Treating Pain to Reduce Disability Among Older Home Health Patients
| Status: | Completed |
|---|---|
| Conditions: | Arthritis |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 55 - Any |
| Updated: | 8/19/2018 |
| Start Date: | October 2012 |
| End Date: | December 2015 |
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.
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.
This project will compare the effectiveness of usual care provided to older home health
patients admitted with activity-limiting pain to usual care plus instruction by PTs in CBPSM
techniques. The project also will examine differences in the effectiveness of the
intervention among different race/ethnicity groups and individuals with different pain types,
as well as the fidelity of intervention-group PTs to the CBPSM program.
The specific aims of this CER study that will include sizeable numbers of Hispanics,
non-Hispanic African Americans and non-Hispanic white patients ages 55 and older are: (1) to
compare the effectiveness of usual care provided to older home health patients admitted with
activity-limiting pain to usual care plus instruction by PTs in CBPSM techniques; and (2) to
examine the heterogeneity of CBPSM treatment effects among patients with different pain
conditions and minority group status.
patients admitted with activity-limiting pain to usual care plus instruction by PTs in CBPSM
techniques. The project also will examine differences in the effectiveness of the
intervention among different race/ethnicity groups and individuals with different pain types,
as well as the fidelity of intervention-group PTs to the CBPSM program.
The specific aims of this CER study that will include sizeable numbers of Hispanics,
non-Hispanic African Americans and non-Hispanic white patients ages 55 and older are: (1) to
compare the effectiveness of usual care provided to older home health patients admitted with
activity-limiting pain to usual care plus instruction by PTs in CBPSM techniques; and (2) to
examine the heterogeneity of CBPSM treatment effects among patients with different pain
conditions and minority group status.
Inclusion Criteria:
- VNSNY patient in the adult home healthcare program
- Services are being provided in the Bronx, Brooklyn, Manhattan, Queens, Staten Island,
Nassau or Westchester
- VNSNY Plan of Care includes physical therapy
- Age 55 or older
- Speaks English
- Has a telephone
- Activity-limiting pain
Exclusion Criteria:
- Significant cognitive impairment
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