Th Stepped-Care Intervention of Music and Imagery to Assess Relief (SCIMITAR) Trial. SCIMITAR builds on our pilot study, the Feasibility and Acceptability of Music Imagery and Listening Interventions for Analgesia (FAMILIA), which demonstrated that telehealth delivery of music listening (ML) and music imagery (MI) interventions is feasible and acceptable to Veterans with chronic musculoskeletal pain. SCIMITAR leverages what we learned from FAMILIA into a fully powered trial, harnessing the benefits of sequential ML and MI into a stepped-care, music therapy intervention via telehealth for Veterans needing relief from pain.
musculoskeletal pain in the low back, cervical spine, or extremities (hips, knees, or shoulders) for ≥ 3 months
at least moderate pain severity, defined as a PEG score ≥ 4 on a 0 (no pain) to 10 (worst pain)
access to computer, tablet, or smartphone
ability to pass a technology assessment
Past month hospitalization for medical or psychiatric illness
housing insecurity
suicidal ideation with current intent/plan
hearing or cognitive impairment that may interfere with music listening or abstract thinking needed for imagery work
Parallel
Stepped-care
BehavioralMusic listening in Step 1 and Music and imagery in step 2
Brief Pain Inventory - Pain Interference
Assesses how pain interferes with 7 activities of daily living
Numeric rating scale
Assess pain severity
Patient Global Impression of Change
Assess treatment response
PROMIS Sleep Scale
Assesses quality of sleep
GAD-7 Anxiety
Assesses anxiety symptoms
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Henry M. Jackson Foundation for the Advancement of Military Medicine
Lead sponsor
Indiana Institute for Medical Research
Collaborator
