The goal of this clinical trial is to help veterans manage high-impact chronic pain (HICP) in the lower back. The trial will use a program, ENCompaSS (Education, Navigated Care, and Supported Self-Management) designed to reduce pain more than usual care alone. Researchers will assess a) the impact of ENCompaSS, b) identify which veterans benefit the most, and c) how this program can be delivered more broadly in other clinics and health systems.
What Will Happen:
Veterans in this clinical trial will be randomly placed into one of two groups.
ENCompaSS group (intervention):
* Have at least three phone calls with a trained clinician over about 12 weeks
* Watch short online videos about managing pain
* Complete surveys before the study and again at 2, 4, 6, and 12 months
Usual Stepped Care group:
* Will continue with regular care
* Complete the same surveys at the same time points