Treating Pain to Reduce Disability Among Older Home Health Patients

Summary

The overall goal of this real-world comparative effectiveness research (CER) study is to reduce disability among older home health patients by treating their pain more effectively. To achieve this goal the investigators will conduct a cluster randomized controlled trial of a physical therapist (PT) delivered intervention provided to VNSNY home health care patients with activity-limiting pain. The intervention is an evidence-based non-pharmacological program to reduce pain and pain-related disability that utilizes cognitive-behavioral pain self-management (CBPSM) techniques.

Conditions

• Arthritis - Post Surgical
• Other Activity-limiting Pain

Interventions

BEHAVIORAL

Cognitive-Behavioral Pain Self-management Program

The main study intervention is training of the PTs on teams randomized into the intervention group in the evidence-based CBPSM program which has been translated for use in home health care with patients who have activity-limiting pain. The program is designed to be implemented in a manner that allows for maximal integration into routine PT care of home health patients. This will be possible because the CBPSM techniques, together with exercise and other PT techniques that constitute customary PT care, are reciprocally reinforcing. Both treatments (CBPSM and PT) encourage the use of similar behavioral and pain self-management coping skills to enhance behavioral activation, perceptions of self-efficacy, self-control, and personal mastery with regard to the management of pain.

Sponsors & Collaborators

• Agency for Healthcare Research and Quality (AHRQ)

  collaborator FED

• Weill Medical College of Cornell University

  collaborator OTHER

• Ithaca College

  collaborator OTHER

• Cornell University

  collaborator OTHER

• Visiting Nurse Service of New York

  lead OTHER

Principal Investigators

• Christopher M Murtaugh, PhD · Visiting Nurse Service of New York

• Cary Reid, MD · Weill Medical College of Cornell University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

SINGLE_GROUP

Eligibility

Min Age

55 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2012-10-31

Primary Completion

2014-07-31

Completion

2015-12-31

Countries

• United States

Study Locations