Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded Pragmatic Cluster-Randomized Trial.
| dc.contributor.author | George, Steven Z | |
| dc.contributor.author | Coffman, Cynthia J | |
| dc.contributor.author | Allen, Kelli D | |
| dc.contributor.author | Lentz, Trevor A | |
| dc.contributor.author | Choate, Ashley | |
| dc.contributor.author | Goode, Adam P | |
| dc.contributor.author | Simon, Corey B | |
| dc.contributor.author | Grubber, Janet M | |
| dc.contributor.author | King, Heather | |
| dc.contributor.author | Cook, Chad E | |
| dc.contributor.author | Keefe, Francis J | |
| dc.contributor.author | Ballengee, Lindsay A | |
| dc.contributor.author | Naylor, Jennifer | |
| dc.contributor.author | Brothers, Joseph Leo | |
| dc.contributor.author | Stanwyck, Catherine | |
| dc.contributor.author | Alkon, Aviel | |
| dc.contributor.author | Hastings, Susan N | |
| dc.date.accessioned | 2023-06-01T15:42:19Z | |
| dc.date.available | 2023-06-01T15:42:19Z | |
| dc.date.issued | 2020-12 | |
| dc.date.updated | 2023-06-01T15:42:18Z | |
| dc.description.abstract | BackgroundCoordinated efforts between the National Institutes of Health, the Department of Defense, and the Department of Veterans Affairs have built the capacity for large-scale clinical research investigating the effectiveness of nonpharmacologic pain treatments. This is an encouraging development; however, what constitutes best practice for nonpharmacologic management of low back pain (LBP) is largely unknown.DesignThe Improving Veteran Access to Integrated Management of Back Pain (AIM-Back) trial is an embedded pragmatic cluster-randomized trial that will examine the effectiveness of two different care pathways for LBP. Sixteen primary care clinics will be randomized 1:1 to receive training in delivery of 1) an integrated sequenced-care pathway or 2) a coordinated pain navigator pathway. Primary outcomes are pain interference and physical function (Patient-Reported Outcomes Measurement Information System Short Form [PROMIS-SF]) collected in the electronic health record at 3 months (n=1,680). A subset of veteran participants (n=848) have consented to complete additional surveys at baseline and at 3, 6, and 12 months for supplementary pain and other measures.SummaryAIM-Back care pathways will be tested for effectiveness, and treatment heterogeneity will be investigated to identify which veterans may respond best to a given pathway. Health care utilization patterns (including opioid use) will also be compared between care pathways. Therefore, the AIM-Back trial will provide important information that can inform the future delivery of nonpharmacologic treatment of LBP. | |
| dc.identifier | 6033503 | |
| dc.identifier.issn | 1526-2375 | |
| dc.identifier.issn | 1526-4637 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Oxford University Press (OUP) | |
| dc.relation.ispartof | Pain medicine (Malden, Mass.) | |
| dc.relation.isversionof | 10.1093/pm/pnaa348 | |
| dc.subject | Humans | |
| dc.subject | Low Back Pain | |
| dc.subject | Time Factors | |
| dc.subject | Veterans | |
| dc.subject | Randomized Controlled Trials as Topic | |
| dc.subject | Pain Management | |
| dc.subject | Surveys and Questionnaires | |
| dc.title | Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded Pragmatic Cluster-Randomized Trial. | |
| dc.type | Journal article | |
| duke.contributor.orcid | George, Steven Z|0000-0003-4988-9421 | |
| duke.contributor.orcid | Coffman, Cynthia J|0000-0002-4554-1463 | |
| duke.contributor.orcid | Lentz, Trevor A|0000-0002-4286-0733 | |
| duke.contributor.orcid | Goode, Adam P|0000-0002-0793-3298 | |
| duke.contributor.orcid | Simon, Corey B|0000-0002-6121-9511 | |
| duke.contributor.orcid | Cook, Chad E|0000-0001-8622-8361|0000-0002-5045-3281 | |
| duke.contributor.orcid | Keefe, Francis J|0000-0003-0583-9326 | |
| duke.contributor.orcid | Ballengee, Lindsay A|0000-0002-6555-3867 | |
| duke.contributor.orcid | Hastings, Susan N|0000-0002-5750-8820 | |
| pubs.begin-page | S62 | |
| pubs.end-page | S72 | |
| pubs.issue | Suppl 2 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Trinity College of Arts & Sciences | |
| pubs.organisational-group | Student | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Biostatistics & Bioinformatics | |
| pubs.organisational-group | Anesthesiology | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Orthopaedic Surgery | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Medicine, Geriatrics | |
| pubs.organisational-group | Medicine, Rheumatology and Immunology | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Psychology & Neuroscience | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Psychiatry, Child & Family Mental Health & Community Psychiatry | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Orthopaedic Surgery, Physical Therapy | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
| pubs.organisational-group | Duke - Margolis Center For Health Policy | |
| pubs.publication-status | Published | |
| pubs.volume | 21 |
Files
Original bundle
- Name:
- Improving Veteran Access to Integrated Management of Back Pain (AIM-Back) Protocol for an Embedded Pragmatic Cluster-Randomi.pdf
- Size:
- 458.61 KB
- Format:
- Adobe Portable Document Format
- Description:
- Published version