Inclusion Criteria:  Able to communicate in English or Spanish Age between 18-70 Visit with an FQHC provider (in-person or via telehealth) in past 90 days Back pain has been an ongoing problem for at least the past 3 months, and has been a problem on at least half the days in the past 6 months Access to resources necessary to receive telehealth sessions (phone or 2-way video)  Exclusion Criteria:  Currently pregnant Currently involved in active substance use disorder treatment (other than peer support groups, AA, etc.) History of spine surgery in past 6 months Has a condition restricting participation in physical activity (i.e., unable to ambulate independently (with or without assistive device) for at least 5 minutes. Reason for back pain is a fracture or non-musculoskeletal condition (i.e., spinal tumor, inflammatory disorder, etc.)