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
Locations
1Sponsors and collaborators
University of Colorado, Denver
Lead sponsor
VA Eastern Colorado Health Care System
Collaborator
United States Department of Defense
Collaborator