{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T02:31:01Z","timestamp":1777948261857,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006379","name":"Office of Research and Development","doi-asserted-by":"publisher","award":["#101RX002808"],"award-info":[{"award-number":["#101RX002808"]}],"id":[{"id":"10.13039\/100006379","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to test the efficacy of personalized treatment of older veterans with chronic low back pain (CLBP) delivered by Aging Back Clinics (ABCs) as compared with usual care (UC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two hundred ninety\u2010nine veterans aged 65 to 89 with CLBP from three Veterans Affairs (VA) medical centers underwent baseline testing, randomization to ABC or UC, and 12 months of follow\u2010up. ABC care was guided by trained physicians and published algorithms targeting key conditions contributing to CLBP (eg, hip osteoarthritis, depression, fibromyalgia). UC was guided by the participant's primary care provider. The primary outcome was six\u2010month change in the Oswestry Disability Index (ODI). Among multiple secondary outcomes were pain intensity, quality of life (Patient\u2010Reported Outcomes Measurement Information System [PROMIS]\u2010Global Health), self\u2010reported physical function (PROMIS\u201029), falls, life space, and health care utilization collected at 3, 6, 9, and 12 months. Analyses were conducted according to intention\u2010to\u2010treat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant group differences in ODI change. Greater improvement with ABC in the PROMIS\u201029 physical function scale was observed at 12 months (1.7 vs \u22120.4 points), PROMIS Global physical health at 6 (1.3 vs \u22121.2) and 12 months (0.7 vs \u22121.5), PROMIS Global mental health at 6 months (0.2 vs \u22122.3), and present and prior week average\/worst pain over 12 months (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). There were marginally fewer falls over 12 months (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.0527).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We did not find confirmatory evidence that personalized care (ABC) was superior with respect to ODI. We did find preliminary evidence that ABC was superior in other respects including improved self\u2010reported physical health, less pain, and fewer falls.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.25671","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T01:39:16Z","timestamp":1761097156000},"page":"609-619","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Testing a Personalized Approach to Chronic Low Back Pain: A Randomized Controlled Trial in Older Veterans"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-3155","authenticated-orcid":false,"given":"Debra K.","family":"Weiner","sequence":"first","affiliation":[{"name":"Geriatric Research, Education and Clinic Center, VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania"},{"name":"VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Gentili","sequence":"additional","affiliation":[{"name":"Central Virginia VA Health Care System  Richmond"},{"name":"Virginia Commonwealth University Health System  Richmond"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meika A.","family":"Fang","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Healthcare System  Los Angeles California"},{"name":"David Geffen School of Medicine University of California  Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Garay","sequence":"additional","affiliation":[{"name":"VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Lawson","sequence":"additional","affiliation":[{"name":"Central Virginia VA Health Care System  Richmond"},{"name":"Virginia Commonwealth University Health System  Richmond"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenore","family":"Joseph","sequence":"additional","affiliation":[{"name":"Central Virginia VA Health Care System  Richmond"},{"name":"Virginia Commonwealth University Health System  Richmond"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy C.","family":"Lee","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California  Los Angeles"},{"name":"Geriatric Research Education and Clinic Center, VA Greater Los Angeles Healthcare System  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle I.","family":"Rossi","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education and Clinic Center, VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania"},{"name":"School of Medicine University of Pittsburgh  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beverly","family":"Thorn","sequence":"additional","affiliation":[{"name":"University of Alabama  Tuscaloosa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subashan","family":"Perera","sequence":"additional","affiliation":[{"name":"VA Pittsburgh Healthcare System  Pittsburgh Pennsylvania"},{"name":"Graduate School of Public Health University of Pittsburgh  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2003.09.0371"},{"key":"e_1_2_6_3_1","unstructured":"National Center for Veterans Analysis and Statistics.U.S. Department of Veterans Affairs. 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