Psychological Options for Wellness and Recovery (POWeR) Trial for Veterans With Chronic Back/Neck Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Colorado, Denver

About this trial

The goal of this clinical trial is to learn which treatment works better for veterans with chronic neck or back pain. This study is comparing three treatments: Pain Reprocessing Therapy (PRT), Cognitive Behavioral Therapy (CBT), and usual care (whatever a person is already doing to cope with their pain).

The main questions the study aims to answer are:

1. Which treatment works better for lowering pain: PRT, CBT, or usual care? 2. How do the effects of PRT compare with CBT and usual care in terms of pain relief and other factors such as emotional functioning, quality of life, anxiety, and pain medication use?

Participants will:

1. Be randomly assigned to receive either PRT, CBT, or usual care. 2. Complete questionnaires about their pain and health. 3. If in the PRT or CBT group, have nine weekly therapy sessions over video calls with a therapist.

Eligibility criteria

Qualifiers

Adults (18 and older)

Be veterans

Have a history of chronic back or neck pain defined as pain at least half the days of the last 6 months.

Have moderate or greater pain, defined as pain intensity ≥4 in the past week

Disqualifiers

Moderate or severe cognitive impairment

Unstable or severe untreated mental health condition, including active suicidal ideation

Unstable or end-stage medical disease including active cancer

Back surgery planned within the next 6 months

Trial design

Treatments tested in this trial

  • Pain reprocessing therapy (PRT)
  • Cognitive Behavioral Therapy for Chronic Pain (CBT-CP)
  • Usual Care

Treatment groups

360 Participants
are divided into 3 treatment groups

Locations

1
VA Eastern Colorado Health Care System80045, AuroraColorado, United States

Sponsors and collaborators

University of Colorado, Denver

Lead sponsor

VA Eastern Colorado Health Care System

Collaborator

United States Department of Defense

Collaborator