VA Transitional Pain Service Study

Conditions

• Chronic Opioid Use

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Transitional Pain Service — BEHAVIORAL
  The Transitional Pain Service (TPS) is a novel perioperative surgical home approach that consists of comprehensive pain management and care coordination before, during and for at least 6-months after surgery for Veterans at risk for chronic opioid use (COU).

Study Details

The VA Community Care Program has provided an important resource to improve access to surgical care for Veterans unable to have treatment at VA Medical Centers (VAMC). However, there is an increased risk of developing chronic opioid use when at-risk surgical patients receive opioids from non-VA providers. A multidisciplinary approach to perioperative pain management known as the Transitional Pain Service (TPS) has been shown to effectively reduce chronic opioid use among Veterans after surgery, but it is unknown whether it can be used to achieve the same outcomes for Veterans using Community Care for high-risk surgery. Through this project, the investigators will generate important data to establish whether a telehealth TPS approach can serve as a scalable and effective strategy to ensure safe opioid use among Veterans undergoing orthopedic surgery. The investigators will randomize Veterans using Community Care for orthopedic surgery to telehealth TPS versus standard of care. Finally, the investigators will interview patients using Community Care to better understand barriers and facilitators to telehealth TPS and Veteran satisfaction with the approach to pain management.

Key Dates

Start date

Mar 1, 2024

Status verified

Apr 2026

Primary completion

Mar 1, 2027

Completion

Jul 1, 2027

Study Design

Enrollment

400 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Arms

• Experimental: Telehealth Transitional Pain Service + Standard Postoperative Follow-Up Care
  Telehealth Transitional Pain Service + Standard Postoperative Follow-Up Care
• Active Comparator: Standard Follow Up Care
  Standard Follow Up Care

Primary Outcome Measure

Persistent post-surgical opioid use [ Time Frame: 90 days after surgery ]

Central Contacts

• Benjamin S Brooke, MD PhD
  (801) 582-1565
  [email protected]
• Julie L Hales
  (801) 582-1565
  [email protected]

Locations (1)

Find similar trials in Salt Lake City, UT

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