N/A
Completed N=242
Evaluation of Stepped Care for Chronic Pain in Iraq/Afghanistan Veterans (ESCAPE)
Low Back Pain · Postoperative Pain · Pain, Intractable
Source: ClinicalTrials.gov NCT00386243 ↗
Enrolled (actual)
242
Serious AEs
2.9%
Results posted
May 2014
Primary outcomePrimary: Roland-Morris Disability Questionnaire — 13.7; 14.0; 12.1; 10.6 scores on a scale
Summary
The purpose of this study is to determine if a stepped-care intervention makes pain symptoms better and reduces activity limitations because of pain. Our two primary hypotheses are that in OIF/OEF veterans with chronic pain:
1. Stepped care is more effective than usual care in reducing pain-related disability
2. Stepped care is more effective than usual care in reducing psychological distress
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Roland-Morris Disability Questionnaire |
13.7; 14.0; 12.1; 10.6 | — |
| PRIMARY Brief Pain Inventory (Interference) |
5.4; 5.3; 4.5; 3.8 | — |
| SECONDARY SF-Mental Component Summary (MCS) |
41.4; 41.9; 42.4; 42.2 | — |
| SECONDARY PHQ-9 Depression |
11.3; 11.05; 10.0; 9.45 | — |
| SECONDARY PTSD Checklist-17 Civilian Version (PCL-C) |
25.15; 27.62; 22.71; 24.28 | — |
| SECONDARY GAD-7 Anxiety Score |
8.66; 8.95; 7.85; 7.89 | — |
| SECONDARY Pain Catastrophizing Scale (PCS) |
21.81; 21.44; 18.40; 16.63 | — |
Eligibility Criteria
Inclusion Criteria
- have musculoskeletal pain of the low back, cervical spine, or extremities
- have chronic pain (>3 months duration)
- have moderate functional impairment
- have access to a working telephone
- Indianapolis Roudebush VA Medical Center patient or Walter Reed Army Medical Center patient
- willing to travel at least once to study site
Exclusion Criteria
- prior back or cervical spine surgery or surgery pending
- active psychosis
- incompetent for interview
- severe impairment of hearing or speech
- active suicidal ideation
- current alcohol or other substance dependence or abuse
Data sourced from ClinicalTrials.gov (NCT00386243). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.