Actively Recruiting
VA Transitional Pain Service Study
Led by VA Office of Research and Development · Updated on 2026-05-06
400
Participants Needed
1
Research Sites
173 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The VA Community Care Program has provided an important resource to improve access to surgical care for Veterans unable to have treatment at VA Medical Centers (VAMC). However, there is an increased risk of developing chronic opioid use when at-risk surgical patients receive opioids from non-VA providers. A multidisciplinary approach to perioperative pain management known as the Transitional Pain Service (TPS) has been shown to effectively reduce chronic opioid use among Veterans after surgery, but it is unknown whether it can be used to achieve the same outcomes for Veterans using Community Care for high-risk surgery. Through this project, the investigators will generate important data to establish whether a telehealth TPS approach can serve as a scalable and effective strategy to ensure safe opioid use among Veterans undergoing orthopedic surgery. The investigators will randomize Veterans using Community Care for orthopedic surgery to telehealth TPS versus standard of care. Finally, the investigators will interview patients using Community Care to better understand barriers and facilitators to telehealth TPS and Veteran satisfaction with the approach to pain management.
CONDITIONS
Official Title
VA Transitional Pain Service Study
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Veterans referred to the VA Community Care Program for orthopedic surgery from any VA medical center in VISN-19
- Age 18 years or older
- Not on chronic opioids at the time of surgery
- Have a VA primary care provider
- Veterans who received Transitional Pain Service and their VA Primary Care Providers (Aim 2)
You will not qualify if you...
- Scheduled for non-orthopedic surgical procedures
- On chronic opioid therapy before surgery
- Receiving hospice or end-of-life care
- Cognitively impaired or unable to complete follow-up visits
- Not randomized to the TPS Telehealth intervention (Aim 2 and 3)
- VA Primary Care Providers not primarily working at the VA (Aim 2)
- Experienced major perioperative complications or extended hospital stay (Aim 3)
- Discharged to care facility or scheduled for readmission within 90 days (Aim 3)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
VA Salt Lake City Health Care System, Salt Lake City, UT
Salt Lake City, Utah, United States, 84148-0001
Actively Recruiting
Research Team
B
Benjamin S Brooke, MD PhD
CONTACT
J
Julie L Hales
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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