Fibromyalgia & musculoskeletal pain
Testing a Personalized Approach to Chronic Low Back Pain: A Randomized Controlled Trial in Older Veterans
Authors' conclusion
We did not find confirmatory evidence that personalized care (ABC) was superior with respect to ODI.
Study context
- Population
- Veterans aged 65 to 89 with chronic low back pain, three Veterans Affairs (VA) medical centers12 months of follow-up
- Participants
- 299 veterans
- Comparison
- Personalized care in Aging Back Clinics vs usual care
- Primary endpoint
- Change in the Oswestry Disability Index (ODI)
- Follow-up
- 6 months
Methodological detailsmulticentre (three VA medical centers)
- Multicentre (three VA medical centers)
Primary result
As reported in the abstract
Change in ODI
- No significant group differences in Oswestry Disability Index (ODI) change
- Intention-to-treat
Secondary outcomes
| Outcome | ABC | UC |
|---|---|---|
| PROMIS-29 physical function scale, change · 12 months | 1.7 points | −0.4 points |
| PROMIS Global physical health, change · 6 months | 1.3 | −1.2 |
| PROMIS Global physical health, change · 12 months | 0.7 | −1.5 |
| PROMIS Global mental health, change · 6 months | 0.2 | −2.3 |
- Present and prior week average/worst pain · over 12 months · greater improvement with ABC
- all P < 0.05
- Falls · over 12 months · marginally fewer falls with ABC
- P = 0.0527
- PROMIS-29 physical function scale, change: greater improvement with ABC; all P < 0.05
- PROMIS Global physical health, change: greater improvement with ABC; all P < 0.05
- PROMIS Global physical health, change: greater improvement with ABC; all P < 0.05
- PROMIS Global mental health, change: greater improvement with ABC; all P < 0.05
Original publication
Testing a Personalized Approach to Chronic Low Back Pain: A Randomized Controlled Trial in Older Veterans. Arthritis Care Res (Hoboken). Published 8 February 2026. doi:10. 1002/ acr. 25671
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