A5081290176- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Digital Mental Health Interventions
- Mindfulness and Compassion Interventions
- Pediatric Pain Management Techniques
- Health Systems, Economic Evaluations, Quality of Life
- Pain Mechanisms and Treatments
- Mental Health Treatment and Access
- Occupational Health and Performance
- Health Policy Implementation Science
- Pain Management and Treatment
- Healthcare professionals’ stress and burnout
- Spine and Intervertebral Disc Pathology
- Dialysis and Renal Disease Management
- Mobile Health and mHealth Applications
- Diabetes Management and Research
- Stroke Rehabilitation and Recovery
- Diabetes Management and Education
- Primary Care and Health Outcomes
- Migraine and Headache Studies
- Behavioral and Psychological Studies
- Eating Disorders and Behaviors
VA Connecticut Healthcare System
2016-2025
Health Services Research & Development
2016-2024
Yale University
2015-2024
University of Pennsylvania
2022
University of Michigan
2017
VA Boston Healthcare System
2016
Boston University
2016
Center for Innovation
2014
Connecticut Health Foundation
2005
Consensus guidelines recommend multi-modal chronic pain treatment with increased uptake of non-pharmacological modalities (NPMs). We aimed to identify the barriers and facilitators evidence-based NPMs from perspectives patients, nurses primary care providers (PCPs). convened eight separate groups engaged each in a Nominal Group Technique (NGT) which participants: (1) created an individual list (and, subsequent round, facilitators) NPMs; (2) compiled group lists; (3) anonymously voted on top...
<h3>Importance</h3> Cognitive behavioral therapy for chronic pain (CBT-CP) is a safe and effective alternative to opioid analgesics. Because CBT-CP requires multiple sessions therapists are scarce, many patients have limited access or fail complete treatment. <h3>Objectives</h3> To determine if program that personalizes patient treatment using reinforcement learning, field of artificial intelligence (AI), interactive voice response (IVR) calls noninferior standard telephone saves therapist...
Abstract Musculoskeletal disorders (MSDs) are highly prevalent, painful, and costly disorders. The MSD Cohort was created to characterize variation in pain, comorbidities, treatment, outcomes among patients with receiving Veterans Health Administration care across demographic groups, geographic regions, facilities. We searched electronic health records identify treated who had ICD-9-CM codes for diagnoses including, but not limited to, joint, back, neck disorders, osteoarthritis. inclusion...
Recommendations for chronic pain treatment emphasize multimodal approaches, including nonpharmacologic interventions to enhance self-management. Cognitive behavioral therapy (CBT) is an evidence-based that facilitates management of and improves outcomes, but access barriers persist. delivery assisted by health technology can obviate the need in-person visits, effectiveness this alternative standard unknown. The Cooperative Pain Education Self-management (COPES) trial was a randomized,...
This study evaluated whether tailored cognitive-behavioral therapy (TCBT) that incorporated preferences for learning specific cognitive and/or behavioral skills and used motivational enhancement strategies would improve treatment engagement participation compared with standard CBT (SCBT). We hypothesized participants receiving TCBT show a lower dropout rate, attend more sessions, report frequent intersession pain coping skill practice than those SCBT. also indices of adherence correlate pre-...
Many studies document efficacy of cognitive behavioral therapy (CBT) for chronic pain, but few have examined potential treatment mechanisms. In analyses data from a controlled trial, we whether changes in attitudes toward adopting pain self-management approach-CBT-specific mechanisms-and quality working alliance and patient expectations-general mechanisms-early were related to later-treatment outcomes.Our sample was composed 94 adults (primarily White; mean age: 55.3 years, SD = 11.7; 23%...
Objective To investigate the relationships among perceived school experiences, diabetes control, and quality of life (QOL) in children with diabetes. Methods Fifty-eight type 1 their parents participated. The typical child was 12 years old, had for 5 years, attended public, suburban, middle/junior high schools 300–500 students. Results Children whose reported that personnel received training showed significantly better control than those who untrained personnel. classmates QOL classmates....
Women veterans are a growing but understudied population believed to be at increased risk for pain problems. Because of factors and clinical observations, we hypothesized that women might have high prevalence and, thus, sought determine the (and age-related variations in) characterize several key dimensions in sample veterans.Women with routine appointments VA Connecticut Women's Health Center were recruited study. Participants completed 59-item questionnaire provided information about their...
Despite the high prevalence of overweight and obesity in US military veterans, binge eating has not been examined this population. Using a secondary data analysis approach, we correlates self-reported among 45,477 or obese veterans receiving care Veterans Health Administration (VHA) facilities. Participants completed 23-item survey that assessed demographics, weight history, physical mental health comorbidities, habits during routine medical clinic visits. Chi square logistic regression...
Women veterans have a higher prevalence of chronic pain relative to men. One hypothesis is that differential combat and traumatic sexual experiences attenuated levels social support between men women may differentially contribute the development perpetuation pain. This investigation examined [1] gender differences in trauma, support, family conflict among with pain, [2] whether were associated severity, interference, depressive symptom severity as function gender.Participants included 460...
Rates of pain among veterans are as high 60%; rates approach 80% in women seeking Department Veterans Affairs (VA) care. Prior studies examined experiences managing community samples, with gender disparities observed. As the largest national integrated health care system country, VA offers a unique environment to a) study perceptions men and b) contrast using an setting prior observations private sector.A purposive sample chronic patients was recruited qualitatively describe explore...
We examined whether Cognitive Behavioral Therapy for chronic pain (CBT-CP) driven by artificial intelligence (i.e., AI-CBT-CP) increased its effectiveness through patient interactions. Data included 11,133 interactions with 168 patients receiving 10 weeks of AI-CBT-CP as part a comparative trial. Each week each patient, selected among three treatment recommendations: 45-minute or 15-minute "live" therapy session, asynchronous therapist feedback delivered via an interactive voice response...
Dorfman, Caroline S.; Heapy, Alicia A.; de C Williams, Amanda C; Keefe, Francis J. Author Information
Fritz, Julie M.; Davis, Alison F.; Burgess, Diana J.; Coleman, Brian; Cook, Chad; Farrokhi, Shawn; Goertz, Christine; Heapy, Alicia; Lisi, Anthony McGeary, Donald D.; Rhon, Daniel I.; Taylor, Stephanie L.; Zeliadt, Steven; Kerns, Robert D.Author Information
Background Chronic pain is common among individuals with opioid use disorder (OUD) who are maintained on medications for OUD (MOUD; eg, buprenorphine or methadone). associated worse retention and higher levels of substance use. Treatment chronic receiving MOUD can be challenging due to their increased clinical complexity. Given the acute growing nature crisis, increasingly offered in a wide range settings, where high-quality, clinician-delivered, empirically validated behavioral treatment...