Improving pain care for veterans using a new pathway
Implementation Facilitation of Screening, Brief Intervention, and Referral to Treatment for Pain Management for Veterans Separating From Military Service
This study is testing a new way to help case managers support veterans in managing their pain better by comparing standard training to extra help in using a specific pain care program.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1800 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Yale University Academic / other |
| Locations | 1 site (West Haven, Connecticut) |
| Trial ID | NCT06526143 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate the effectiveness and cost-effectiveness of an implementation facilitation strategy designed to help case managers adopt the Military2VA Pain Care Pathway (M2VAPCP) intervention. It involves a cluster randomized approach where two cohorts will be compared: one receiving standard training and the other receiving additional implementation facilitation. The study will assess the proportion of veterans receiving the M2VAPCP, adherence to the protocol, and improvements in clinical outcomes such as pain and substance use. Qualitative evaluations will also explore the experiences of case managers with the implementation process.
Who should consider this trial
Good fit: Ideal candidates are veterans who have recently completed military service and have filed a service-connection claim for musculoskeletal disorders.
Not a fit: Patients who are still on active duty or unable to complete study assessments due to incapacity or lack of communication means may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management and reduced substance misuse among veterans.
How similar studies have performed: Other studies have shown promise in using implementation facilitation strategies to improve healthcare interventions, suggesting potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Study enrollment is within one year of ending military service * Has filed a service-connection claim for an MSD (back, neck, knee, or shoulder condition) * Lives within the catchment area of a participating site Exclusion Criteria: * Reports being unable to complete planned study assessments because of anticipated incapacity, incarceration, or other reason * Does not have a landline or cell phone to complete study assessments * Is unable to provide informed consent * Still on active duty
Where this trial is running
West Haven, Connecticut
- VA Connecticut Healthcare System (VACHS) — West Haven, Connecticut, United States (Recruiting)
Study contacts
- Principal investigator: Marc Rosen, MD — Yale University
- Study coordinator: Christina Lazar, MPH
- Email: christina.lazar@yale.edu
- Phone: 203-932-5711
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.