Status:

COMPLETED

Reducing the Transition From Acute to Chronic Musculoskeletal Pain Among Older Adults

Lead Sponsor:

University of North Carolina, Chapel Hill

Collaborating Sponsors:

National Institute on Aging (NIA)

Duke University

Conditions:

Acute Musculoskeletal Pain

Chronic Pain

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

The investigators have developed a three component intervention to support shared decision-making during the early recovery phase for older adults who present to the emergency department (ED) or ortho...

Detailed Description

Participants will be assigned to one of the three treatment arms using 1:1:1 randomization, stratified by access to a primary care provider, using randomly permuted blocks with random block sizes. (Pr...

Eligibility Criteria

Inclusion

  • Age 50 years and older
  • Present to UNC ED patient with primary complaint of acute musculoskeletal pain
  • Average pain score \>/= 4 on 0-10 scale
  • Expected discharge from the ED

Exclusion

  • patient does not speak English
  • primary pain located in the head, chest, or abdomen
  • pain due to ischemia, infection, or some other cause not due to MSP (blood clot, kidney stone, etc.)
  • primary pain due to self-injury
  • patient is critically ill determined by an acuity score of 1 in the tracking board
  • diagnosis of somatoform disorder, schizophrenia, dementia, or bipolar disorder
  • patient is a prisoner or in police custody
  • self-reported daily opioid use for more than 2 weeks
  • resides in a nursing home or is homeless
  • at-risk alcohol use
  • speech, hearing, vision problems
  • cognitively impaired (6-item Brief Screener)
  • nonworking phone number (follow-up occurs via phone calls)

Key Trial Info

Start Date :

February 3 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 22 2023

Estimated Enrollment :

330 Patients enrolled

Trial Details

Trial ID

NCT04118595

Start Date

February 3 2020

End Date

June 22 2023

Last Update

November 21 2023

Active Locations (1)

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1

University of North Carolina Hospitals

Chapel Hill, North Carolina, United States, 27599