[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100604465":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":32,"centralContacts":40,"locations":51,"responsibleParty":147,"collaborators":45,"id":149,"slug":150,"hasResults":151,"nctId":152,"briefTitle":153,"officialTitle":153,"acronym":154,"eligibilityCriteria":155,"healthyVolunteers":151,"sex":156,"minAge":157,"maxAge":45,"enrollmentInfo":158,"targetDuration":45,"studyType":161,"phases":162,"briefSummary":164,"conditions":165,"keywords":167,"overallStatus":54,"whyStopped":45,"lastUpdateSubmitDate":179,"lastUpdatePostDateStruct":180,"startDateStruct":183,"completionDateStruct":185,"leadSponsor":187,"locationsCount":188},{"fullName":5,"class":6},"VA Office of Research and Development","FED",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"PMT-WHC","EXPERIMENTAL","The PMT-WHC group will receive PMT Usual Care plus 8 sessions of Whole Health Coaching (WHC)",[13,14],"Other: Pain Management Team + Whole Health Coach (PMT-WHC)","Other: Pain Management Team-Usual Care (PMT-UC)",{"label":16,"type":17,"description":18,"interventionNames":19},"PMT-UC","ACTIVE_COMPARATOR","The PMT-UC group will receive PMT Usual Care",[14],[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"OTHER","Pain Management Team + Whole Health Coach (PMT-WHC)","Whole Health Coaching (WHC) begins by completing a Personalized Health Inventory (PHI), where progress is evaluated within 8 dimensions of health and wellness. The PHI culminates in defining personal values and overall goals for health and wellness (i.e., \"What do you want your health for?\"). This is used to create goals for a Personal Health Plan. The Plan emphasizes self-management strategies to manage pain. After the Plan is developed, ongoing support is provided from the Coach through 8-12 coaching sessions over approximately 5 months.",[9],[9],{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":31},"Pain Management Team-Usual Care (PMT-UC)","Pain Management Team-Usual Care (PMT-UC) involves working with VA PMTs that includes working with PMTs comply with legislation requiring each medical center to have PMTs with expertise in pain, addiction, behavioral approaches, and rehabilitation approaches. PMTs will conduct multidisciplinary intakes (at least two provider types) with biopsychosocial assessments for all new patients. Follow-up care will be determined by the PMTs based on what is clinically indicated (with recommended minimum medication management follow ups at 1- 3- and 6-months for patients making medication changes).",[16,9],[16],[33,37],{"name":34,"affiliation":35,"role":36},"Sara Edmond, PhD","VA Connecticut Healthcare System West Haven Campus, West Haven, CT","PRINCIPAL_INVESTIGATOR",{"name":38,"affiliation":39,"role":36},"Karen H Seal, MD MPH","San Francisco VA Medical Center, San Francisco, CA",[41,47],{"name":42,"role":43,"phone":44,"phoneExt":45,"email":46},"Danielle M Wesolowicz, PhD","CONTACT","(203) 932-5711",null,"Danielle.Wesolowicz@va.gov",{"name":48,"role":43,"phone":49,"phoneExt":45,"email":50},"Deanna J Ternes, BS","(971) 404-1473","deanna.ternes@va.gov",[52,79,90,110,126],{"facility":53,"status":54,"city":55,"state":56,"zip":57,"country":58,"countryCode":59,"cosmosGeoPoint":60,"geoPoint":65,"contacts":66},"Birmingham VA Medical Center, Birmingham, AL","RECRUITING","Birmingham","Alabama","35233-1927","United States","US",{"type":61,"coordinates":62},"Point",[63,64],-86.80249,33.52066,{"lat":64,"lon":63},[67,72,76],{"name":68,"role":43,"phone":69,"phoneExt":70,"email":71},"Kiara Parker, PharmD","(205) 933-8101","337667","kiara.parker@va.gov",{"name":73,"role":43,"phone":44,"phoneExt":74,"email":75},"Jennifer V Ibarra, MPH","1063","jennifer.ibarra@va.gov",{"name":77,"role":78,"phone":45,"phoneExt":45,"email":45},"Leah J Leisch, MD","SUB_INVESTIGATOR",{"facility":80,"status":81,"city":82,"state":83,"zip":84,"country":58,"countryCode":59,"cosmosGeoPoint":85,"geoPoint":89,"contacts":45},"Central Arkansas Veterans Healthcare System , Little Rock, AR","WITHDRAWN","Little Rock","Arkansas","72205",{"type":61,"coordinates":86},[87,88],-92.28959,34.74648,{"lat":88,"lon":87},{"facility":91,"status":54,"city":92,"state":93,"zip":94,"country":58,"countryCode":59,"cosmosGeoPoint":95,"geoPoint":99,"contacts":100},"Rocky Mountain Regional VA Medical Center, Aurora, CO","Aurora","Colorado","80045-7211",{"type":61,"coordinates":96},[97,98],-104.83192,39.72943,{"lat":98,"lon":97},[101,105,109],{"name":102,"role":43,"phone":103,"phoneExt":45,"email":104},"Joseph W Frank, MD MPH","(720) 857-2784","joseph.frank2@va.gov",{"name":106,"role":43,"phone":107,"phoneExt":45,"email":108},"Charlotte C Nolan, MPA","(720) 857-5091","Charlotte.Nolan@va.gov",{"name":102,"role":78,"phone":45,"phoneExt":45,"email":45},{"facility":35,"status":54,"city":111,"state":112,"zip":113,"country":58,"countryCode":59,"cosmosGeoPoint":114,"geoPoint":118,"contacts":119},"West Haven","Connecticut","06516-2770",{"type":61,"coordinates":115},[116,117],-72.94705,41.27065,{"lat":117,"lon":116},[120,123,124],{"name":121,"role":43,"phone":44,"phoneExt":45,"email":122},"Rolanda Chandler","rolanda.chandler@va.gov",{"name":34,"role":36,"phone":45,"phoneExt":45,"email":45},{"name":125,"role":78,"phone":45,"phoneExt":45,"email":45},"William C Becker, MD",{"facility":127,"status":54,"city":128,"state":129,"zip":130,"country":58,"countryCode":59,"cosmosGeoPoint":131,"geoPoint":135,"contacts":136},"Boise VA Medical Center, Boise, ID","Boise","Idaho","83702",{"type":61,"coordinates":132},[133,134],-116.20345,43.6135,{"lat":134,"lon":133},[137,140,144,146],{"name":138,"role":43,"phone":45,"phoneExt":45,"email":139},"Joseph Ineck","ART@va.gov",{"name":141,"role":43,"phone":142,"phoneExt":45,"email":143},"Isabella Jordan, BS","(206) 764-2388","isabella.jordan@va.gov",{"name":145,"role":78,"phone":45,"phoneExt":45,"email":45},"Alicia A Carrasco, MD",{"name":138,"role":78,"phone":45,"phoneExt":45,"email":45},{"type":148,"investigatorFullName":45,"investigatorTitle":45,"investigatorAffiliation":45,"oldNameTitle":45,"oldOrganization":45},"SPONSOR","100604465","pain-management-teams-using-whole-health-to-optimize-function-and-safety-in-veterans-the-teamwork-trial-100604465",false,"NCT07149870","Pain Management Teams Using Whole Health to Optimize Function and Safety in Veterans: The TEAMWORK Trial","TEAMWORK","Inclusion Criteria:\n\n1. High-impact chronic pain (defined using the Graded Chronic Pain Scale - Revised).\n2. Active prescription for long-term opioid therapy (LTOT; including full agonist and buprenorphine) (\\>90 days continuous prescription).\n3. Exhibit evidence of at least ONE opioid safety concern (\\*indicators of opioid safety concerns described below).\n\n   * Opioid safety concerns for inclusion purposes include:\n\n     1. moderate-to-high dose opioid prescription (morphine equivalent daily dose \\>60mg)\n     2. comorbid conditions that increase the risk of full-agonist opioids including chronic pulmonary disease (e.g., emphysema, chronic bronchitis, asthma, or other breathing problems), sleep apnea, chronic kidney disease, chronic hepatitis or cirrhosis\n     3. active high-risk co-prescriptions, including long-term benzodiazepine prescription, gabapentin or pregabalin, nonbenzodiazepine hypnotic agents or sedative hypnotics, or skeletal muscle relaxants\n     4. a positive TAPS or AUDIT-C score\n     5. reported score of \\>8 as measured by the Prescribed Opioids Difficulties Scale (PODS).\n\nExclusion Criteria:\n\n1. Moderate to severe cognitive impairment as measured by the Blessed Orientation Memory Concentration (BOMC) screening tool.\n2. Inability to read or understand English.\n3. Severely impaired hearing or speech that would preclude participation in telephone interviews or appointments with the Whole Health Coach.\n4. Terminal illness\u002Fdisease with a prognosis of \\\u003C12 months.\n5. Planned move\u002Frelocation outside of the treatment areas of the participating enrolling study sites.\n6. Participants actively working with a Whole Health Coach or who have worked with a Whole Health Coach in the 6-months prior to enrollment.\n7. Major surgical procedure planned during the study treatment or follow-up period.\n8. a recent suicide attempt, defined as documented and\u002For reported suicide attempt within 90 days of the screening date.","ALL","18 Years",{"count":159,"type":160},432,"ESTIMATED","INTERVENTIONAL",[163],"NA","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.",[166],"Chronic Pain",[168,169,170,166,171,172,173,174,175,176,177,178],"Opioid Use","Opioid Safety","Pain","Long-term Opioid Therapy","Pain Management","Opioid","Whole Health","Coaching","Whole Health Coaching","Pain, Chronic","Buprenorphine","2026-08-12",{"date":181,"type":182},"2026-08-17","ACTUAL",{"date":184,"type":182},"2025-11-20",{"date":186,"type":160},"2029-10-01",{"name":5,"class":6},5]