2022
Artificial 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
2018
Association Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy
Carey EP, Nolan C, Kerns RD, Ho PM, Frank JW. Association Between Facility-Level Utilization of Non-pharmacologic Chronic Pain Treatment and Subsequent Initiation of Long-Term Opioid Therapy. Journal Of General Internal Medicine 2018, 33: 38-45. PMID: 29633137, PMCID: PMC5902343, DOI: 10.1007/s11606-018-4324-y.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyNon-pharmacologic treatmentsFacility-level variationNon-opioid medicationsChronic painOpioid therapyTreatment modalitiesVeterans Health Administration facilitiesPatient-reported painChronic pain treatmentChronic pain careImproved patient outcomesUtilization patternsOpioid treatmentPrior calendar yearMedication utilizationPatient characteristicsPain treatmentPain careKey ResultsAmongPrimary carePatient outcomesPainGreater utilizationAdministration facilitiesUse 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 evidencePrevalenceMonthsMixed methods formative evaluation of a collaborative care program to decrease risky opioid prescribing and increase non-pharmacologic approaches to pain management
Becker WC, Mattocks KM, Frank JW, Bair MJ, Jankowski RL, Kerns RD, Painter JT, Fenton BT, Midboe AM, Martino S. Mixed methods formative evaluation of a collaborative care program to decrease risky opioid prescribing and increase non-pharmacologic approaches to pain management. Addictive Behaviors 2018, 86: 138-145. PMID: 29576479, DOI: 10.1016/j.addbeh.2018.03.009.Peer-Reviewed Original ResearchConceptsNon-pharmacologic treatment modalitiesImplementation facilitation strategyPain management providersNon-pharmacologic approachesCollaborative care programPatient-level barriersSemi-structured qualitative phone interviewsClinical pharmacist's roleSystem-level barriersQualitative phone interviewsMixed-methods formative evaluationVeterans Affairs (VA) employeesOpioid prescribingPain managementTreatment modalitiesPharmacist's roleCare programClinical programsChange ScalePhone interviewsOpioidsQualitative themesDescriptive statisticsOrganizational readinessSubsequent rate
2017
Examining Gender as a Correlate of Self-Reported Pain Treatment Use Among Recent Service Veterans with Deployment-Related Musculoskeletal Disorders
Driscoll MA, Higgins D, Shamaskin-Garroway A, Burger A, Buta E, Goulet JL, Heapy A, Kerns RD, Brandt CA, Haskell SG. Examining Gender as a Correlate of Self-Reported Pain Treatment Use Among Recent Service Veterans with Deployment-Related Musculoskeletal Disorders. Pain Medicine 2017, 18: 1767-1777. PMID: 28379576, DOI: 10.1093/pm/pnx023.Peer-Reviewed Original ResearchConceptsPain treatment modalitiesChronic painSelf-reported useCIH servicesPain treatmentPain careMusculoskeletal conditionsTreatment modalitiesRehabilitation therapyIntegrative health servicesInterventional pain treatmentsChronic pain treatmentWomen Veterans Cohort StudyVeterans Health AdministrationMental health conditionsSelf-rated healthGender differencesSample of veteransCorrelates of SelfCohort studyPain severityCare utilizationSpecialty careTreatment useInterventional strategies
2015
A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain
Heapy AA, Higgins DM, Cervone D, Wandner L, Fenton BT, Kerns RD. A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain. The Clinical Journal Of Pain 2015, 31: 470-492. PMID: 25411862, DOI: 10.1097/ajp.0000000000000185.Peer-Reviewed Original ResearchConceptsSelf-management interventionsSystematic reviewChronic painTechnology-assisted interventionsChronic pain self-management interventionPain self-management interventionEffect of treatmentHeterogeneity of methodsNoncancer painCochrane DatabaseFuture trialsTreatment modalitiesOvid MEDLINEPerson treatmentElectronic searchPainOvid PsychInfoSuperior modalityComparison groupInteractive voice responsePsychological interventionsInterventionIndividual studiesModalitiesTreatment