Featured Publications
Qualitative Analysis of Patient Perspectives of Buprenorphine After Transitioning From Long-Term, Full-Agonist Opioid Therapy Among Veterans With Chronic Pain
Edmond S, Wesolowicz D, Snow J, Currie S, Jankelovits A, Chhabra M, Becker W. Qualitative Analysis of Patient Perspectives of Buprenorphine After Transitioning From Long-Term, Full-Agonist Opioid Therapy Among Veterans With Chronic Pain. Journal Of Pain 2023, 25: 132-141. PMID: 37549775, DOI: 10.1016/j.jpain.2023.07.027.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidBuprenorphineChronic PainHumansOpiate Substitution TreatmentOpioid-Related DisordersVeteransConceptsFull agonist opioidsChronic painOpioid therapyPatient-centered approachPain careSide effectsPatient experienceLong-term opioid therapyRacial disparitiesEquivalent pain controlHarms outweigh benefitsPain treatment disparitiesUse of buprenorphinePatient-provider communicationPartial agonist buprenorphineExperiences of patientsPatient-centered careBenefits of buprenorphineLess analgesiaPain controlMost patientsPrevious regimensProvider referralPain managementPain treatmentArguments for and Against a New Diagnostic Entity for Patients With Chronic Pain on Long-Term Opioid Therapy for Whom Harms Outweigh Benefits
Edmond SN, Snow JL, Pomeranz J, Van Cleve R, Becker WC. Arguments for and Against a New Diagnostic Entity for Patients With Chronic Pain on Long-Term Opioid Therapy for Whom Harms Outweigh Benefits. Journal Of Pain 2021, 23: 958-966. PMID: 34974174, DOI: 10.1016/j.jpain.2021.12.006.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyOpioid use disorderNew diagnostic entityOpioid therapyDiagnostic entityOUD diagnosisChronic painOUD criteriaHarms outweigh benefitsNeeds of patientsDSM-5Larger Delphi studyUse disordersPatient experiencePatientsThematic qualitative methodsInternal medicineTherapyImproved treatmentExpert panelPainOutweigh benefitsBiological underpinningsDiagnosisThree-quartersDelphi study to explore a new diagnosis for “ineffective” long-term opioid therapy for chronic pain
Edmond S, Snow J, Pomeranz J, Van Cleve R, Black A, Compton P, Becker W. Delphi study to explore a new diagnosis for “ineffective” long-term opioid therapy for chronic pain. Pain 2022, 164: 870-876. PMID: 36448976, DOI: 10.1097/j.pain.0000000000002783.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidChronic PainDelphi TechniqueHumansOpioid-Related DisordersSurveys and QuestionnairesConceptsLong-term opioid therapyNew diagnostic entityDiagnostic criteriaPotential diagnostic criteriaDiagnostic entityOpioid therapyChronic painOpioid use disorderCertain patientsNew diagnosisUse disordersDelphi studyPainDisorder criteriaSubgroup of expertsRound 2PatientsTherapyThree-quartersRefining criteriaDelphi panelistsExpert panelistsSubgroupsLikert-type scaleRapid qualitative analysisOpioid tapering support using a web-based app: Development and protocol for a pilot randomized controlled trial
Edmond SN, Wesolowicz DM, Moore BA, Ibarra J, Chhabra M, Fraenkel L, Becker WC. Opioid tapering support using a web-based app: Development and protocol for a pilot randomized controlled trial. Contemporary Clinical Trials 2022, 119: 106857. PMID: 35863697, DOI: 10.1016/j.cct.2022.106857.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidHumansInternetMobile ApplicationsPainPilot ProjectsQuality of LifeRandomized Controlled Trials as TopicConceptsPilot trialLong-term opioid therapyPatient-reported outcomesRandomized-controlled trialQuality of lifeSelf-management skillsOpioid taperOpioid therapyOpioid usePrimary outcomePrimary careTwo-armLimited efficacyInteractive web-based programControl groupIntervention MappingWeb-based programPatientsPeer specialistsTrialsPotential harmSummit programWeb-based appCareOutcomesOptimizing Interdisciplinary Virtual Pain Care and Buprenorphine Initiation During COVID-19: A Quality Improvement Study
Edmond SN, Currie S, Gehrke A, Falker CG, Sung M, Abelleira A, Edens EL, Becker WC. Optimizing Interdisciplinary Virtual Pain Care and Buprenorphine Initiation During COVID-19: A Quality Improvement Study. Pain Medicine 2021, 23: 1043-1046. PMID: 34940877, PMCID: PMC9383145, DOI: 10.1093/pm/pnab348.Peer-Reviewed Original Research
2023
When harms outweigh benefits of long‐term opioid therapy for pain: Need for a new diagnostic entity, research and improved treatments
Becker W, Frank J, Edmond S, Starrels J. When harms outweigh benefits of long‐term opioid therapy for pain: Need for a new diagnostic entity, research and improved treatments. Addiction 2023, 119: 4-5. PMID: 37766414, DOI: 10.1111/add.16348.Peer-Reviewed Original ResearchVideo-telecare collaborative pain management during COVID-19: a single-arm feasibility study
Rogers D, Frank J, Wesolowicz D, Nolan C, Schroeder A, Falker C, Abelleira A, Moore B, Becker W, Edmond S. Video-telecare collaborative pain management during COVID-19: a single-arm feasibility study. BMC Primary Care 2023, 24: 134. PMID: 37386370, PMCID: PMC10308713, DOI: 10.1186/s12875-023-02052-2.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidBuprenorphineChronic PainCOVID-19Feasibility StudiesHumansMorphinePain ManagementPandemicsConceptsMorphine equivalent daily doseSingle-arm feasibility studyEquivalent daily dosePain managementDaily doseLong-term opioid therapyInitial intakeMultiple appointmentsNon-pharmacologic interventionsOpioid use disorderPrimary care providersPain management programGuideline-based careEvidence-based interventionsBackgroundChronic painOpioid therapyBehavioral painChronic painPrimary careCommon conditionCare providersPatientsU.S. veteransPainPreliminary data
2019
Enhancing Motivation for Change in the Management of Chronic Painful Conditions: a Review of Recent Literature
Ankawi B, Kerns RD, Edmond SN. Enhancing Motivation for Change in the Management of Chronic Painful Conditions: a Review of Recent Literature. Current Pain And Headache Reports 2019, 23: 75. PMID: 31388839, DOI: 10.1007/s11916-019-0813-x.Peer-Reviewed Original ResearchConceptsNon-pharmacological treatmentChronic painPsychosocial influencesMotivational factorsTreatment adherenceRecent empirical researchHeadache disordersHealth treatmentIntervention feasibilityMotivationRecent FindingsResearchLong-term opioid therapyEmpirical researchChronic painful conditionsInitiation of treatmentDisordersInterventionOpioid therapyTreatment initiationTreatment outcomesPainful conditionsReviewThe purposeElectronic treatmentCommon factorsPain
2018
Project STEP: Implementing the Veterans Health Administration’s Stepped Care Model of Pain Management
Edmond SN, Moore BA, Dorflinger LM, Goulet JL, Becker WC, Heapy AA, Sellinger JJ, Lee AW, Levin FL, Ruser CB, Kerns RD. Project STEP: Implementing the Veterans Health Administration’s Stepped Care Model of Pain Management. Pain Medicine 2018, 19: s30-s37. PMID: 30203015, DOI: 10.1093/pm/pny094.Peer-Reviewed Original ResearchConceptsVA Connecticut Healthcare SystemPrimary care providersVeterans Health AdministrationPain careStepped care modelCare providersPain managementCare modelHealth care utilization dataMultimodal pain careNonopioid analgesic prescribingLong-term opioidsElectronic health record dataPain intensity ratingsHealth record dataClinical health psychologyNonpharmacological servicesAnalgesic prescribingOpioid prescribingPharmacological managementNonpharmacological approachesNonpharmacological treatmentsReferral practicesPhysical therapyCare practicesUse of Non-Pharmacological Pain Treatment Modalities Among Veterans with Chronic Pain: Results from a Cross-Sectional Survey
Edmond SN, Becker WC, Driscoll MA, Decker SE, Higgins DM, Mattocks KM, Kerns RD, Haskell SG. Use of Non-Pharmacological Pain Treatment Modalities Among Veterans with Chronic Pain: Results from a Cross-Sectional Survey. Journal Of General Internal Medicine 2018, 33: 54-60. PMID: 29633141, PMCID: PMC5902341, DOI: 10.1007/s11606-018-4322-0.Peer-Reviewed Original ResearchConceptsNPM usePain treatment modalitiesWomen Veterans Cohort StudySample of veteransCohort studyClinical correlatesTreatment modalitiesMultivariable associationsLogistic regressionBaseline surveyBivariate associationsDescriptive statisticsVeteransCorrelatesAssociationPainDesignWeParticipantsParticipantsStrong evidencePrevalenceMonths
2017
Evaluation of an Integrated, Multidisciplinary Program to Address Unsafe Use of Opioids Prescribed for Pain
Becker WC, Edmond SN, Cervone DJ, Manhapra A, Sellinger JJ, Moore BA, Edens EL. Evaluation of an Integrated, Multidisciplinary Program to Address Unsafe Use of Opioids Prescribed for Pain. Pain Medicine 2017, 19: 1419-1424. PMID: 28371816, DOI: 10.1093/pm/pnx041.Peer-Reviewed Original ResearchConceptsPreliminary efficacyUnsafe useSubstance abuse/dependenceMultidisciplinary care teamSubstance use disorder diagnosisPrimary care physiciansAdvanced practice nursesUrine drug testingLength of treatmentStructured clinical assessmentNurse case managersAbuse/dependenceHealth system levelHigh-complexity patientsElectronic progress notesOpioid prescribedOpioid receiptCare physiciansPractice nursesPrimary careCare coordinationCare teamClinical assessmentCare modelClinic processes