Adapting and Implementing a Nurse Care Management Model to care for Rural Patients with Chronic Pain (AIM-CP) is adapting and testing a nurse care management model to provide comprehensive coordinated care for patients with chronic pain in rural communities. The long term goal of this study is To reduce geographic disparities in pain-related outcomes through dissemination of this comprehensive approach to chronic pain management.
The 46 million Americans who live in rural areas frequently lack access to evidence-based, non-pharmacologic treatments for chronic pain. As such, a critical need exists to implement effective, comprehensive programs for pain management that include non- pharmacologic treatment options. Nurse care management (NCM) has been successfully used to enhance care for individuals with other chronic conditions or at high risk of complications. Using a type 2 hybrid effectiveness-implementation design, we propose to adapt, pilot, and implement a NCM model that includes care coordination, cognitive behavioral therapy (CBT), and referrals to a remotely delivered exercise program for rural patients with chronic pain. Each health system will identify appropriate health care professionals to be trained as care managers.
Funding: NIH Pragmatic Trials Collaboratory