A5060061337- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Pediatric Pain Management Techniques
- Health Policy Implementation Science
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Hepatitis C virus research
- Health Systems, Economic Evaluations, Quality of Life
- Liver Disease Diagnosis and Treatment
- Complementary and Alternative Medicine Studies
- Healthcare professionals’ stress and burnout
- Spaceflight effects on biology
- Hepatitis B Virus Studies
- Health, psychology, and well-being
- Spine and Intervertebral Disc Pathology
- Primary Care and Health Outcomes
- Posttraumatic Stress Disorder Research
- Stroke Rehabilitation and Recovery
- Workplace Health and Well-being
- Traumatic Brain Injury Research
- Liver Disease and Transplantation
- Clinical practice guidelines implementation
- Acupuncture Treatment Research Studies
- Music Therapy and Health
United States Department of Veterans Affairs
2018-2024
Veterans Health Administration
2018-2023
University of Limerick
2023
University of Massachusetts Lowell
2023
James A. Haley Veterans' Hospital
2011-2021
University of South Florida
2014-2021
University College Cork
2020
Florida College
2019
Murphy Oil Corporation (United States)
2019
Christian Health Association of Nigeria
2019
In May 2022, leadership within the U.S. Department of Veterans Affairs (VA) and Defense (DoD) approved a joint clinical practice guideline for use opioids when managing chronic pain. This synopsis summarizes recommendations that authors believe are most important to highlight.In December 2020, VA/DoD Evidence-Based Practice Work Group assembled team update 2017 Clinical Guideline Opioid Therapy Chronic Pain. The development included stakeholders conformed National Academy Medicine's tenets...
Treatment with an all‐oral interferon‐free antiviral regimen using simeprevir and sofosbuvir or without ribavirin (RBV) for 12 weeks resulted in high sustained virologic response (SVR) rates along minimal adverse events non–liver transplant (LT) patients hepatitis C virus (HCV) genotype 1 infection. This is the first multicenter report on efficacy, safety, tolerability of this LT recipients. A total 123 (76% male, 74% white, 60% 1a, 30% METAVIR F3‐F4, 4% decompensation, 11% cholestatic...
Objective. The Institute of Medicine and the draft National Pain Strategy recently called for better training health care clinicians. This was first high-level needs assessment pain psychology services resources in United States.
Collaborative on Countering the US Opioid Epidemic [8] has been focusing comprehensive and collaborative efforts to fundamentally address opioid epidemic crisis.All of these major initiatives emphasize pain education as a key component in fight against dual crises chronic epidemic.I am honored represent AAPM HHS Pain Management Task Force NAM Action contribute important our nation your behalf.The emphasizes strategic priority its mission.In coming years, we will focus defining competencies...
The safety, efficacy, and effect on immunosuppression levels of telaprevir (TVR) or boceprevir (BOC) in combination with peginterferon (PEG-IFN) ribavirin (RBV) recipients liver transplantation (LT) hepatitis C virus (HCV) genotype 1 have not been defined. We report our 3 centers' preliminary experiences administering triple antiviral treatment protocols containing PEG-IFN, RBV, TVR BOC. Patients biopsy-proven HCV recurrence (METAVIR grade ≥ and/or stage 2) received PEG-IFN/RBV for 12 weeks...
Objectives: Although the efficacy of interdisciplinary treatment for chronic noncancer pain has been well-established in literature, there is limited research examining programs that require opioid cessation. As long-term use analgesics remains controversial, further investigation warranted. The aim this study was to evaluate associations between cessation and subsequent multidomain outcomes among veterans admitted a rehabilitation program at large Veterans Affairs tertiary care hospital...
This paper assesses the effects of training in and implementation Cognitive-Behavioral Therapy for Chronic Pain (CBT-CP) US Department Veterans Affairs (VA) health care system on therapists' CBT-CP competencies patients' pain-related outcomes. A total 71 therapists participated VA Training Program. Patients included 148 treated by therapist participants. Therapists completed a 3-day workshop followed 6 months weekly consultation. session tapes were rated expert consultants using standardized...
Interferon (IFN)‐free regimens are needed to treat hepatitis C virus (HCV) infection. Combined simeprevir (SMV) and sofosbuvir (SOF) with or without ribavirin (RBV) results in high sustained virological response (SVR) rates along minimal adverse events (AEs) patients genotype 1 (HCV GT1). The aim of this study was report on the response, safety, tolerability SOF SMV RBV compensated decompensated cirrhosis HCV GT1 Patients treated standardized clinical protocol utilizing SMV+SOF at three...
The current report summarizes case studies from an Office of Naval Research (ONR) funded project to compare the effects Virtual Reality Graded Exposure Therapy (VRGET) with a treatment as usual control condition in active-duty Navy Corpsmen, SeaBees and Marine Corps Support Personnel. Details collaborative program between Medical Center (VRMC) San Diego (NMCSD) will be discussed.
Virtual reality (VR) is an emerging tool to help treat posttraumatic stress disorder (PTSD). Previously published studies have shown that VR graded exposure therapy (VR-GET) treatment can result in improvements PTSD symptoms. Less known about the impact on depression, general anxiety, and neuropsychological functioning patients with PTSD. This study examined changes self-reports of PTSD, anxiety before after treatment, also as assessed by a computerized test simple reaction time, procedural...
Abstract Objective. Evidence to date, while sparse, suggests that patients taking long-term opioids require special considerations and protections prevent potential iatrogenic harms from opioid de-prescribing, such as increased pain or suffering. Following this study protocol, the EMPOWER seeks address multiple unmet needs of with chronic who desire reduce therapy, provide clinical evidence on effective methodology. Methods. applies patient-centered methods for voluntary prescription...
Virtual reality (VR) has demonstrated efficacy for distraction from pain-related thoughts and exposure to feared movements. Little empirical VR research focused on chronic pain management.The purpose of this study was examine the feasibility as an adjunctive intervention Veterans with pain. We designed a hierarchy ranging low-intensity high-intensity movement-based purpose. apps were mapped onto hierarchy.Sixteen receiving inpatient rehabilitation participated in daily sessions over 3-week...
The U.S. Department of Veterans Affairs (VA) has been training clinicians in its cognitive behavioral therapy for chronic pain (CBT-CP) structured protocol since 2012. aim this project was to review patient outcomes determine the effectiveness VA's CBT-CP treatment. From 2012-2018, 1,331 initiated individual treatment as part program. Patient were assessed with measures patient-reported intensity, catastrophizing, depression, interference, and quality life (physical, psychological, social,...
The improved management of pain among the growing number female Veterans receiving care through Health Administration has been established as a priority, but studies suggest that females may respond differently to treatment. This study explored differences between and male engaged in Chronic Pain Rehabilitation Program determined how change following participation. (N = 324) 3 wk inpatient program completed self-report measures at admission, discharge, mo follow-up. Participants were 21% (n...
Abstract Objective Despite empirical support for interdisciplinary pain rehabilitation programs improving functioning and quality of life, access to this treatment approach has decreased dramatically over the last 20 years within United States but grown significantly in Department Veterans Affairs (VA). Between 2009 2019, VA accredited by Commission on Accreditation Rehabilitation Facilities increased 10-fold VA, expanding from two 20. The aim collaborative observational evaluation was...
Background Veterans are more likely to experience chronic pain than civilians, with significant negative impacts on long-term health outcomes. Evidence for the effectiveness of prescription opioids management is limited, and use associated an increased risk sleep-disordered breathing, cardiovascular complications, bowel dysfunction, as well opioid misuse overdose. Affairs (VA) Department Defense guidelines prioritizing low-risk, evidence-based interdisciplinary strategies while optimizing...
<sec> <title>BACKGROUND</title> Veterans are more likely to experience chronic pain than civilians, with significant negative impacts on long-term health outcomes. Evidence for the effectiveness of prescription opioids management is limited, and use associated an increased risk sleep-disordered breathing, cardiovascular complications, bowel dysfunction, as well opioid misuse overdose. Affairs (VA) Department Defense guidelines prioritizing low-risk, evidence-based interdisciplinary...
Abstract Introduction Boswellia serrata (Indian Frankincense) and Zingiber Officinale (Ginger) are therapeutic botanicals used widely in traditional Indian medicine. This randomized, double-blind, placebo-controlled trial assessed the effects of B. Serrata gum resin Z. rhizome extracts (BSG) on musculoskeletal pain, restorative sleep, sleep quality, parameters, mood, inflammatory biomarkers. Methods Sixty (23M/37F) healthy volunteers aged 40-70 (mean 52 ± 8) with a BMI 20-29.9 kg/m2 25.1...
Abstract Background The Whole Health model of the U.S. Department Veterans Affairs (VA) emphasizes holistic self-care and multimodal approaches to improve pain, functioning, quality life. wHOPE (Whole Options Pain Education) seeks be first multisite pragmatic trial establish evidence for VA chronic pain care. Design is a randomized controlled comparing Team (WHT) approach Primary Care Group Education (PC-GE); both will compared Usual (UPC). WHT consists medical provider, complementary...
BACKGROUND AND OBJECTIVE: Children receiving long-term antibiotic therapy (LTAT) at Children’s Hospital Colorado (CHCO) are treated with both oral and intravenous (IV) agents often experience complications not comprehensively described by the literature. We sought to describe adverse drug events (ADEs) venous access (VACs) in pediatric patients managed IV antibiotics so as inform clinical decision-making, monitoring, patient counseling CHCO. METHODS: conducted a retrospective review of...
Although cognitive behavioral therapy is an effective intervention for chronic pain, it a lengthy treatment typically applied only in specialty care settings. The aim of this project was to collect preliminary effectiveness data Brief Cognitive Behavioral Therapy Chronic Pain (Brief CBT-CP), abbreviated, modular form designed use primary care.A clinical demonstration conducted which CBT-CP delivered patients by 22 integrated providers practicing the Primary Care Health model Veterans...