2020
Predictors of engagement in an internet-based cognitive behavioral therapy program for veterans with chronic low back pain
Solar C, Halat AM, MacLean RR, Rajeevan H, Williams DA, Krein SL, Heapy AA, Bair MJ, Kerns RD, Higgins DM. Predictors of engagement in an internet-based cognitive behavioral therapy program for veterans with chronic low back pain. Translational Behavioral Medicine 2020, 11: 1274-1282. PMID: 33098304, DOI: 10.1093/tbm/ibaa098.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painClinical characteristicsBack painChronic painEASE programParticipant characteristicsInternet-based cognitive behavioural therapy programmeInternet-based cognitive behavioral therapy interventionInternet-based interventionsCognitive behavioral therapy interventionInternet-based programCognitive behavioral therapy programBehavioral therapy interventionBehavioral therapy programRace/ethnicityPain careMean ageNumber of loginsIncreased ageTherapy interventionWeek trialPainTherapy programPredictors of engagementInternet‐Based Pain Self‐Management for Veterans: Feasibility and Preliminary Efficacy of the Pain EASE Program
Higgins DM, Buta E, Williams DA, Halat A, Bair MJ, Heapy AA, Krein SL, Rajeevan H, Rosen MI, Kerns RD. Internet‐Based Pain Self‐Management for Veterans: Feasibility and Preliminary Efficacy of the Pain EASE Program. Pain Practice 2020, 20: 357-370. PMID: 31778281, DOI: 10.1111/papr.12861.Peer-Reviewed Original ResearchConceptsChronic low back painSelf-management programPain interferencePreliminary efficacyInternet-based self-management programPhase IPost-baseline assessmentLow back painPain Self-ManagementPhase IIPreliminary efficacy studyTechnology-delivered interventionsModerate painSecondary outcomesPain intensityBack painAverage ageEfficacy studiesDepression symptomsSubject improvementExpert panelSelf-ManagementSubject changesEASE programWeeks
2018
Relationships Between Temporomandibular Disorders, MSD Conditions, and Mental Health Comorbidities: Findings from the Veterans Musculoskeletal Disorders Cohort
Fenton BT, Goulet JL, Bair MJ, Cowley T, Kerns RD. Relationships Between Temporomandibular Disorders, MSD Conditions, and Mental Health Comorbidities: Findings from the Veterans Musculoskeletal Disorders Cohort. Pain Medicine 2018, 19: s61-s68. PMID: 30203016, DOI: 10.1093/pm/pny145.Peer-Reviewed Original ResearchConceptsMental health comorbiditiesTemporomandibular disordersRace/ethnicityHealth comorbiditiesTMD casesAssociation of TMDNational Veterans Health AdministrationNonwhite race/ethnicityNontraumatic joint disordersChronic painful conditionsVeterans Health AdministrationChi-square testCross-sectional analysisObservational cohortBack painPainful conditionsJoint disordersComorbidity patternsMood disordersHispanic ethnicityHispanic womenMale veteransComorbiditiesHealth AdministrationDisorder cohort
2017
Interactive Voice Response–Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial
Heapy AA, Higgins DM, Goulet JL, LaChappelle KM, Driscoll MA, Czlapinski RA, Buta E, Piette JD, Krein SL, Kerns RD. Interactive Voice Response–Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial. JAMA Internal Medicine 2017, 177: 765-773. PMID: 28384682, PMCID: PMC5818820, DOI: 10.1001/jamainternmed.2017.0223.Peer-Reviewed Original ResearchConceptsPerson cognitive-behavioural therapyChronic back painNumeric rating scaleCognitive behavioral therapyBack painChronic painPrimary outcomeSleep qualityVeterans Affairs Health Care SystemPrespecified noninferiority marginAverage pain intensityNonpharmacologic treatment optionsPain-related interferenceChronic pain treatmentSelf-management trialCognitive behavioral therapy deliveryIndividual CBT sessionsEvidence-based treatmentsQuality of lifeSelf-help manualHealth care systemIVR monitoringNonpharmacologic interventionsSecondary outcomesStandard therapy
2016
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools: Protocol for a Randomized Study Funded by the US Department of Veterans Affairs Health Services Research and Development Program
Piette JD, Krein SL, Striplin D, Marinec N, Kerns RD, Farris KB, Singh S, An L, Heapy AA. Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools: Protocol for a Randomized Study Funded by the US Department of Veterans Affairs Health Services Research and Development Program. JMIR Research Protocols 2016, 5: e53. PMID: 27056770, PMCID: PMC4856067, DOI: 10.2196/resprot.4995.Peer-Reviewed Original ResearchInteractive voice response callsTelephone Cognitive Behavioral TherapyChronic low back painCognitive behavioral therapyPain management servicesLow back painBack painTreatment responsePatient-centered pain carePedometer-measured step countsStep countVeterans Affairs Health Services ResearchVeterans Affairs patientsPain-related interferencePain-related outcomesPain-related functioningVA healthcare systemMobile health toolsWeekly hour-long sessionsPedometer step countsSignificant treatment responseHealth services researchPain controlTreatment satisfactionPain careCooperative pain education and self-management (COPES): study design and protocol of a randomized non-inferiority trial of an interactive voice response-based self-management intervention for chronic low back pain
Heapy AA, Higgins DM, LaChappelle KM, Kirlin J, Goulet JL, Czlapinski RA, Buta E, Piette JD, Krein SL, Richardson CR, Kerns RD. Cooperative pain education and self-management (COPES): study design and protocol of a randomized non-inferiority trial of an interactive voice response-based self-management intervention for chronic low back pain. BMC Musculoskeletal Disorders 2016, 17: 85. PMID: 26879051, PMCID: PMC4754867, DOI: 10.1186/s12891-016-0924-z.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painNon-inferiority trialRandomized non-inferiority trialCognitive behavioral therapyPerson cognitive-behavioural therapyBack painClinical outcomesChronic pain conditionsNumeric rating scalePain-related interferencePatient-reported informationSelf-management interventionsEvidence-based treatmentsQuality of lifeUS military veteransStatewide health systemBackgroundThe InstituteIVR monitoringSecondary outcomesMore patientsPain conditionsPain intensityPrimary outcomeChronic pain
2013
Headache Diagnoses Among Iraq and Afghanistan War Veterans Enrolled in VA: A Gender Comparison
Carlson KF, Taylor BC, Hagel EM, Cutting A, Kerns R, Sayer NA. Headache Diagnoses Among Iraq and Afghanistan War Veterans Enrolled in VA: A Gender Comparison. Headache The Journal Of Head And Face Pain 2013, 53: 1573-1582. PMID: 24102376, DOI: 10.1111/head.12216.Peer-Reviewed Original ResearchConceptsHeadache diagnosisComorbid diagnosesAfghanistan war veteransPrevalence ratiosVA inpatientVeterans Affairs (VA) health carePrevalent comorbid diagnosesHistorical cohort studyDiseases diagnosis codesConfidence intervalsHealth care needsPost-traumatic stress disorderWar veteransCohort studyPatient characteristicsBack painOutpatient encountersDiagnosis codesHeadache disordersVA usersInternational ClassificationMigraine diagnosisCare needsOutpatient dataVA services
2010
The Moderating Effect of Obesity on Cognitive–Behavioral Pain Treatment Outcomes
Sellinger JJ, Clark EA, Shulman M, Rosenberger PH, Heapy AA, Kerns RD. The Moderating Effect of Obesity on Cognitive–Behavioral Pain Treatment Outcomes. Pain Medicine 2010, 11: 1381-1390. PMID: 20735748, DOI: 10.1111/j.1526-4637.2010.00935.x.Peer-Reviewed Original ResearchConceptsBody mass indexNon-obese participantsPain treatment outcomesMass indexTreatment outcomesSF-36Roland-Morris Disability QuestionnaireChronic low back painAverage body mass indexLow back pain outcomesPain treatment interventionsVeterans SF-36Morris Disability QuestionnaireNon-obese groupAverage pain intensityBack pain outcomesLow back painNumerical rating scaleRole of BMIMeasures of disabilityBeck Depression InventoryDisability QuestionnairePain treatmentBack painPain conditions
2008
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Burgess DJ, Crowley-Matoka M, Phelan S, Dovidio JF, Kerns R, Roth C, Saha S, van Ryn M. Patient race and physicians' decisions to prescribe opioids for chronic low back pain. Social Science & Medicine 2008, 67: 1852-1860. PMID: 18926612, DOI: 10.1016/j.socscimed.2008.09.009.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painPatient racePhysician's decisionWhite patientsBack painTreatment decisionsHigh doseAmerican Medical Association Physician MasterfileChronic pain patientsPrimary care physiciansPhysicians' treatment decisionsNon-clinical characteristicsStrong opioidsNonwhite patientsPatient characteristicsPain managementPain patientsBlack patientsCare physiciansPatientsOpioidsPhysician MasterfilePhysician behaviorPatient's verbal behavior
2007
Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction.
Martell BA, O'Connor PG, Kerns RD, Becker WC, Morales KH, Kosten TR, Fiellin DA. Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Annals Of Internal Medicine 2007, 146: 116-27. PMID: 17227935, DOI: 10.7326/0003-4819-146-2-200701160-00006.Peer-Reviewed Original ResearchConceptsChronic back painSubstance use disordersEfficacy of opioidsBack painMedication-taking behaviorUse disordersOpioid treatmentOpioid medicationsStudy qualityShort-term pain reliefCurrent substance use disorderCochrane Central RegisterLifetime substance use disorderControlled Clinical TrialsLong-term efficacyPoor study qualityEnglish-language studiesTransdermal opioidsOpioid prescribingPain reliefCentral RegisterDifferent opioidsReduced painClinical trialsNonsignificant reductionMeta-Analysis of Psychological Interventions for Chronic Low Back Pain
Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-Analysis of Psychological Interventions for Chronic Low Back Pain. Health Psychology 2007, 26: 1-9. PMID: 17209691, DOI: 10.1037/0278-6133.26.1.1.Peer-Reviewed Original ResearchConceptsChronic low back painLow back painPain intensityBack painD effect sizesPsychological interventionsInclusion criteriaHealth care provider visitsComputer-aided literature searchHealth-related qualityPain-related interferenceHealth care utilizationRandom-effects modelCohen's d effect sizesMinimal publication biasEffect sizeSelf-regulatory treatmentPain medicationProvider visitsActive control conditionCare utilizationPain interferenceCompensation statusClinical trialsPositive short-term effects
2003
Cognitive–Behavioral Therapy for Chronic Low Back Pain in Older Persons: A Preliminary Study
Reid MC, Otis J, Barry LC, Kerns RD. Cognitive–Behavioral Therapy for Chronic Low Back Pain in Older Persons: A Preliminary Study. Pain Medicine 2003, 4: 223-230. PMID: 12974821, DOI: 10.1046/j.1526-4637.2003.03030.x.Peer-Reviewed Original ResearchConceptsChronic low back painCognitive behavioral therapyLow back painPain intensityOlder personsBack painParticipants' pain intensityPain-related disabilityPain-related disability scoresUncontrolled pilot studyWeekly individual sessionsSocial activity levelsDisability scoresMean agePretreatment levelsFeasible treatmentTreatment sessionsPosttreatment assessmentPotential efficacyBehavioral therapyPilot studyWeeksMean numberActivity levelsPain
2002
Pain-Related Disability Among Older Male Veterans Receiving Primary Care
Reid MC, Guo Z, Towle VR, Kerns RD, Concato J. Pain-Related Disability Among Older Male Veterans Receiving Primary Care. The Journals Of Gerontology Series A 2002, 57: m727-m732. PMID: 12403801, DOI: 10.1093/gerona/57.11.m727.Peer-Reviewed Original ResearchConceptsPain-related disabilityHigh pain-related disabilityPresence of painOlder male veteransPain intensityPrimary careDepressive symptomsMale veteransModerate pain-related disabilityOlder personsVeterans Affairs primary care clinicsEpidemiologic Studies Depression ScaleNumeric rating scalePrimary care clinicsLow back painCross-sectional studyMost daysPain characteristicsOne-unit increaseBack painCare clinicsSubstantial disabilityModifiable factorsOlder veteransPainDifferences in Pain-related Characteristics Among Younger and Older Veterans Receiving Primary Care
Reid MC, Crone KT, Otis J, Kerns RD. Differences in Pain-related Characteristics Among Younger and Older Veterans Receiving Primary Care. Pain Medicine 2002, 3: 102-107. PMID: 15102156, DOI: 10.1046/j.1526-4637.2002.02023.x.Peer-Reviewed Original ResearchCharacteristics of painPrimary careOlder veteransFunction of agePrescription pain medication useVeterans Affairs Medical CenterPain medication usePain intensity scoresPain-related disabilityPrimary care patientsPrimary care populationSite of painNumeric rating scaleRoutine office visitsPain-related characteristicsSelf-administered questionnaireOlder respondentsLeg painConstant painPain complaintsCare patientsMedication useBack painCare populationOffice visits
1995
Toward an Integrative Diathesis-Stress Model of Chronic Pain
Kerns R, Jacob M. Toward an Integrative Diathesis-Stress Model of Chronic Pain. Springer Series In Rehabilitation And Health 1995, 325-340. DOI: 10.1007/978-1-4899-1028-8_17.Peer-Reviewed Original ResearchLow back painChronic painBack painDirect health care costsHealth care delivery systemThird of AmericansHealth maintenance organizationHealth care costsExperience of painAlternative health care delivery systemsAbdominal painChest painFacial painRecurrent painRheumatoid arthritisCounter medicationsLifetime economic costsDisability compensationPainRecurrent headachesHealth problemsMaintenance organizationDevastating problemVon KorffFinancial burden
1994
- Low back painBack painChronic painSignificant back painHealth maintenance organizationExperience of painAbdominal painChest painFacial painPain managementMonths durationLifetime prevalenceMillions of AmericansPainRecurrent headachesHealthcare costsEconomic burdenMaintenance organizationVon KorffMonthsHeadacheSignificant contributorPrevalence