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Abstract Details

Stakeholder Feedback on Novel Behavioral Intervention Targeting Chronic Low Back Pain and Comorbid Depression in Older Adults
Pain
P12 - Poster Session 12 (12:00 PM-1:00 PM)
6-008
To develop a unique telephone delivered behavioral intervention that is feasible, improves physical activity and ultimately pain, function, and depression among older Veterans with chronic low back pain and depression.
Chronic low back pain (cLBP) and depression often coexist; current non-pharmacologic interventions have not focused on older adults with these challenging comorbidities. MOTIVATE (Moving to Improve Chronic Back Pain and Depression in Older Adults) is a novel 8-session, 12-week, telephonic behavioral intervention targeting older adults with cLBP and comorbid depression. A health coach utilizes motivational interviewing and goal setting to increase physical activity, thereby improving back pain-related disability and depression.

The PARiHS (Promoting Action on Research Implementation in Health Services) framework was used to facilitate in-depth interviews with key stakeholders: Veterans (n=4) who received MOTIVATE, primary care providers (PCP) (n=4), clinic director (n=1), and health coach (n=1).

We enrolled 8 Veterans; 75% were white, 87% were male, with a mean age of 70 years. The mean pain intensity score was 7.3/10; back pain-specific Roland Morris Disability Scale was 16.5/24; and depression (PHQ-9) score was 16.7/27. Briefly, Veterans engaged well with the health coach and were motivated to walk with a pedometer and coaching. PCPs attributed the success of MOTIVATE to the personal qualities and engagement of the health coach. The health coach noted that Veterans could identify value concordant goals and easily link these to physical activities. All stakeholders stated that the individual health coach plays a critical role in activating and motivating older Veterans with complex medical and psychiatric issues.
This pilot study showed that we were able to effectively recruit older Veterans with cLBP and depression and deliver MOTIVATE via telephone. Feedback from key stakeholders regarding the iterative refinement of recruitment, study procedures, and content will aid the future evaluation and implementation of MOTIVATE.
Authors/Disclosures
Ailing E. Yang, MD
PRESENTER 		Dr. Yang has nothing to disclose.
No disclosure on file
No disclosure on file
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