Inclusion Criteria:  Referred to physical therapy by primary care physician 18-66 years old Hispanic Diagnosis of chronic neck or low back pain  Exclusion Criteria:  Tumor, infection, or other major medical problem affecting the neck or low back Health problems that severely affect ability to move, walk one block, or participate in exercise Presence of external incentives for non-recovery (e.g., litigation, worker's compensation benefits) Initiating or receiving any new psychotherapy or behavioral health treatment for the neck or low back pain during the observation period Diagnosis of a major psychological condition (e.g., schizophrenia, psychosis, bipolar disorder) Inability to provide a stable address with access to a telephone or any other reason that would preclude participation in a telephone-based intervention Pregnant or lactating.