[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100645128":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":18,"locations":28,"responsibleParty":42,"collaborators":44,"id":54,"slug":55,"hasResults":56,"nctId":57,"briefTitle":58,"officialTitle":59,"acronym":60,"eligibilityCriteria":61,"healthyVolunteers":56,"sex":62,"minAge":63,"maxAge":18,"enrollmentInfo":64,"targetDuration":18,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":74,"overallStatus":80,"whyStopped":18,"lastUpdateSubmitDate":81,"lastUpdatePostDateStruct":82,"startDateStruct":85,"completionDateStruct":87,"leadSponsor":89,"locationsCount":90},{"fullName":5,"class":6},"Duke University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"ENCompaSS + Usual Va Care","ACTIVE_COMPARATOR","The ENCompaSS trial builds on pain navigation and management by integrating:\n\n* Structured pain education\n* Shared decision making using the OPTIONS decision aid\n* Facilitated referrals to preferred non pharmacologic treatments\n* Supported self-management (goal setting, problem solving, self-efficacy)\n* Asynchronous educational videos and optional SMS communication\n\nVeterans randomized to ENCompaSS receive at least three structured navigator-led phone sessions over 12 weeks, delivered by trained clinicians (e.g., nurses, physical therapists, health coaches) using existing VA resources.",[13],"Other: ENCompaSS (Education, Navigated Care, and Supported Self-Management) pain care program with usual care",{"label":15,"type":16,"description":17,"interventionNames":18},"VA Usual Care","NO_INTERVENTION","Participants randomized to usual care alone will receive standard pain treatment modalities employed within the VA Health Care System as directed by their treating providers. VA Usual care is guided by the Stepped Care Model for Pain Management (SCM-PM) which was implemented system-wide in 2009 through VHA Directive 2009-053. The SCM-PM is a tiered approach that begins with the least intensive and most accessible treatments, progressing to more specialized and intensive interventions as needed. Key components include initial assessment and management in primary care, with referrals to specialists in pain medicine, physical medicine, rehabilitation, and behavioral health when primary care interventions are insufficient. VA usual care participants will receive study materials to orient them to their treatment arm and provide assessment at multiple time points but will not receive any specific information or intervention related to LBP other than what normally would be provided.",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"ENCompaSS (Education, Navigated Care, and Supported Self-Management) pain care program with usual care","The ENCompaSS pain program was designed based on the Chronic Care Model (CCM), a widely used framework for organizing care for people with chronic diseases. In this model, the care provided for a chronic condition (high impact LBP) intentionally brings together the patient, provider, and system interventions necessary to accomplish the overall goal of improving pain outcomes and related co-morbidities. Our previous experiences with navigation in a previous study were only partially represented in the CCM.\n\nENCompaSS employs a more comprehensive blend of CCM elements, incorporating important domains such Self-Management Support, which we posit will result in better pain interference outcomes.",[9],[25],{"name":26,"affiliation":5,"role":27},"Susan Hastings, MD","PRINCIPAL_INVESTIGATOR",[29],{"facility":30,"status":18,"city":31,"state":32,"zip":33,"country":34,"countryCode":35,"cosmosGeoPoint":36,"geoPoint":41,"contacts":18},"Durham VA","Durham","North Carolina","27705","United States","US",{"type":37,"coordinates":38},"Point",[39,40],-78.89862,35.99403,{"lat":40,"lon":39},{"type":43,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR",[45,48,50,52],{"name":46,"class":47},"Durham VA Medical Center","FED",{"name":49,"class":6},"Indiana University",{"name":51,"class":6},"University of Arizona",{"name":53,"class":47},"Dallas VA Medical Center","100645128","comparing-strategies-to-improve-non-pharmacologic-pain-relief-for-adults-with-back-pain-using-the-education-navigated-care-and-supported-self-management-pain-care-program-100645128",false,"NCT07679178","Comparing Strategies to Improve Non-Pharmacologic Pain Relief for Adults With Back Pain Using the Education, Navigated Care, and Supported Self-management Pain Care Program","Comparing Strategies to Improve Non-Pharmacologic Pain Relief for Adults With Back Pain (The ENCompaSS Trial)","ENCompaSS","Inclusion Criteria:\n\n* Be age 18 years old or older\n* Have a VA outpatient clinic visit for low back pain within the previous 30 days\n* Be enrolled in a participating primary care clinic\n* Have high impact chronic pain per Graded Chronic Pain Scale (most days or every day on first 2 items)\n* Valid telephone access\n* Ability to provide informed consent\n\nExclusion Criteria:\n\n* Are currently hospitalized or residing in a nursing home\n* Have cognitive impairment or lack of decision-making capacity\n* Have a serious mental illness (e.g., schizophrenia, bipolar disorder, recent psychiatric hospitalization, high risk suicide flag)\n* Are unable to communicate by telephone or have no telephone access","ALL","18 Years",{"count":65,"type":66},530,"ESTIMATED","INTERVENTIONAL",[69],"NA","The goal of this clinical trial is to help Veterans manage high-impact chronic low back pain. The trial will use a program, ENCompaSS (Education, Navigated Care, and Supported Self-Management) designed to reduce pain more than usual care alone. Researchers will assess a) the impact of ENCompaSS, b) identify which Veterans benefit the most, and c) how this program can be delivered more broadly in other clinics and health systems.\n\nWhat Will Happen:\n\nVeterans in this clinical trial will be randomly placed into one of two groups.\n\nENCompaSS group (intervention):\n\n* Have at least three phone calls with a trained clinician over about 12 weeks\n* Watch short online videos about managing pain\n* Complete surveys before the study and again at 2, 4, 6, and 12 months\n\nUsual care group:\n\n* Will continue with regular care\n* Complete the same surveys at the same time points",[72,73],"Chronic Low-back Pain (cLBP)","High-Impact Chronic Pain (HICP)",[75,76,77,78,79],"Veterans","Low Back Pain","Clinical Pathway","Pain Management","Non-Pharmacologic","NOT_YET_RECRUITING","2026-06-25",{"date":83,"type":84},"2026-07-01","ACTUAL",{"date":86,"type":66},"2026-10",{"date":88,"type":66},"2029-07-31",{"name":5,"class":6},1]