2019
Further Examination of the Pain Stages of Change Questionnaires Among Chronic Low Back Pain Patients
Mun CJ, Otis JD, Concato J, Reid MC, Burg MM, Czlapinski R, Kerns RD. Further Examination of the Pain Stages of Change Questionnaires Among Chronic Low Back Pain Patients. The Clinical Journal Of Pain 2019, 35: 744-752. PMID: 31149934, DOI: 10.1097/ajp.0000000000000733.Peer-Reviewed Original ResearchConceptsChronic low back pain patientsLow back pain patientsSelf-management approachBack pain patientsCognitive behavioral therapyChronic painDepressive symptom severityPain severityPain patientsPain StagesRegular cognitive behavioural therapySymptom severityVA primary care clinicsChange scoresPrimary care clinicsChange QuestionnaireLong-term functionMaintenance scoresCare clinicsPresent studyPatient readinessPatients' attitudesWeeks posttreatmentSustained benefitTherapeutic mechanism
2018
Testing implementation facilitation of a primary care-based collaborative care clinical program using a hybrid type III interrupted time series design: a study protocol
Midboe AM, Martino S, Krein SL, Frank JW, Painter JT, Chandler M, Schroeder A, Fenton BT, Troszak L, Erhardt T, Kerns RD, Becker WC. Testing implementation facilitation of a primary care-based collaborative care clinical program using a hybrid type III interrupted time series design: a study protocol. Implementation Science 2018, 13: 145. PMID: 30486877, PMCID: PMC6262952, DOI: 10.1186/s13012-018-0838-2.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidCooperative BehaviorEvidence-Based PracticeHumansImplementation ScienceInservice TrainingInterrupted Time Series AnalysisPain ManagementPractice Patterns, Physicians'Primary Health CareProgram EvaluationResearch DesignUnited StatesUnited States Department of Veterans AffairsWork EngagementConceptsCollaborative care interventionVeterans Health AdministrationImplementation facilitationPrimary careCare interventionsHigh-dose opioid therapyMorphine equivalent daily doseVHA health care systemClinical programsImplementation facilitation strategyOutpatient opioid prescriptionsOpioid prescribing practicesPain management servicesCollaborative care programEquivalent daily dosePrimary care clinicsPrimary care providersRE-AIM frameworkInterrupted time seriesOpioid overdose crisisHealth care systemInterrupted time series designEligible patientsMedication taperingOpioid therapyImpact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C
Lynch SM, Wilson SM, DeRycke EC, Driscoll MA, Becker WC, Goulet JL, Kerns RD, Mattocks KM, Brandt CA, Bathulapalli H, Skanderson M, Haskell SG, Bastian LA. Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Medicine 2018, 19: s5-s11. PMID: 30203017, DOI: 10.1093/pm/pny146.Peer-Reviewed Original ResearchConceptsHepatitis C virusSevere pain intensityPain intensityElectronic medical recordsCurrent smokersSmoking statusVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnIndependent risk factorInteraction of smokingNumeric rating scalePrimary care clinicsHigher pain intensityCigarette smoking statusICD-9 codesOEF/OIF/OND veteransCross-sectional analysisCohort studyCurrent smokingHepatitis C.Severe painPain managementTobacco smokingCare clinicsChronic painVeteran Experiences Seeking Non-pharmacologic Approaches for Pain
Giannitrapani K, McCaa M, Haverfield M, Kerns RD, Timko C, Dobscha S, Lorenz K. Veteran Experiences Seeking Non-pharmacologic Approaches for Pain. Military Medicine 2018, 183: e628-e634. PMID: 29590422, DOI: 10.1093/milmed/usy018.Peer-Reviewed Original ResearchConceptsNon-pharmacologic approachesUS military veteransPatient-centered pain careVA health care systemManagement of painNumeric rating scalePrimary care clinicsMilitary veteransPain intensity ratingsSpecific access barriersVA healthcare systemMulti-level barriersHealth care systemVeterans' experiencesFuture implementation effortsPain screeningCare clinicsPain carePrimary careCare coordinationPain studiesPainPain experienceVeterans' knowledgeFemale veteransIntervention Mapping to develop a Social Cognitive Theory-based intervention for chronic pain tailored to individuals with HIV
Merlin JS, Young SR, Johnson MO, Saag M, Demonte W, Kerns R, Bair MJ, Kertesz S, Turan JM, Kilgore M, Clay OJ, Pekmezi D, Davies S. Intervention Mapping to develop a Social Cognitive Theory-based intervention for chronic pain tailored to individuals with HIV. Contemporary Clinical Trials Communications 2018, 10: 9-16. PMID: 29696153, PMCID: PMC5898474, DOI: 10.1016/j.conctc.2018.02.004.Peer-Reviewed Original ResearchSocial cognitive theoryCognitive theoryChronic painBehavioral interventionsIntervention MappingIntervention mapping processChronic pain outcomesHIV primary care clinicPain-related functional impairmentNon-pharmacologic interventionsPrimary care clinicsIntervention effectsTheoretical constructsBehavioral sciencesImportant comorbidityPain intensityPain outcomesCare clinicsProximal mediatorQualitative findingsFunctional impairmentConceptual frameworkGeneral populationUnique needsIntervention impact
2016
Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars
Bastian LA, Driscoll MA, Heapy AA, Becker WC, Goulet JL, Kerns RD, DeRycke EC, Perez E, Lynch SM, Mattocks K, Kroll-Desrosiers AR, Brandt CA, Skanderson M, Bathulapalli H, Haskell SG. Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars. Pain Medicine 2016, 18: 1089-1097. PMID: 27659441, DOI: 10.1093/pm/pnw223.Peer-Reviewed Original ResearchConceptsCurrent pain intensityOpioid prescriptionsPain intensitySmoking statusOEF/OIF/OND veteransCurrent smokersFormer smokersOpioid useVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnMild pain intensityMore opioid prescriptionsSevere pain intensityNumeric rating scalePrimary care clinicsCigarette smoking statusCross-sectional analysisOpioid receiptFormer smokingCohort studyCurrent smokingCare clinicsChronic painCigarette smokersSmoking cessationNon‐medical use of prescription opioids is associated with heroin initiation among US veterans: a prospective cohort study
Banerjee G, Edelman EJ, Barry DT, Becker WC, Cerdá M, Crystal S, Gaither JR, Gordon AJ, Gordon KS, Kerns RD, Martins SS, Fiellin DA, Marshall BD. Non‐medical use of prescription opioids is associated with heroin initiation among US veterans: a prospective cohort study. Addiction 2016, 111: 2021-2031. PMID: 27552496, PMCID: PMC5056813, DOI: 10.1111/add.13491.Peer-Reviewed Original ResearchConceptsMultivariable Cox regression modelsNon-medical useCox regression modelHeroin initiationPrescription opioidsHeroin useCohort studyUS veteransOpioid use disorder diagnosisVeterans Aging Cohort StudyProspective cohort studyAging Cohort StudyIllicit opioid usePrimary care clinicsPrimary outcome measureStrong risk factorPost-traumatic stress disorderUninfected veteransUninfected patientsOpioid useRegression modelsCare clinicsPain interferencePrior diagnosisPrimary exposure
2014
Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics
Pellico LH, Gilliam WP, Lee AW, Kerns RD. Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics. The Open Nursing Journal 2014, 8: 25-33. PMID: 25246996, PMCID: PMC4168647, DOI: 10.2174/1874434601408010025.Peer-Reviewed Original ResearchPrimary care clinicsChronic painRegistered NursesHealth techniciansCare clinicsChronic pain managementChronic pain patientsOverall response rateCare of patientsGlobal health problemHigh prevalence ratesPatient-centered careRecent national estimatesPain managementPain patientsClinical quandaryPatient populationNursing staffPrevalence ratesPainPatientsResponse rateSystem barriersPrimacy of patientsHealth problems
2005
Intersession coping skill practice mediates the relationship between readiness for self-management treatment and goal accomplishment
Heapy A, Otis J, Marcus KS, Frantsve LM, Janke E, Shulman M, Bellmore W, Kerns RD. Intersession coping skill practice mediates the relationship between readiness for self-management treatment and goal accomplishment. Pain 2005, 118: 360-368. PMID: 16289803, DOI: 10.1016/j.pain.2005.09.004.Peer-Reviewed Original ResearchConceptsSelf-management treatmentCognitive behavioral therapySelf-management approachPain treatmentChronic painVA primary care clinicsPrimary care clinicsPain ReadinessCare clinicsPain StagesPatient readinessPrimary careImproved outcomesTreatment benefitTreatment goalsSkills practicePractice recommendationsAdherence ratingsAdherenceChange QuestionnairePSOCQPainPatientsTreatmentSelf-efficacy ratings
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 veteransPainUse 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