MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression

Description

The proposed study seeks to evaluate effectiveness, implementation processes, and cost of MOTIVATE among older Veterans with chronic musculoskeletal (MSK) pain and comorbid depressive symptoms.

Conditions

Chronic Back Pain, Depression, Aging, Musculoskeletal Pain

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Study Overview

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Study Details

Study overview

The proposed study seeks to evaluate effectiveness, implementation processes, and cost of MOTIVATE among older Veterans with chronic musculoskeletal (MSK) pain and comorbid depressive symptoms.

MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression

MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression

Condition
Chronic Back Pain
Intervention / Treatment

-

Contacts and Locations

Dallas

VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX, Dallas, Texas, United States, 75216-7167

Houston

Michael E. DeBakey VA Medical Center, Houston, TX, Houston, Texas, United States, 77030-4211

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Aged 60 and older
  • * English- speaking
  • * Self-reported MSK pain (include cLBP +/- radiating symptoms, OA, fibromyalgia) on most days for the past 3 months that interferes with daily activities
  • * Pain intensity that is 4+/10 on the numerical pain rating scale
  • * Pain interference threshold 5+ on PEG-3
  • * Depressive symptoms, 10+ on PHQ-9
  • * Capable of participating in home-based activity
  • * Interested in participating in a non-pharmacologic program
  • * Aged 59 or less
  • * No telephone
  • * Not English speaking
  • * Unwilling to be randomized to either study arm
  • * Not interested in participating in a non-pharmacologic program
  • * Self-reported uncorrected hearing and visual impairments precluding ability to participate in telephone sessions or read pedometer screen
  • * Significant (moderate or severe) cognitive impairment (3+ errors) on six-item screening exam
  • * Self-reported dependence on wheelchair, bed-bound, or severe balance impairment or severe OA\* (resulting in inability to participate in physical activity intervention)
  • * Illness requiring hospitalization within the last 3 months that interferes with a home-based physical activity intervention (e.g., fall, gout attack, stroke, heart attack, heart failure, surgery for blocked arteries)
  • * Suicidal intent (see suicide screening protocol), uncontrolled psychotic disorder or psychiatric hospitalization within 1 year, or enrolled in active substance use program (confirmed with scripted protocol over telephone)

Ages Eligible for Study

60 Years to 99 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

VA Office of Research and Development,

Una E. Makris, MD MSc, PRINCIPAL_INVESTIGATOR, VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX

Study Record Dates

2026-12-01