- Musculoskeletal pain and rehabilitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pediatric Pain Management Techniques
- Smoking Behavior and Cessation
- Pain Management and Placebo Effect
- Eating Disorders and Behaviors
- Cardiovascular Syncope and Autonomic Disorders
- Opioid Use Disorder Treatment
- Infant Development and Preterm Care
- Psychosomatic Disorders and Their Treatments
- Pain Management and Opioid Use
- Behavioral Health and Interventions
- Health, psychology, and well-being
- Migraine and Headache Studies
- Child and Adolescent Psychosocial and Emotional Development
- Nicotinic Acetylcholine Receptors Study
- Heart Rate Variability and Autonomic Control
- Dialysis and Renal Disease Management
- Innovations in Medical Education
- Health disparities and outcomes
- Gastrointestinal motility and disorders
- Childhood Cancer Survivors' Quality of Life
- Healthcare Decision-Making and Restraints
- Delphi Technique in Research
- Patient Satisfaction in Healthcare
WinnMed
1992-2024
Mayo Clinic in Florida
1990-2024
Jacksonville College
2016-2024
Mayo Clinic
1995-2017
Mayo Clinic in Arizona
2006-2017
University of Maryland, Baltimore County
2013
Children's Mercy Hospital
2011
Pain and Rehabilitation Medicine
2009
Louisiana State University
1985-1988
Louisiana State University Agricultural Center
1986
This study assessed the effect of treating nicotine dependence in smokers undergoing inpatient treatment for other addictions. It was a prospective, nonrandomized, controlled trial with 1-year outcome. The subjects were smoking patients (50 controls, 51 intervention group) an addictions unit medical center. enrollment sequential: controls enrolled first; after 6-week washout period, enrolled. Controls received usual care, and group consisting consultation, 10 sessions, structured relapse...
The aims of this study were: (1) investigate relations between pain acceptance, depressive symptoms, catastrophizing, and functional disability in pediatric patients an interdisciplinary chronic rehabilitation program, (2) examine changes acceptance from pre- to posttreatment, (3) test if predict posttreatment.112 participants, ages 11-18 years, completed the Chronic Pain Acceptance Questionnaire, Adolescent Version, Center for Epidemiological Studies-Depression-Children's Scale,...
Use of opioids for chronic non-cancer pain is controversial and the efficacy comprehensive rehabilitation programs (CPRPs) that incorporate opioid withdrawal requires further investigation. We test hypothesis patients with longstanding use who undergo in course rehabilitative treatment will experience significant sustained improvement functioning similar to were not taking opioids. A longitudinal design study compared 373 consecutive admitted Mayo Clinic Pain Rehabilitation Center at...
Vitamin D inadequacy is associated with medication refractory musculoskeletal pain and neuromuscular dysfunction. This vitamin deficiency could subsist as an unrecognized comorbid condition among patients chronic pain. The primary objective of this study was to determine the prevalence clinical correlates in seeking treatment for pain.Retrospective case series.Multidisciplinary rehabilitation center at a tertiary referral medical center.The involved 267 admitted from February December...
Objective. This study of patients with a diagnosis fibromyalgia (FM) was conducted to test the hypothesis that immediate posttreatment measures psychosocial functioning, health attributes, negative pain-related emotions, and depressive symptoms improve significantly during multidisciplinary pain rehabilitation while concurrently withdrawing analgesic medications.
Background Joint pain is a common symptom in patients with hypermobile Ehlers-Danlos Syndrome (hEDS), hypermobility spectrum disorders (HSD) and fibromyalgia. The goal of this study was to determine whether symptoms comorbidities overlap diagnosed hEDS/HSD and/or Methods We retrospectively examined self-reported data from an EDS Clinic intake questionnaire hEDS/HSD, fibromyalgia, or both vs. controls emphasis on joint issues. Results From 733 seen at the Clinic, 56.5% ( n = 414) were...
In Brief OBJECTIVE: The primary aim of this study was to determine if smoking status affected the ability patients with chronic pain reduce opioid consumption during a 3-wk rehabilitation program. Secondary aims included determining associations between status, admission use, and severity. METHODS: We used retrospective, repeated measures design assess pre- post-treatment outcomes in consecutive series admitted 3-wk, outpatient treatment program from September 2003 through February 2007....
We aimed to evaluate the prevalence of psychological impairment in patients with rectal evacuation disorders and influence disorder on early outcome behavioral treatment.We retrospectively reviewed medical records referred for biofeedback retraining at a tertiary referral center. The was classified using DSM IV criteria. Outcome treatment 2 wk based symptoms or ability spontaneously expel balloon placed rectum. Improvements groups without versus an eating were compared by Fisher's exact...
The primary aim of this study was to determine the effects smoking on treatment outcomes following multidisciplinary pain rehabilitation. A secondary assess tobacco use characteristics smokers with chronic pain.A prospective, nonrandomized, repeated measures design.Multidisciplinary rehabilitation center at a tertiary referral medical center.All patients (N = 193) consecutively admitted from August 2005 through February 2006.A 3-week outpatient program.The Multidimensional Pain Inventory...
This study was developed to test whether prospective dietician counseling could abrogate the unwanted weight gain seen among women receiving adjuvant chemotherapy for resected breast cancer. It also designed examine predictive factors in an exploratory manner. Premenopausal starting primary cancer were recruited this trial. After appropriate stratification, they randomized a group which received monthly primarily aimed at maintenance versus control (whose attending physicians and nurses told...
To determine the posttreatment outcomes of multidisciplinary pain rehabilitation that incorporates analgesic medication withdrawal for chronic low-back patients on basis lumbar spine surgical history.This is a retrospective analysis 383 consecutive participating in 3-wk, outpatient, intensive, program. The study sample was divided into three groups based history surgery: 196 without previous surgery, 125 with fusion, and 62 nonfusion surgery. Patients were assessed at admission dismissal...
This study examined depression, pain catastrophizing, psychosocial functioning, and physical emotional health attributes for geriatric patients admitted to an interdisciplinary rehabilitation center compared with middle younger age groups.Quasi-experimental time series.Interdisciplinary at a tertiary referral medical center.In total, 411 chronic non-cancer completed the program from October 2004 April 2006. Patients were divided into three groups based on age: older (ages 60+; n = 78);...
The purpose of this study was to assess the beliefs and attitudes healthcare providers about prescribing opioids for chronic pain.The setting a continuing medical education conference that specifically designed deliver content pain prescription without specialty expertise in medicine.Conference attendees with privileges were eligible participate, including physicians, physician assistants, advance practice nurses.Study participants completed questionnaire using an electronic response...
Abstract The traditional roles of psychologists and mental health therapists are challenged by the comprehensive treatment necessary for patients being treated in multidisciplinary pain rehabilitation programs (MPRPs). Mental professionals within MPRPs provide direct clinical care but also guide biopsychosocial model management cognitive‐behavioral interventions multiple disciplines. Illustrated a case example patient who has complex chronic pain, this article discusses approach to...
The primary aim of this study was to determine the influence sex and interactions between smoking status on immediate treatment outcomes patients undergoing multidisciplinary pain treatment.A retrospective, repeated measures design. Setting. Multidisciplinary rehabilitation center at a tertiary referral medical center.The cohort (N = 1,241) included 928 women 313 men whom were current smokers, 294 former smokers 634 never consecutively admitted from September 2003 through February 2007....
This study examined key functional outcomes following a 3-week interdisciplinary pediatric pain rehabilitation program for adolescents with chronic pain. Maintenance of gains was evaluated at 3-month follow-up.Participants included 171 (12 to 18 y age) who completed hospital-based outpatient program. Participants measures disability, depressive symptoms, catastrophizing, opioid use, school attendance, and severity admission, discharge, follow-up.Similar other outcome studies, significant...