Telecare Intervention Improves Chronic Pain for VA Patients
A telecare intervention using basic telephone technology and collaborative care management resulted in clinically meaningful improvements in chronic musculoskeletal pain compared with usual care, according to an article published online July 15 in JAMA.
Kurt Kroenke, MD, from the Veterans Administration (VA) Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, Indiana, and colleagues conducted a randomized trial involving 250 patients from 5 primary care clinics within the center between June 2010 and May 2012.
Of the 250 patients, research assistants randomly assigned 124 to an intervention group and 126 to a usual-care group. All patients had chronic musculoskeletal pain for at least 3 months of at least moderate intensity, meaning a Brief Pain Inventory score of 5 or more on a 10-point scale. Movement of 1 point on the scale is considered clinically meaningful.