2024
Targeting Chronic Pain Care to Rural Women Veterans: A Feasibility Pilot
Garvin L, Driscoll M, Steffensmeier K, Johnson N, Adamowicz J, Obrecht A, Hart K, Rothmiller S, Sibenaller Z, Stout L, Richards C, Vander Weg M, Lund B, Hadlandsmyth K. Targeting Chronic Pain Care to Rural Women Veterans: A Feasibility Pilot. Psychological Services 2024 PMID: 39374152, DOI: 10.1037/ser0000909.Peer-Reviewed Original ResearchPain self-management interventionSelf-management interventionsWomen veteransChronic painRural women veteransChronic pain careEnjoyment of lifePreliminary data supportPain careFeasibility pilotGlobal Impression of Change scaleThree-item scaleNon-HispanicTelehealth platformQualitative interviewsThemes of connectionBaseline scoresChange ScaleSignificant barriersVeteransTotal scoreQualitative dataInterventionRural dwellingsStudy completionIntegrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High-Quality Patient Care
Driscoll M, Kerns R. Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High-Quality Patient Care. 2024, 227-243. DOI: 10.1007/978-981-99-8921-8_14.Peer-Reviewed Original ResearchManagement of chronic painChronic painBiopsychosocial modelAssociated with costs of careBiopsychosocial model of chronic painExperience of chronic painMental health professionalsCost of careChronic pain managementSignificant public health concernPhysical functionPublic health concernHealth professionalsAssociated with declinesEmotional distressPain managementTeam-basedAssociated with costsLost wagesSocioeconomic burdenInterdisciplinary treatment approachHealth concernPainModels of chronic painGrowing body of researchFactors associated with participation in a walking intervention for veterans who smoke and have chronic pain
Muller R, Driscoll M, DeRycke E, Edmond S, Becker W, Bastian L. Factors associated with participation in a walking intervention for veterans who smoke and have chronic pain. Journal Of Behavioral Medicine 2024, 47: 994-1001. PMID: 39143444, DOI: 10.1007/s10865-024-00511-4.Peer-Reviewed Original ResearchFactors associated with participationCognitive behavioral interventionPain locationCounseling sessionsAverage daily step countPain self-management interventionMedian daily stepsDaily step countIntegrated smoking cessationSelf-management interventionsTelephone counseling sessionsChronic painModerate pain intensityMedian pack-yearsMultivariate logistic regressionWalking interventionLE painDaily stepsStep countsPain interferenceWalk componentSmoking cessationPain intensityPack-yearsIncreased oddsComorbid Chronic Pain and Post-traumatic Stress Disorder: Current Rates and Psychiatric Comorbidities Among U.S. Military Veterans
Hadlandsmyth K, Zhuang C, Driscoll M, Lund B. Comorbid Chronic Pain and Post-traumatic Stress Disorder: Current Rates and Psychiatric Comorbidities Among U.S. Military Veterans. Military Medicine 2024, 189: 2303-2306. PMID: 38869274, PMCID: PMC11536323, DOI: 10.1093/milmed/usae313.Peer-Reviewed Original ResearchComorbid chronic painChronic painPost-traumatic stress disorderVeterans AffairsU.S. military veteransPsychiatric comorbiditiesPsychiatric comorbidityMultivariate logistic regression modelRates of psychiatric comorbiditiesNational Veterans AffairsMilitary veteransLogistic regression modelsPainStress disorderComorbiditiesComorbidityService usersStudy reports ratesAdministrative dataVeteransDemographic variablesRegression modelsDisordersUrban dwellingPatientsGender differences in PTSD severity and pain outcomes: Baseline results from the LAMP trial
Friedman J, Taylor B, Campbell E, Allen K, Bangerter A, Branson M, Bronfort G, Calvert C, Cross L, Driscoll M, Evans R, Ferguson J, Haley A, Hennessy S, Meis L, Burgess D. Gender differences in PTSD severity and pain outcomes: Baseline results from the LAMP trial. PLOS ONE 2024, 19: e0293437. PMID: 38753651, PMCID: PMC11098421, DOI: 10.1371/journal.pone.0293437.Peer-Reviewed Original ResearchConceptsPain outcomesPost-traumatic stress disorder symptomsChronic painPost-traumatic stress disorderWomen veteransChronic pain clinical trialsPain clinical trialsSensation of painHierarchical linear regression modelsGender differencesPain intensityPain catastrophizingPain interferenceClinical trialsPainAssociated with higher levelsComorbid conditionsExamined gender differencesLinear regression modelsSevere outcomesMultivariate modelMutual maintenanceClinical implicationsSymptomsVeteransUnited States Veterans with comorbid chronic fatigue syndrome and chronic pain: do women differ from men?
Adamowicz J, Thomas E, Lund B, Driscoll M, Hadlandsmyth K. United States Veterans with comorbid chronic fatigue syndrome and chronic pain: do women differ from men? Fatigue Biomedicine Health & Behavior 2024, 12: 238-245. DOI: 10.1080/21641846.2024.2350301.Peer-Reviewed Original ResearchWomen veteransChronic fatigue syndromeChronic painVA Corporate Data WarehouseCorporate Data WarehousePsychiatric comorbiditiesFatigue syndromeGroup differencesEffect size differencesUnited States veteransPain clusterExamined group differencesHealthcare utilizationSociodemographic characteristicsPeriod prevalenceAdministrative dataClinical offeringsVeteransMenstrual painStates veteransPainWomenGroup comparisonsMenComorbiditiesVeterans with chronic pain: Examining gender differences in pain type, overlap, and the impact of post‐traumatic stress disorder
Hadlandsmyth K, Driscoll M, Johnson N, Mares J, Mengeling M, Thomas E, Norman S, Lund B. Veterans with chronic pain: Examining gender differences in pain type, overlap, and the impact of post‐traumatic stress disorder. European Journal Of Pain 2024, 28: 1311-1319. PMID: 38450917, DOI: 10.1002/ejp.2258.Peer-Reviewed Original ResearchPost-traumatic stress disorderChronic painPain typesTrajectory of chronic painVeterans Health Administration administrative dataVeterans with chronic painTrauma-sensitive careStress disorderRisk factorsMultivariate logistic regression modelImpact of post-traumatic stress disorderGender differencesLogistic regression modelsNegative binomial regressionWomen veteransChronic pain typesEstimate gender differencesIndependent risk factorAdministrative dataBinomial regressionPain subtypesVeteransPain conditionsRegression modelsPainExploring Gender Differences in Veterans in a Secondary Analysis of a Randomized Controlled Trial of Mindfulness for Chronic Pain
Burgess D, Campbell E, Branson M, Calvert C, Evans R, Allen K, Bangerter A, Cross L, Driscoll M, Hennessy S, Ferguson J, Friedman J, Matthias M, Meis L, Polusny M, Taylor S, Taylor B. Exploring Gender Differences in Veterans in a Secondary Analysis of a Randomized Controlled Trial of Mindfulness for Chronic Pain. Women's Health Reports 2024, 5: 82-92. PMID: 38404673, PMCID: PMC10890953, DOI: 10.1089/whr.2023.0086.Peer-Reviewed Original ResearchWomen veteransChronic painLevels of pain self-efficacyLevels of pain interferencePain self-efficacyElectronic health recordsVeterans seeking treatmentLevels of depressionRandomized controlled trialsChronic overlapping pain conditionsType of painPain treatment modalitiesPain interferencePain catastrophizingBiopsychosocial contributorsHealth recordsMen veteransChi-square testMIND trialPost-traumatic stress disorderDocumented high ratesGender differencesPain intensityComprehensive needsSecondary analysisCognitive behavioral therapy for chronic pain supported by digital patient feedback and artificial intelligence: Do patients with socioeconomic risk factors benefit?
Piette J, Driscoll M, Buta E, Kerns R, Heapy A. Cognitive behavioral therapy for chronic pain supported by digital patient feedback and artificial intelligence: Do patients with socioeconomic risk factors benefit? Intelligence-Based Medicine 2024, 10: 100164. DOI: 10.1016/j.ibmed.2024.100164.Peer-Reviewed Original ResearchSocial determinants of healthPain-related disabilityCBT-CPClinically meaningful improvementsCognitive behavioral therapyChronic painSocial determinants of health indicatorsTreatment engagementMeaningful improvementsDeterminants of healthSocially disadvantaged patientsSocioeconomic risk factorsComparative effectiveness trialPoor treatment engagementBehavioral therapySDoH indicatorsTreatment access barriersSocial determinantsDisadvantaged patientsSession completionExacerbate disparitiesDigital interventionsPatient feedbackGeographic accessAccess barriers
2023
A population-based investigation into the prevalence of chronic fatigue syndrome in United States military Veterans with chronic pain
Adamowicz J, Thomas E, Lund B, Driscoll M, Vander Weg M, Hadlandsmyth K. A population-based investigation into the prevalence of chronic fatigue syndrome in United States military Veterans with chronic pain. Fatigue Biomedicine Health & Behavior 2023, 11: 129-141. DOI: 10.1080/21641846.2023.2239977.Peer-Reviewed Original ResearchContext of chronic painVeterans Health AdministrationChronic fatigue syndromeChronic painSociodemographic characteristicsPrevalence of chronic fatigue syndromeMilitary veteransEffect sizeUnited States military veteransFatigue syndromeContext of CPDiagnosis of chronic fatigue syndromePopulation-based investigationChi-square test of independenceWeak effect sizesBetween-group comparisonsRural-dwellingBack painNon-HispanicHealthcare servicesHealth AdministrationChi-square testPeriod prevalencePersistent fatigueSample t-test“It Made Me Not Want to See him…”: The Role of Patient-Provider Communication in Influencing Rural-Dwelling Women Veterans’ Motivation to Seek Health Care for Managing Chronic Pain
Johnson N, Steffensmeier K, Garvin L, Adamowicz J, Obrecht A, Rothmiller S, Sibenaller Z, Stout L, Driscoll M, Hadlandsmyth K. “It Made Me Not Want to See him…”: The Role of Patient-Provider Communication in Influencing Rural-Dwelling Women Veterans’ Motivation to Seek Health Care for Managing Chronic Pain. Health Communication 2023, 39: 1161-1174. PMID: 37161286, DOI: 10.1080/10410236.2023.2207280.Peer-Reviewed Original ResearchWomen veteransHealth careChronic painPatient-provider communication skillsHigher health care utilizationRural women veteransPatient-provider communicationSeeking health careHealth care utilizationPain treatment optionsChronic pain managementPatient-providerCare utilizationSeeking careSource of motivationMotivational interviewingInterview participantsPain managementDecision-makingCareVeteransCommunication skillsProvidersPain conditionsHealth
2022
Using Daily Ratings to Examine Treatment Dose and Response in Cognitive Behavioral Therapy for Chronic Pain: A Secondary Analysis of the Co-Operative Pain Education and Self-Management Clinical Trial
MacLean R, Buta E, Higgins D, Driscoll M, Edmond S, LaChappelle K, Ankawi B, Krein S, Piette J, Heapy A. Using Daily Ratings to Examine Treatment Dose and Response in Cognitive Behavioral Therapy for Chronic Pain: A Secondary Analysis of the Co-Operative Pain Education and Self-Management Clinical Trial. Pain Medicine 2022, 24: 846-854. PMID: 36484691, PMCID: PMC10250557, DOI: 10.1093/pm/pnac192.Peer-Reviewed Original ResearchConceptsPain intensityCognitive behavioral therapyCBT-CPChronic painTreatment responseDaily stepsSecondary analysisBehavioral therapyMeaningful changeChronic back painStrong evidence baseBack painPain educationTreatment weekClinical trialsNoninferiority trialTreatment benefitOutcome measuresWeek 4Treatment doseWeek 2Baseline weekMost respondersSurvival analysisStep countRurality impacts pain care for female veterans similarly to male veterans
Hadlandsmyth K, Driscoll MA, Mares JG, Au V, Miell KR, Lund BC. Rurality impacts pain care for female veterans similarly to male veterans. The Journal Of Rural Health 2022, 39: 313-319. PMID: 35170073, DOI: 10.1111/jrh.12646.Peer-Reviewed Original ResearchConceptsSpecialty care visitsPain careCare visitsChronic painImpact of ruralityClinic visitsPsychiatric medicationsMost psychiatric medicationsLong-term opioidsPrimary care visitsHealth care utilizationCohort of veteransChronic pain careVA administrative dataRural-dwelling veteransMultiple comorbiditiesOpioid prescribingCare utilizationRural veteransMore painMuscle relaxantsUrban veteransMale veteransPainFemale veteransArtificial Intelligence (AI) to improve chronic pain care: Evidence of AI learning
Piette J, Newman S, Krein S, Marinec N, Chen J, Williams D, Edmond S, Driscoll M, LaChappelle K, Maly M, Kim H, Farris K, Higgins D, Kerns R, Heapy A. Artificial Intelligence (AI) to improve chronic pain care: Evidence of AI learning. Intelligence-Based Medicine 2022, 6: 100064. DOI: 10.1016/j.ibmed.2022.100064.Peer-Reviewed Original ResearchPatient interactionsPatient subgroupsInteractive voice response callsPain-related interferenceComparative effectiveness trialChronic pain careCourse of therapyPedometer step countsDisease management programsCognitive behavioral therapyCBT-CPChronic painMore patientsPain careTreatment modalitiesTreatment recommendationsEffectiveness trialPatientsStep countBehavioral therapyClinician timeWeeksTherapy sessionsMethods DataTherapist feedback
2021
Psychological Interventions for the Treatment of Chronic Pain in Adults
Driscoll MA, Edwards RR, Becker WC, Kaptchuk TJ, Kerns RD. Psychological Interventions for the Treatment of Chronic Pain in Adults. Psychological Science In The Public Interest 2021, 22: 52-95. PMID: 34541967, DOI: 10.1177/15291006211008157.Peer-Reviewed Original ResearchConceptsPsychological interventionsCognitive behavioral therapyChronic painPrimary conceptual frameworkPsychological processesCo-occurring disordersIndividual differencesPsychological treatmentPsychological approachResilience factorsCommitment TherapyExpression therapyBiopsychosocial modelAdditional scientific knowledgeComplex experienceImpact of painMultiple pain conditionsSerious public health concernModel of carePublic health concernInterventionOpioid therapyAdultsPain conditionsMindfulnessI smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain
Lee M, Snow J, Quon C, Selander K, DeRycke E, Lawless M, Driscoll M, Ditre JW, Mattocks KM, Becker WC, Bastian LA. I smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain. Wiener Klinische Wochenschrift 2021, 133: 1012-1019. PMID: 34460005, DOI: 10.1007/s00508-021-01931-x.Peer-Reviewed Original ResearchConceptsChronic painCigarette smokingMean pain intensity scorePain intensity scoresGreater pain intensitySmoking cessation trialPain-related distressYears of ageSelf-management strategiesBackgroundFor peopleConclusionMany patientsPain reliefPain intensityRetrospective thematic analysisCessation trialMedian numberPatient's perspectivePainKey ResultsParticipantsSmokingSmoking behaviorIntensity scoresSmoking studiesGreater painPatientsPain and smoking study (PASS): A comparative effectiveness trial of smoking cessation counseling for veterans with chronic pain
Bastian LA, Driscoll M, DeRycke E, Edmond S, Mattocks K, Goulet J, Kerns RD, Lawless M, Quon C, Selander K, Snow J, Casares J, Lee M, Brandt C, Ditre J, Becker W. Pain and smoking study (PASS): A comparative effectiveness trial of smoking cessation counseling for veterans with chronic pain. Contemporary Clinical Trials Communications 2021, 23: 100839. PMID: 34485755, PMCID: PMC8391053, DOI: 10.1016/j.conctc.2021.100839.Peer-Reviewed Original ResearchCognitive-behavioral interventionsBehavioral interventionsAdaptive coping strategiesPain-related anxietyChronic painSmoking studiesGreater pain intensityCoping strategiesMotivational interviewingSmoking cessationPain-related functional interferenceTelephone counseling interventionCounseling interventionNicotine replacement therapyMental health comorbiditiesComparative effectiveness trialRandomized clinical trialsParticipantsEffectiveness trialRelapse managementVeteransCessation counselingBaseline characteristicsHealth comorbiditiesMedian ageIncorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention
Heapy AA, Tankha H, Higgins DM, Driscoll M, LaChappelle KM, Goulet JL, Buta E, Piette JD, Kerns RD, Krein SL. Incorporating walking into cognitive behavioral therapy for chronic pain: safety and effectiveness of a personalized walking intervention. Journal Of Behavioral Medicine 2021, 44: 260-269. PMID: 33386530, DOI: 10.1007/s10865-020-00193-8.Peer-Reviewed Original ResearchConceptsAdverse eventsCognitive behavioral therapyChronic painBehavioral therapyCBT-CPLongstanding painWalking interventionsDaily stepsTreatment groupsPainInteractive voice responseStudy sampleWeekly goalsSignificant differencesSignificant increaseTherapyTreatmentParticipantsVoice responseSafetyPersonsBaselineWeeks
2020
Co-Operative Pain Education and Self-management (COPES) Expanding Treatment for Real-World Access (ExTRA): Pragmatic Trial Protocol
Heapy AA, Driscoll MA, Buta E, LaChappelle KM, Edmond S, Krein SL, Piette JD, Mattocks K, Murphy JL, DeBar L, MacLean RR, Ankawi B, Kawecki T, Martino S, Wagner T, Higgins DM. Co-Operative Pain Education and Self-management (COPES) Expanding Treatment for Real-World Access (ExTRA): Pragmatic Trial Protocol. Pain Medicine 2020, 21: s21-s28. PMID: 33313733, PMCID: PMC7734659, DOI: 10.1093/pm/pnaa365.Peer-Reviewed Original ResearchConceptsCBT-CPMusculoskeletal painPragmatic trialInteractive voice responseHealth care system factorsPragmatic trial protocolChronic musculoskeletal painVA Medical CenterVeterans Affairs cliniciansDepression symptom severityBudget impact analysisReal-world accessCognitive behavioral therapySecondary outcomesPain intensityPrimary outcomeChronic painPain interferenceSuperiority trialGlobal ImpressionPain educationPatient preferencesTrial protocolMedical CenterReal-world setting
2018
A Brief, Integrated, Telephone-Based Intervention for Veterans Who Smoke and Have Chronic Pain: A Feasibility Study
Driscoll MA, Perez E, Edmond SN, Becker WC, DeRycke EC, Kerns RD, Bastian LA. A Brief, Integrated, Telephone-Based Intervention for Veterans Who Smoke and Have Chronic Pain: A Feasibility Study. Pain Medicine 2018, 19: s84-s92. PMID: 30203011, DOI: 10.1093/pm/pny144.Peer-Reviewed Original ResearchConceptsChronic painEvidence-based smoking cessationWorst pain intensity scorePain intensity scoresTelephone-delivered interventionChronic pain reportVA healthcare systemCo-occurring smokingCurrent smokingPain intensityPain outcomesSmoking cessationTelephone interventionPrimary carePain reportsVeteran populationSmokingIntensity scoresMeaningful improvementsStudy participantsPilot studyFunctional interferenceHealthcare systemInterventionPain