2022
Taking ACTION to Reduce Pain: a Randomized Clinical Trial of a Walking-Focused, Proactive Coaching Intervention for Black Patients with Chronic Musculoskeletal Pain
Burgess DJ, Hagel Campbell E, Hammett P, Allen KD, Fu SS, Heapy A, Kerns RD, Krein SL, Meis LA, Bangerter A, Cross LJS, Do T, Saenger M, Taylor BC. Taking ACTION to Reduce Pain: a Randomized Clinical Trial of a Walking-Focused, Proactive Coaching Intervention for Black Patients with Chronic Musculoskeletal Pain. Journal Of General Internal Medicine 2022, 37: 3585-3593. PMID: 35132545, PMCID: PMC9585120, DOI: 10.1007/s11606-021-07376-2.Peer-Reviewed Original ResearchConceptsBlack patientsUsual careSecondary outcomesPain intensityPrimary outcomeChronic painIntervention participantsVA health care systemMasked outcome assessmentChronic musculoskeletal painMental health comorbiditiesChronic pain outcomesAverage daily stepsTelephone coaching sessionsMain MeasuresPrimary outcomesCoaching interventionHealth care systemResultsThe interventionHealth comorbiditiesMusculoskeletal painPain outcomesSevere chronicPain interferenceGlobal ImpressionMeasuresPrimary outcomes
2018
An evaluation of the feasibility, acceptability, and preliminary efficacy of cognitive-behavioral therapy for opioid use disorder and chronic pain
Barry DT, Beitel M, Cutter CJ, Fiellin DA, Kerns RD, Moore BA, Oberleitner L, Madden LM, Liong C, Ginn J, Schottenfeld RS. An evaluation of the feasibility, acceptability, and preliminary efficacy of cognitive-behavioral therapy for opioid use disorder and chronic pain. Drug And Alcohol Dependence 2018, 194: 460-467. PMID: 30508769, PMCID: PMC6312460, DOI: 10.1016/j.drugalcdep.2018.10.015.Peer-Reviewed Original ResearchConceptsOpioid use disorderCognitive behavioral therapyChronic painPreliminary efficacyDrug counselingUse disordersImproved pain outcomesProportion of patientsMethadone-maintained patientsNonmedical opioid useEnd of treatmentPrimary study aimPatient satisfaction ratingsManualized cognitive behavioral therapyOpioid usePain outcomesPain interferenceClinical trialsStandard drug counselingPatientsMean sessionSecondary aimStudy aimPainPilot studyA 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 systemInterventionPainIntervention 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
2017
Taking ACTION to reduce pain: ACTION study rationale, design and protocol of a randomized trial of a proactive telephone-based coaching intervention for chronic musculoskeletal pain among African Americans
Bhimani RH, Cross LJ, Taylor BC, Meis LA, Fu SS, Allen KD, Krein SL, Do T, Kerns RD, Burgess DJ. Taking ACTION to reduce pain: ACTION study rationale, design and protocol of a randomized trial of a proactive telephone-based coaching intervention for chronic musculoskeletal pain among African Americans. BMC Musculoskeletal Disorders 2017, 18: 15. PMID: 28086853, PMCID: PMC5237146, DOI: 10.1186/s12891-016-1363-6.Peer-Reviewed Original ResearchConceptsChronic musculoskeletal painMusculoskeletal painTreatment outcomesHealth care service utilizationMorris Disability QuestionnairePain outcome measuresPain treatment outcomesTelephone counseling sessionsAfrican American patientsAfrican AmericansPrimary aimUsual careDisability QuestionnaireOpioid analgesicsPain outcomesPain treatmentPrimary outcomeChronic painPain assessmentTreat methodologyAmerican patientsClinical trialsPhysical functioningService utilizationOutcome measures
2016
Improving pain care through implementation of the Stepped Care Model at a multisite community health center
Anderson DR, Zlateva I, Coman EN, Khatri K, Tian T, Kerns RD. Improving pain care through implementation of the Stepped Care Model at a multisite community health center. Journal Of Pain Research 2016, Volume 9: 1021-1029. PMID: 27881926, PMCID: PMC5115680, DOI: 10.2147/jpr.s117885.Peer-Reviewed Original ResearchPrimary care providersPain knowledge scoresCommunity health centersStepped care modelPain careHealth centersCare modelMultisite community health centerFederally Qualified Health CentersOpioid treatment agreementsQualified health centersUrine drug screensDocumentation of painHealth Services frameworkSafety-net practicesElectronic health recordsOpioid prescribingChart reviewPain managementPain outcomesPain treatmentChronic painPain assessmentTreatment agreementsPrimary careAssociation between pain outcomes and race and opioid treatment: Retrospective cohort study of Veterans
Burgess DJ, Gravely AA, Nelson DB, Bair MJ, Kerns RD, Higgins DM, Farmer MM, Partin MR. Association between pain outcomes and race and opioid treatment: Retrospective cohort study of Veterans. The Journal Of Rehabilitation Research And Development 2016, 53: 13-24. PMID: 26933921, DOI: 10.1682/jrrd.2014.10.0252.Peer-Reviewed Original ResearchConceptsRetrospective cohort studyIndex visitOpioid prescriptionsPain outcomesCohort studyMusculoskeletal painPain treatmentPain interferenceBenefits of opioidsElectronic medical record dataGreater pain interferencePharmacologic pain treatmentsChronic noncancer painVeterans Affairs patientsChronic musculoskeletal painMedical record dataNoncancer painOpioid treatmentMost patientsVA patientsVA SurveyAlternative treatmentPatientsSignificant associationPain
2015
Pain Self-Management in HIV-Infected Individuals with Chronic Pain: A Qualitative Study
Merlin JS, Walcott M, Kerns R, Bair MJ, Burgio KL, Turan JM. Pain Self-Management in HIV-Infected Individuals with Chronic Pain: A Qualitative Study. Pain Medicine 2015, 16: 706-714. PMID: 25645646, PMCID: PMC4390451, DOI: 10.1111/pme.12701.Peer-Reviewed Original ResearchConceptsSelf-management strategiesChronic painPain self-management strategiesPain Self-ManagementNegative health consequencesPain managementPain outcomesPhysical activityPainHIVHealth consequencesBehavioral interventionsSubstance useSelf-ManagementSocial supportInterventionQualitative studyThematic analysisIndividualsEssential first stepSpiritual strategies
2009
A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy
Masheb R, Kerns R, Lozano C, Minkin M, Richman S. A Randomized Clinical Trial for Women With Vulvodynia: Cognitive-Behavioral Therapy vs. Supportive Psychotherapy. Obstetrical & Gynecological Survey 2009, 64: 305-306. DOI: 10.1097/01.ogx.0000347335.07172.18.Peer-Reviewed Original ResearchCognitive behavioral therapyPain severityCBT groupSPT groupSupportive psychotherapyEmotional functionClinical trialsPhysician ratingsTreatment groupsTreatment of vulvodyniaChronic vulvar painPsychological interventionsGreater patient satisfactionSexual function outcomesEfficacy of CBTEffective psychosocial treatmentsOverall sexual functioningSelf-management approachSelf-management skillsSpecific behavioral interventionsPain outcomesVulvar painFunction outcomesPatient satisfactionSexual functionMood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery
Rosenberger PH, Kerns R, Jokl P, Ickovics JR. Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery. Annals Of Behavioral Medicine 2009, 37: 70-76. PMID: 19169766, DOI: 10.1007/s12160-008-9078-z.Peer-Reviewed Original ResearchConceptsArthroscopic knee surgeryPain severityPain outcomesPain interferenceKnee surgeryBody mass indexExtent of osteoarthritisPreoperative moodPreoperative depressionKnee osteoarthritisMass indexClinical variablesSurgeryDaily functioningSeveritySignificant predictorsLongitudinal studyPainRegression analysisOsteoarthritisOutcomesImportant predictorDepressionPotential relationshipImportant outcomes
2007
Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials: IMMPACT Recommendations
Dworkin RH, Turk DC, Wyrwich KW, Beaton D, Cleeland CS, Farrar JT, Haythornthwaite JA, Jensen MP, Kerns RD, Ader DN, Brandenburg N, Burke LB, Cella D, Chandler J, Cowan P, Dimitrova R, Dionne R, Hertz S, Jadad AR, Katz NP, Kehlet H, Kramer LD, Manning DC, McCormick C, McDermott MP, McQuay HJ, Patel S, Porter L, Quessy S, Rappaport BA, Rauschkolb C, Revicki DA, Rothman M, Schmader KE, Stacey BR, Stauffer JW, von Stein T, White RE, Witter J, Zavisic S. Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials: IMMPACT Recommendations. Journal Of Pain 2007, 9: 105-121. PMID: 18055266, DOI: 10.1016/j.jpain.2007.09.005.Peer-Reviewed Original ResearchConceptsChronic pain clinical trialsPain clinical trialsChronic pain treatmentClinical trialsSpecific outcome measuresClinical importanceTreatment outcomesOutcome measuresPain treatmentBrief Pain Inventory-InterferenceClinical trial outcome measuresPatient Global ImpressionChronic pain outcomesNumerical rating scaleTrial outcome measuresMultidimensional Pain InventoryPatient self-help organizationsBeck Depression InventoryIMMPACT recommendationsPain intensityPain outcomesPain InventoryChronic painPain assessmentGlobal Impression