Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial

Study design and sample characteristics

Kurt Kroenke, Erica Evans, Sharon Weitlauf, Stephanie McCalley, Brian Porter, Tabeel Williams, Fitsum Baye, Spencer G. Lourens, Marianne Matthias, Matthew Bair

Research output: Contribution to journalArticle

4 Citations (Scopus)

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. Trial registration: clinicaltrials.gov Identifier: NCT01757301.

Original languageEnglish (US)
JournalContemporary Clinical Trials
DOIs
StateAccepted/In press - 2017

Fingerprint

Pain Management
Anxiety
Depression
Pain
Primary Health Care
Self Care
Delivery of Health Care
Mental Health
Quality of Life
Psychology
Medical Informatics
Mental Disorders
Chronic Pain
Internet
Comorbidity
Outpatients
Technology
Physicians

Keywords

  • Anxiety
  • Clinical trial
  • Depression
  • Pain
  • Patient-reported outcome
  • Telehealth
  • Telemedicine

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial : Study design and sample characteristics. / Kroenke, Kurt; Evans, Erica; Weitlauf, Sharon; McCalley, Stephanie; Porter, Brian; Williams, Tabeel; Baye, Fitsum; Lourens, Spencer G.; Matthias, Marianne; Bair, Matthew.

In: Contemporary Clinical Trials, 2017.

Research output: Contribution to journalArticle

Kroenke, Kurt ; Evans, Erica ; Weitlauf, Sharon ; McCalley, Stephanie ; Porter, Brian ; Williams, Tabeel ; Baye, Fitsum ; Lourens, Spencer G. ; Matthias, Marianne ; Bair, Matthew. / Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) trial : Study design and sample characteristics. In: Contemporary Clinical Trials. 2017.
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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. Trial registration: clinicaltrials.gov Identifier: NCT01757301.",
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AU - Porter, Brian

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