Please select the eligibility criteria that correspond to the clinical trial below.
Title: Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older Adults
Brief Summary: This study compares the efficacy of three group interventions for people with co-morbid osteoarthritis (OA) and insomnia to help them manage their OA symptoms. The investigators hypothesize that a combination cognitive-behavioral treatment will produce significantly greater initial and long-term improvements in OA symptoms than will the other two treatments.


Options:
A: Inclusion Criteria:

* clinical Diagnosis of Low Back Pain lasting at least 3 months
* pain of at least 4 on a 0-10 bothersomeness scale

Exclusion Criteria:

* do not currently have back pain
* current back pain episode less then 3 months in duration
* current back pain is only reported as mild in dysfunction and symptoms (i.e., less than a score of 7 on the 0-23 modified Roland Scale or a bothersomeness score lower than 4 on a 0-10 scale);
* sciatica
* underlying systemic or visceral disease
* pregnancy
* abdominal aneurisms
* spondylolisthesis
* discitis
* spinal stenosis
* spinal infections
* cancer or unexplained weight loss
* recent vertebral fracture
* current or past participation in classes or therapies closely resembling our MBSR or CBT interventions for chronic pain
* have physical problems that won't allow them to do yoga (i.e., gross obesity, severe pain when bending or twisting, unable to get up and down from the floor)
* involved with litigation or compensation claim for back pain
* evidence of severe or progressive neurologic deficits
* radiculopathy
* fibromyalgia diagnosis
* rheumatoid arthritis
* back surgery within the last 2 years
* unstable medical or severe psychiatric conditions
* unable to speak or read English
* unable to hear
* plan to move out of town
B: Inclusion Criteria:

* Having at least 3 months back pain
* Sufficient level on fear avoidance scores (TSK, Phoda)
* Being German-speaking
* Agreeing to participate, verified by completion of informed consent

Exclusion Criteria:

* Red flags
* Pregnancy
* Illiteracy
* Psychoses
* Alcohol addiction
* surgeries during the last 6 months or planed surgeries
* Specific medical disorders or cardiovascular diseases preventing participation in physical exercise
* Participating in another psychotherapy
C: Inclusion Criteria:

* Chronic back pain for at least 6 months
* Treatment by medication or physical therapy

Exclusion Criteria:

* Acute or life threatening physical illness
* Current alcohol or substance abuse or dependence
* Current psychosis or suicidal ideation treatment by anesthesiology, chiropractic care or surgery
D: Inclusion Criteria:

* Age 60+
* Continuously enrolled in Group Health one year prior to sample pull
* Primary care clinic at selected clinics
* Not in "No Contact File"
* Diagnosis 715xx (Osteoarthritis) in prior three years

Exclusion Criteria:

* Not continuously enrolled in Group Health for at least one year
* Medical record information indicates a diagnosis of:

  1. rheumatoid arthritis
  2. obstructive sleep apnea
  3. periodic leg movement disorder
  4. restless leg syndrome
  5. sleep-wake cycle disturbance
  6. rapid eye movement (REM) behavior disorder
  7. dementia or receiving cholinesterase inhibitors
  8. Parkinson's disease or other neurodegenerative disease known to directly impact sleep
  9. cancer in the past year and receiving chemotherapy or radiation therapy in the past year
  10. inpatient treatment for congestive heart failure within the previous 6 months

Answer: D