TY  - JOUR
AU  - Munk, Niki
AU  - Daggy, Joanne K
AU  - Evans, Erica
AU  - Kline, Matthew
AU  - Slaven, James E
AU  - Laws, Brian
AU  - Foote, Trevor
AU  - Matthias, Marianne S
AU  - Bair, Matthew J
PY  - 2022
DA  - 2022/9/27
TI  - Therapist-Delivered Versus Care Ally–Assisted Massage for Veterans With Chronic Neck Pain: Protocol for a Randomized Controlled Trial
JO  - JMIR Res Protoc
SP  - e38950
VL  - 11
IS  - 9
KW  - Veterans
KW  - chronic neck pain
KW  - integrative medicine
KW  - whole health
KW  - modified trial design
KW  - therapist-delivered versus care ally–assisted massage for Veterans with chronic neck pain
KW  - TOMCATT
AB  - Background: Chronic neck pain (CNP) is prevalent, and it reduces functional status and quality of life and is associated with deleterious psychological outcomes in affected individuals. Despite the desirability of massage and its demonstrated effectiveness in CNP treatment, multiple accessibility barriers exist. Caregiver-applied massage has demonstrated feasibility in various populations but has not been examined in Veterans with CNP or compared in parallel to therapist-delivered massage. Objective: This manuscript described the original study design, lessons learned, and resultant design modifications for the Trial Outcomes for Massage: Care Ally–Assisted Versus Therapist-Treated (TOMCATT) study. Methods: TOMCATT began as a 3-arm, randomized controlled trial of 2 massage delivery approaches for Veterans with CNP with measures collected at baseline, 1 and 3 months after intervention, and 6 months (follow-up). Arm I, care ally–assisted massage, consisted of an in-person, 3.5-hour training workshop, an instructional DVD, a printed treatment manual, and three 30-minute at-home care ally–assisted massage sessions weekly for 3 months. Arm II, therapist-treated massage, consisted of two 60-minute sessions tailored to individual pain experiences and treatments per week for 3 months. The treatments followed a standardized Swedish massage approach. Arm III consisted of wait-list control. Results: Retention and engagement challenges in the first 30 months were significant in the care ally–assisted massage study arm (63% attrition between randomization and treatment initiation) and prompted modification to a 2-arm trial, that is, removing arm I. Conclusions: The modified TOMCATT study successfully launched and exceeded recruitment goals 2.5 months before the necessary COVID-19 pause and is expected to be completed by early 2023. Trial Registration: ClinicalTrials.gov NCT03100539; https://clinicaltrials.gov/ct2/show/NCT03100539 International Registered Report Identifier (IRRID): DERR1-10.2196/38950 
SN  - 1929-0748
UR  - https://www.researchprotocols.org/2022/9/e38950
UR  - https://doi.org/10.2196/38950
UR  - http://www.ncbi.nlm.nih.gov/pubmed/36166287
DO  - 10.2196/38950
ID  - info:doi/10.2196/38950
ER  -