A Skills-Based Program Delivered Via Secure Live Video to Patients With Acute Musculoskeletal Trauma

This is a pilot randomized feasibility trial of the mind body program Toolkit for Optimal
Recovery versus usual medical care. The Toolkit is delivered via secure live video to
patients at risk for chronic pain, at 1-2 months after injury. The primary aim of this study
is to determine the feasibility and acceptability of the program, randomization, procedures
and outcome measures. Secondarily, we report means and standard deviation and explore change
in quantitative outcomes in the Toolkit compared to usual care.

Inclusion Criteria:

- Diagnosis of musculoskeletal injury in the past 1-2 months

- 18 years of age or older

- English fluency and literacy

- PCS OR, PASS score above median split

Exclusion Criteria:

- Major medical comorbidity expected to worsen in the next 6 months

- Comorbid chronic pain condition

- Antidepressant medication change in the past 6 months

- Secondary gains such as litigations or workers compensation procedures

- Diagnosis of psychosis, bipolar disorder or active substance dependence (by self
report)

- Unwilling or unable to use videoconferencing