A phone call could ease chronic pain and depression in older veterans
NCT ID NCT05220202
First seen Aug 28, 2026 · Last updated Sep 09, 2026 · Updated 2 times
Summary
This trial tests a telephone-based coaching program called MOTIVATE for older veterans who live with chronic musculoskeletal pain and depression. Participants receive eight individual phone sessions with a health coach over up to five months, focusing on managing pain and mood. Researchers measure whether the program reduces pain interference and depressive symptoms compared with usual care. The goal is to see if this practical, home-based approach can improve daily functioning and emotional well-being.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MOTIVATE, a telephone-based behavioral coaching program
- What this could lead to
- If it works, this could offer a practical, home-based way to reduce pain interference and depressive symptoms in older veterans with chronic musculoskeletal pain.
- What could go wrong
- The trial is relatively small and the intervention is behavioral, so results may vary. The program requires active participation over several months, and benefits may not persist after coaching ends.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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214 people
The number who actually took part.
- Started
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Sep 2023
- Finished
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Jul 2026
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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60 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * English- speaking * Self-reported musculoskeletal (MSK) pain (include Chronic low back pain (cLBP) +/- radiating symptoms, osteoarthritis (OA), fibromyalgia) on most days for the past 3 months that interferes with daily activities * Pain intensity that is 4+/10 on the numerical pain rating scale * Pain interference threshold 5+ on 3-item Pain, Enjoyment of Life, and General Activity scale (PEG-3) * Depressive symptoms, 10+ on the Patient Health Questionnaire-9 (PHQ-9) * Capable of participating in home-based activity * Interested in participating in a non-pharmacologic program Exclusion Criteria: * No telephone * Not English speaking * Unwilling to be randomized to either study arm * Not interested in participating in a non-pharmacologic program * Self-reported uncorrected hearing and visual impairments precluding ability to participate in telephone sessions or read pedometer screen * Significant (moderate or severe) cognitive impairment (3+ errors) on six-item screening exam * Self-reported dependence on wheelchair, bed-bound, or severe balance impairment or severe osteoarthritis (OA)\* (resulting in inability to participate in physical activity intervention) * Illness requiring hospitalization within the last 3 months that interferes with a home-based physical activity intervention (e.g., fall, gout attack, stroke, heart attack, heart failure, surgery for blocked arteries) * Suicidal intent (see suicide screening protocol), uncontrolled psychotic disorder or psychiatric hospitalization within 1 year, or enrolled in active substance use program (confirmed with scripted protocol over telephone)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Michael E. DeBakey VA Medical Center, Houston, TX
Houston, Texas, 77030-4211, United States
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VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX
Dallas, Texas, 75216-7167, United States
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