2022
Mental Health Diagnoses are Not Associated With Indicators of Lower Quality Pain Care in Electronic Health Records of a National Sample of Veterans Treated in Veterans Health Administration Primary Care Settings
Dobscha SK, Luther SL, Kerns RD, Finch DK, Goulet JL, Brandt CA, Skanderson M, Bathulapalli H, Fodeh SJ, Hahm B, Bouayad L, Lee A, Han L. Mental Health Diagnoses are Not Associated With Indicators of Lower Quality Pain Care in Electronic Health Records of a National Sample of Veterans Treated in Veterans Health Administration Primary Care Settings. Journal Of Pain 2022, 24: 273-281. PMID: 36167230, PMCID: PMC9898089, DOI: 10.1016/j.jpain.2022.08.009.Peer-Reviewed Original ResearchConceptsPain care qualityQuality pain careMental health conditionsPrimary care cliniciansVeterans Health AdministrationPain carePCQ scoresHealth conditionsCare cliniciansUse disordersCare qualitySevere musculoskeletal painRetrospective cohort studyPrimary care visitsGeneral medical carePrimary care settingElectronic health record dataFinal adjusted modelMental health diagnosesEquation Poisson modelsHealth record dataBipolar disorder diagnosisSubstance use disordersAlcohol use disorderPost-traumatic stress disorder
2021
Measuring pain care quality in the Veterans Health Administration primary care setting
Luther SL, Finch DK, Bouayad L, McCart J, Han L, Dobscha SK, Skanderson M, Fodeh SJ, Hahm B, Lee A, Goulet JL, Brandt CA, Kerns RD. Measuring pain care quality in the Veterans Health Administration primary care setting. Pain 2021, 163: e715-e724. PMID: 34724683, PMCID: PMC8920945, DOI: 10.1097/j.pain.0000000000002477.Peer-Reviewed Original ResearchConceptsPain care qualityPattern of documentationSevere pain intensityFrequency of documentationPresence of painSite of painPrimary care providersPrimary care settingCare quality indicatorsQuality improvement initiativesTotal PCQ scoresPatient characteristicsPain intensityPain carePain impactPCQ scoresCare settingsCare providersMusculoskeletal disordersFurther evaluationPainCare qualityHealthcare facilitiesImprovement initiativesUnique visits
2014
Development and application of an electronic health record information extraction tool to assess quality of pain management in primary care
Dorflinger LM, Gilliam WP, Lee AW, Kerns RD. Development and application of an electronic health record information extraction tool to assess quality of pain management in primary care. Translational Behavioral Medicine 2014, 4: 184-189. PMID: 24904702, PMCID: PMC4041928, DOI: 10.1007/s13142-014-0260-5.Peer-Reviewed Original ResearchPrimary care settingPain managementChronic painPain carePrimary careCare settingsGuideline-concordant carePrimary care providersCommon presenting problemPain expertsInter-rater reliabilityCare providersCarePresenting problemInterdisciplinary panelPainFinal toolPilot testingPresence of indicatorsSettingExtraction toolQuality indicators
2008
Innovations in the Treatment of Comorbid Persistent Pain and Posttraumatic Stress Disorder
Sellinger J, Kerns R. Innovations in the Treatment of Comorbid Persistent Pain and Posttraumatic Stress Disorder. 2008, 387-398. DOI: 10.1007/978-0-387-76894-6_32.Peer-Reviewed Original ResearchPosttraumatic stress disorderPrevalence of PTSDPrimary care settingPrimary care providersLifetime prevalenceCare settingsCare providersStress disorderAnnual healthcare visitsNational Comorbidity StudyPain-related problemsSymptoms of depressionMental Disorders text revisionHealthcare visitsPersistent painChronic painComorbidity studiesEpidemiological studiesGeneral populationPsychiatric conditionsPrevalenceStatistical ManualHealthcare systemPainDisorders
2005
Multidisciplinary approaches to pain management in primary care settings.
Otis J, Reid M, Kerns R. Multidisciplinary approaches to pain management in primary care settings. 2005, 41-59. DOI: 10.1037/10962-003.ChaptersPrimary care settingClinical health psychologistsCare settingsPain managementMultidisciplinary chronic pain managementHealth psychologistsPain management centerChronic pain managementStepped care modelClinical research groupChronic painImproved outcomesCare modelBehavioral therapyPainPrimary aimTraining programSpecific roleSettingPatientsTherapy
2003
Functional self-efficacy and pain-related disability among older veterans with chronic pain in a primary care setting
Barry LC, Guo Z, Kerns RD, Duong BD, Reid M. Functional self-efficacy and pain-related disability among older veterans with chronic pain in a primary care setting. Pain 2003, 104: 131-137. PMID: 12855322, DOI: 10.1016/s0304-3959(02)00471-2.Peer-Reviewed Original ResearchConceptsPain-related disabilityChronic painOlder veteransVA Connecticut Healthcare SystemPrimary care settingMean agePotential confoundersPrimary careCare settingsIndependent factorsPainWest HavenRestricted activityPast monthSelf-Efficacy QuestionnaireMore daysHealthcare systemMost participantsDisabilitySelf-efficacy groupVeteransParticipantsConfoundersYearsPrevalenceVeterans reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system
Kerns RD, Otis J, Rosenberg R, Reid MC. Veterans reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system. The Journal Of Rehabilitation Research And Development 2003, 40: 371. PMID: 15080222, DOI: 10.1682/jrrd.2003.09.0371.Peer-Reviewed Original ResearchConceptsPresence of painMental health servicesHealth risk behaviorsHealth servicesVHA primary care settingsVeterans Health Administration facilitiesUse of outpatientPain management strategiesPrimary care settingPrimary care providersRatings of healthEmotional distressSelf-rated healthIndex visitHealth-related concernsPain complaintsVHA facilitiesHigh prevalenceCare settingsCare providersPainMore outpatientGreater emotional distressAdministration facilitiesAlcohol use
2002
Use of Opioid Medications for Chronic Noncancer Pain Syndromes in Primary Care
Reid MC, Engles‐Horton L, Weber MB, Kerns RD, Rogers EL, O'Connor PG. Use of Opioid Medications for Chronic Noncancer Pain Syndromes in Primary Care. Journal Of General Internal Medicine 2002, 17: 173-179. PMID: 11929502, PMCID: PMC1495018, DOI: 10.1046/j.1525-1497.2002.10435.x.Peer-Reviewed Original ResearchConceptsChronic noncancer painChronic pain disordersPrimary care centersPrimary care settingNoncancer painOpioid medicationsAbuse/dependenceSubstance use disordersPain disordersPsychiatric comorbidityPCC patientsPrimary careCare settingsUse disordersLifetime historyVA primary care clinicsAlcohol abuse/dependenceRetrospective cohort studyProportion of patientsMedical record reviewPrimary care clinicsChronic pain diagnosesAbuse behaviorsDegenerative joint diseaseLifetime prevalence rates
1998
Health Risk Behaviors and Their Relationships to Health Care Utilization Among Veterans Receiving Primary Medical Care
Benedetto M, Kerns R, Rosenberg R, Burg M, Westgate K. Health Risk Behaviors and Their Relationships to Health Care Utilization Among Veterans Receiving Primary Medical Care. Journal Of Clinical Psychology In Medical Settings 1998, 5: 441-447. DOI: 10.1023/a:1026258911757.Peer-Reviewed Original ResearchHealth care utilizationCare utilizationHealth risk behaviorsAffective distressRisk factorsRisk behaviorsBehavioral health risk factorsPrimary care providersPrimary care settingBehavioral risk factorsCurrent tobacco usePrimary medical careHealth risk factorsBehavioral health risksHealth care systemBrief self-report questionnaireBehaviour change interventionsRisk drinkingCare settingsTobacco useSelf-report questionnairesCare providersPatterns of useMedical careMild range