Ethics; Health Services Accessibility; Health Services Research; Professional-Patient Relations; Quality of Health Care; Healthcare Disparities; Psychiatry and Psychology
Research is broadly in the area of behavioral medicine with specific interests in fields of pain and pain management. Dr. Kerns was founding director of the Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center funded by the Department of Veterans Affairs and based at the VA Connecticut Healthcare System that emphasizes the conduct of pain-relevant health services research that can inform policy, practice, and educational initiatives. He continues as Director of Mentoring and Career Development for this Center. The development of quality indicators for pain management is an overarching focus of research in this area. Several funded research projects are designed to evaluate the efficacy of self-management interventions for persistent pain including novel interventions that employ telehealth and other technologies to promote access and sustainability. Research informed by a motivational model of pain self-management explores moderators and mediators patient participation and outcomes and processes of change during these interventions.
Additional focuses include research related to the interface between pain and overweight/obesity, patient preferences for pain treatment, racial/ethnic and gender differences in the experience of pain and disparities in pain treatment, pain and prescription substance abuse, and medical and psychiatric comorbidities of pain.
Extensive Research Description
- Pain Care Quality and Integrated and Complementary Health Approaches. using Machine Learning and Natural Language Processing, this project develops the first automated measure of Pain Care Quality derived from primary care provider progress notes and subsequently validates the measure by examining its association with use of complementary and integrative health approaches and implementation of the stepped care model of pain management. The project is jointly funded by the Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Service and the National Institutes of Health/National Center for Complementary and Intrgrative Health.
- Musculoskeletal Diagnosis (MSD) Cohort: Examining pain and pain care in the VA. This VA HSR&D funded study examines sociodemographic and clinical characteristics, clinical care and costs of care of a cohort of over 5.4 million veterans with MSD.
- Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center: This VA Health Services R&D Center is funded to build capacity for pain-relevant health services research at VA Connecticut and Yale University.
- Kerns, R.D., Turk, D.C. & Rudy, T.E. (1985). The West Haven-Yale Multidimensional Pain Inventory. Pain, 23, 345-356.
- Banks, S.M. & Kerns, R.D. (1996). Explaining high rates of depression in chronic pain: A diathesis-stress framework. Psychological Bulletin, 119, 95-110.
- Kerns, R.D., Rosenberg, R., Jamison, R.N., Caudill, M.A. & Haythornthwaite, J. (1997). Readiness to adopt a self-management approach to chronic pain: The Pain Stages of Change Questionnaire (PSOCQ). Pain, 72, 227-234.
- Kerns, R.D., Otis, J.D., & Rosenberg, R. (2003). Veterans’ reports of pain and associations with ratings of health, health risk behaviors, affective distress, and use of the healthcare system. Journal of Rehabilitation Research and Development, 40, 371-380.
- Kerns, R.D., Sellinger, J.J., & Goodin, B. (2011). Psychological treatment of chronic pain. Annual Review of Clinical Psychology, 7, 411-434.
- Kerns, R.D., Philip, E.J., Lee, A., & Rosenberger, P.R. (2011). Implementation of the Veterans Health Administration National Pain Management Strategy. Translational Behavioral Medicine, 1, 635-643.
- Kerns, R.D., Burns, J.W., Shulman, M., Jensen, M.P., Nielson, W.R., Czlapinski, R.., Dallas, M., Chatkoff, D., Sellinger, J., Heapy, A., & Rosenberger, P. (2014) Can we improve cognitive-behavioral therapy for chronic back pain engagement and adherence? A controlled trial of tailored versus standard therapy? Health Psychology, 33, 938-947.
- Dorflinger, L., Moore, B., Goulet, J., Becker, W., Heapy, A.A., Sellinger, J.J. & Kerns, R.D. (2014). A partnered approach to opioid management, guideline concordant care and the Stepped Care Model of Pain Management. Journal of General Internal Medicine, 29, S870-S876.
- Burns, J.W., Nielson, W.R., Jensen, M.P., Heapy, A., Czlapinski, R., & Kerns, R.D. (2015). Specific and general therapeutic mechanisms in cognitive-behavioral treatment for chronic pain. Journal of Consulting and Clinical Psychology, 83, 1-11.
- Burns, J.W., Nielson, W.R., Jensen, M.P., Heapy, A., Czlapinski, R., & Kerns, R.D. (2015). Does change occur for the reasons we think it does? A test of specific therapeutic operations during cognitive-behavioral treatment of chronic pain. Clinical Journal of Pain, 31(7), 603-611.
- Heapy, A., Dziura, J., Buta, J., Goulet, J., Kulas, J.F., & Kerns, R.D. (2015). Using multiple daily pain ratings to improve reliability and assay sensitivity: How many is enough? Journal of Pain, 15(12), 1360-1365.
- Heapy, A.A., Higgins, D.M., Cervone, D., Wandner, L., Fenton, B. & Kerns, R.D. (2015). A systematic review of technology-assisted self-management interventions for chronic pain. Clinical Journal of Pain, 31, 470-492.
- Moore, B.A., Anderson, D., Dorflinger, L., Zlateva, I., Lee, A., Gilliam, W., Tian, T., Khatri, K., Ruser, C. & Kerns, R.D. (2016). The stepped care model of pain management and quality of pain care in long-term opioid therapy. Journal of Rehabilitation Research and Development, 53(1), 137–146.
- Stewart, M.O., Karlin, B.E., Murphy, J.L., Raffa, S.D. Miller, S.A., McKellar, J. & Kerns, R.D. (2015). National dissemination of cognitive behavioral therapy for chronic pain in veterans: Therapist and patient-level outcomes. Clinical Journal of Pain, 31, 722-729.
- Darnall, B.D., Scheman, J., Davin, S., Burns, J., Murphy, J.L., Wilson, A.L. & Kerns, R.D. (2016). Pain Psychology: A global needs assessment and national call to action. Pain Medicine. DOI: 10.1093/pm/pnv095.
- Ducoffe, A.R., York, A., Hu, D.J., Perfetto, D. & Kerns, R.D. (2016). National Action Plan for Adverse Drug Event Prevention: Recommendations for safer outpatient opioid use. Pain Medicine, 00, 1-14. DOI: 10.1093/pm/pnw106.