MOTIVATE to Improve Outcomes for Older Veterans With Musculoskeletal Pain and Depression

Exclusion Criteria

• •Aged 59 or less
• •No telephone
• •Not English speaking
• •Unwilling to be randomized to either study arm
• •Not interested in participating in a non-pharmacologic program
• •Self-reported uncorrected hearing and visual impairments precluding ability to participate in telephone sessions or read pedometer screen
• •Significant (moderate or severe) cognitive impairment (3+ errors) on six-item screening exam
• •Self-reported dependence on wheelchair, bed-bound, or severe balance impairment or severe OA\* (resulting in inability to participate in physical activity intervention)
• •Illness requiring hospitalization within the last 3 months that interferes with a home-based physical activity intervention (e.g., fall, gout attack, stroke, heart attack, heart failure, surgery for blocked arteries)
• •Suicidal intent (see suicide screening protocol), uncontrolled psychotic disorder or psychiatric hospitalization within 1 year, or enrolled in active substance use program (confirmed with scripted protocol over telephone)