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Holistic Pain Care in Military Health System

Award Number: UH3AT012859
ORGANIZATION: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/05/2024
PERIOD OF PERFORMANCE END DATE: 08/31/2029

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Holistic Pain Care in Military Health System - PROJECT SUMMARY Chronic pain is a ubiquitous problem and growing concern for the Military Health System (MHS). Chronic musculoskeletal (MSK) pain are the most common chronic pain conditions in the MHS. Numerous recommendations have been made to improve care for chronic MSK pain in the MHS. First, the Office of the Army Surgeon General is promoting transition of the MHS to a holistic health system that seeks to maintain, restore and improve health through team-based care supporting self-management. recognize the complex, biopsychosocial nature of chronic pain. Second, a stepped care approach to pain management is advocated to make less intensce but effective, first-line care broadly available and basing subsequent care on response to first-line options. While the MHS has articulated its vision for holistic pain care delivered within a stepped care framework, there is a need for research addressing key questions of which interventions are most effective and how to operationalize the stepped care model. In addition, pragmatic, sustainable, strategies to implement holistic pain care in the MHS are needed. Electronic health records (EHR) are increasingly used to implement evidence-based interventions, but have not been widely tested in the MHS. The MHS has deployed a new system-wide EHR with standards-based capabilities for decision-support, making EHR-based implementation a timely option with high potential for future scalability. Our goal in this project is to improve pain care in the MHS by identifying effective, whole-person, non-pharmacologic interventions for persons with chronic MSK pain. We will evaluate two promising, evidence-based interventions; Empowered Relief (ER) and Move-to-Health (M2H). The current environment and policy priorities in the Department of Defense and MHS makes this the ideal time to evaluate holistic pain interventions and test strategies for stepped care delivery. Our project has two Phases: 1) a UG3 Planning Phase, and 2) a UH3 Clinical Trial Phase. In the UG3 phase the plans for implementation across MHS sites will be completed and all necessary preparations will be made for the clinical trial/ In the UH3 phase we will conduct a hybrid type-I, individually-randomized pragmatic clinical trial comparing M2H vs. ER as first-line holistic pain interventions, and examining a stepped care strategy of providing ER first, followed by M2H for non-responders. We will use EHR-based strategies to connect patients with chronic MSK pain in primary care clinics with the holistic pain management strategies. The primary outcome will be the PEG measure of pain impact. Secondary outcomes will include additional effectiveness measures as well as implementation outcomes grounded in a RE-AIM framework.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $1,218,888 )
2026	2026	UNIVERSITY OF UTAH	201 PRESIDENTS CIR	SALT LAKE CITY	UT	84112	SALT LAKE	USA	Research and Training in Complementary and Integrative Health	000	3	9/1/2026	NON-COMPETING CONTINUATION	$1,218,888
														Subtotal = $1,218,888

Issue Date FY: 2025 ( Subtotal = $1,259,049 )
2025	2025	UNIVERSITY OF UTAH	201 PRESIDENTS CIR	SALT LAKE CITY	UT	84112	SALT LAKE	USA	Research and Training in Complementary and Integrative Health	000	2	9/5/2025	EXTENSION WITH OR WITHOUT FUNDS	$1,259,049
														Subtotal = $1,259,049

Grand Total All Awards = $2,477,937

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Holistic Pain Care in Military Health System

Award Number: UH3AT012859

ORGANIZATION: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/05/2024

PERIOD OF PERFORMANCE END DATE: 08/31/2029

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