Dailey DL, Vance CGT, Chimenti R, et al. - This study sought to design a pragmatic clinical trial to evaluate whether using transcutaneous electrical nerve stimulation (TENS) in a physical therapy setting is feasible and whether fibromyalgia patients using TENS show decreased movement-evoked pain, improved adherence to physical therapy (PT), and are more likely to reach their therapeutic goals. The study team designed and set up procedures to implement the trial into 24 physical therapy clinics within 5 healthcare systems during a 1-year planning period. The results of this study demonstrate that successful completion of this trial will provide generalizable efficacy data on TENS for referring providers, physical therapists, patients, and insurers and will inform future pragmatic trials of non-pharmacological treatments carried out in PT practices.