MAGIC Study: More Access to Group Integrative Care

Reach: Total Patients Reached,Reach: Race of Patients Reached,Reach: Ethnicity of Patients Reached,Reach: Gender of Patients Reached,Reach: Age of Patients Reached,Adoption,Acceptability: Patients,Acceptability: Clinic Personnel,Cost: Patient Perspective,Cost: Clinic Perspective,Fidelity,Maintenance: 6 months,Maintenance: 12 months

Chronic pain impacts about 20% of US Adults. Though non-pharmacologic, integrative pain
 management therapies are now considered first-line treatment by clinical guidelines, these
 therapies are still rarely covered by health insurance and therefore inaccessible to
 lower-income individuals. The Integrative Medical Group Visit (IMGV) program was developed to
 offer low-income, diverse patients with chronic pain an introduction to integrative pain
 management approaches, through a model that is covered by health insurance under existing
 billing codes. An initial pragmatic randomized control trial found that IMGV led to
 significant improvement in mental health related quality of life and lower use of high-cost
 care. However, there has been little research investigating the implementation of IMGV, and
 none in Federally-Qualified Health Centers (FQHCs), where the program was initially designed
 to be implemented. In this study, the investigators test strategies to implement IMGV in
 FQHCs, including training and coaching clinic staff, and measure the effectiveness of the
 IMGV on health outcomes for patients with chronic pain.