The focus of this study is to determine whether adding Whole Health Coaching (WHC) improves pain care among adults with chronic pain and who are currently working with a pain management team (PMT) at the VA.
High-impact chronic pain (defined using the Graded Chronic Pain Scale - Revised).
Active prescription for long-term opioid therapy (LTOT; including full agonist and buprenorphine) (>90 days continuous prescription).
Exhibit evidence of at least ONE opioid safety concern (*indicators of opioid safety concerns described below).
moderate-to-high dose opioid prescription (morphine equivalent daily dose >60mg)
Moderate to severe cognitive impairment as measured by the Blessed Orientation Memory Concentration (BOMC) screening tool.
Inability to read or understand English.
Severely impaired hearing or speech that would preclude participation in telephone interviews or appointments with the Whole Health Coach.
Terminal illness/disease with a prognosis of <12 months.