Cognitive Behavioral Therapy for Back and Neck Pain

(GOALS Trial)

This trial explores the effectiveness of a culturally adapted cognitive behavioral therapy program for Hispanic/Latino individuals with chronic neck or low back pain. Participants will either join an 8-week tele-rehabilitation program called the GOALS Intervention or receive the usual care at a local clinic. Researchers aim to determine if this new approach can reduce pain-related disability more effectively than standard physical therapy. Hispanic individuals experiencing chronic neck or low back pain and referred to physical therapy may find this trial suitable. As an unphased trial, it offers a unique opportunity to contribute to innovative research tailored to the community's needs.

The trial information does not specify whether you need to stop taking your current medications. It might be best to discuss this with the trial coordinators or your doctor.

Research has shown that cognitive behavioral therapy (CBT), such as the GOALS program, is generally safe for managing long-term pain. Studies have found that CBT can safely reduce pain and improve functionality. For example, a review of several studies found that CBT provided significant pain relief and outperformed standard care. Another study confirmed these results, showing safe improvements in pain management and overall function. No major negative effects have been reported with CBT, making it a well-tolerated choice for chronic spine pain. This therapy helps change thought patterns to manage pain without medication, reducing the risk of side effects.¹²³⁴⁵

Researchers are excited about the GOALS Intervention for back and neck pain because it combines cognitive-behavioral therapy with physical therapy in an innovative way. Unlike traditional in-person treatments, GOALS uses a hybrid tele-rehabilitation model, allowing patients to receive therapy remotely, which can be more convenient and accessible. This approach not only targets the physical aspects of pain but also addresses the mental components, potentially leading to more comprehensive and effective pain management.

Research has shown that cognitive behavioral therapy (CBT) can aid individuals with chronic low back pain by improving pain, reducing disability, and boosting confidence in pain management. In this trial, participants may receive the GOALS Intervention, an experimental CBT-based program. Studies have found it often outperforms standard treatments in reducing pain and disability. Although evidence for neck pain is less robust, CBT still positively affects chronic back pain. The GOALS program has been specially adapted for Hispanic and Latino individuals, potentially enhancing its effectiveness for them. Overall, CBT is well-supported as a helpful treatment for chronic spine pain.³⁴⁵⁶⁷