nlm.nih.gov/33313734 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f4c827ebd4ecd21a3f2a361c9fe8eaf3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15264637 |
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