Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial: Study design and sample characteristics
dc.contributor.author | Kroenke, Kurt | |
dc.contributor.author | Evans, Erica | |
dc.contributor.author | Weitlauf, Sharon | |
dc.contributor.author | McCalley, Stephanie | |
dc.contributor.author | Porter, Brian | |
dc.contributor.author | Williams, Tabeel | |
dc.contributor.author | Baye, Fitsum | |
dc.contributor.author | Lourens, Spencer G. | |
dc.contributor.author | Matthias, Marianne S. | |
dc.contributor.author | Bair, Matthew J. | |
dc.contributor.department | Medicine, School of Medicine | en_US |
dc.date.accessioned | 2017-12-01T20:03:24Z | |
dc.date.available | 2017-12-01T20:03:24Z | |
dc.date.issued | 2017 | |
dc.description.abstract | Background Pain is the most common presenting somatic symptom in medical outpatients, and depression and anxiety are the two most common mental disorders. They frequently co-occur, are under-treated, and result in substantial disability and reduced health-related quality of life. Objectives The Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) study is a randomized comparative effectiveness trial designed to test the relative effectiveness of a lower-resource vs. a higher-resource technology-assisted intervention for the management of patients suffering from pain plus anxiety and/or depression. Methods/design CAMMPS has enrolled 294 primary care patients with chronic pain plus comorbid anxiety and/or depression and randomized them to either: 1) Assisted Symptom Management (ASM) consisting of automated symptom monitoring by interactive voice recording or Internet and prompted pain and mood self-management; or 2) Comprehensive Symptom Management (CSM) which combines ASM with optimized medication management delivered by a nurse-physician specialist team and facilitated mental health care. Outcomes are assessed at baseline, 1, 3, 6, and 12 months. The primary outcome is a composite pain-anxiety-depression (PAD) severity score. Secondary outcomes include individual pain, anxiety, and depression scores, health-related quality of life, disability, healthcare utilization, and treatment satisfaction. Discussion CAMMPS provides an integrated approach to PAD symptoms rather than fragmented care of single symptoms; coordinated symptom management in partnership with primary care clinicians and psychologists embedded in primary care; efficient use of health information technology; attention to physical and psychological symptom comorbidity; and the coupling of self-management with optimized medication management and facilitated mental health care. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Kroenke, K., Evans, E., Weitlauf, S., McCalley, S., Porter, B., Williams, T., … Bair, M. J. (2017). Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial: Study design and sample characteristics. Contemporary Clinical Trials. https://doi.org/10.1016/j.cct.2017.10.006 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/14710 | |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | 10.1016/j.cct.2017.10.006 | en_US |
dc.relation.journal | Contemporary Clinical Trials | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | Author | en_US |
dc.subject | pain | en_US |
dc.subject | depression | en_US |
dc.subject | anxiety | en_US |
dc.title | Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial: Study design and sample characteristics | en_US |
dc.type | Article | en_US |