DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (VA Form 10-0532a-k)]
Agency Information Collection: Emergency Submission for OMB Review (PACT: Clinical Innovation Study--Helping Veterans Manage Chronic Pain); Comment Request
Titles:Clinical Innovation Study—Helping Veterans Manage Chronic Pain
a. Pain Care Management Tracking Tool, VA Form 10-0532.
b. Pain Care Management Self Monitoring Form (unpublished), VA Form 10-0532a.
c. Pain Outcomes Questionnaire (Clark, Gironda, & Young, 2003), VA Form 10-0532b.
d. The Multidimensional Pain Inventory (MPI; Kearns, Turk, & Rudy, 1985), VA Form 10-0532c.
e. Pain Catastrophizing Scale (Osman, Barrios, Gutierrez, Kopper, Merrifield, & Grittmann, 2000), VA Form 10-0532d.
f. The Oswestry Disability Index (Fairbank & Pynsent, 2000), VA Form 10-0532e.
g. Brief Pain Inventory—Short Form (BPI; Cleeland, 1991). Administered at baseline and each follow-up, VA Form 10-0532f.
h. Fear-Avoidance Beliefs Questionnaire (FABQ; Waddell, Newton, et al., 1993), VA Form 10-0532g.
i. The Brief COPE (Carver, 1997), VA Form 10-0532h.
j. Depression and Anxiety Stress Scales (DASS-21; Lovibond & Lovibond, 1995), VA Form 10-0532i.
k. Patient Health Questionnaire (PHQ-9; Kroenke, Spitzer, & Williams, 2001), VA Form 10-0532j.
l. Generalized Anxiety Disorder (GAD-7); Spitzer, Kroenke, Williams, & Lowe, 2006), VA Form 10-0532k.
OMB Control Number:2900-New.
Type of Review:New data collection.
Abstract:The data collected on VA Form 10-0532a-k will be used to: (1) Assess the effectiveness of patient care management (PCM) in increasing patients' functionality, improving quality of life, and improving pain control relative to usual care and (2) to assess the impact of PCM on depression and anxiety relative to usual care. This data collection's model has been designed to serve patients by augmenting existing pain management interventions (e.g., medications, physical therapy) by teaching pain care management skills that patients can incorporate into their daily activities. VA will use the information to evaluate the effectiveness of the intervention so that it can most effectively be applied to future patients with chronic pain problems.