2024
Gender 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 implicationsSymptomsVeterans
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 countPatient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
Piette JD, Newman S, Krein SL, Marinec N, Chen J, Williams DA, Edmond SN, Driscoll M, LaChappelle KM, Kerns RD, Maly M, Kim HM, Farris KB, Higgins DM, Buta E, Heapy AA. Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools. JAMA Internal Medicine 2022, 182: 975-983. PMID: 35939288, PMCID: PMC9361183, DOI: 10.1001/jamainternmed.2022.3178.Peer-Reviewed Original ResearchConceptsCBT-CPComparative effectiveness trialTherapist timeSecondary outcomesMore patientsEffectiveness trialInteractive voice responseCP groupMeaningful improvementsPatient-centered pain careRoland-Morris Disability QuestionnaireVeterans Affairs Health SystemMorris Disability QuestionnairePain intensity scoresChronic back painLess therapist timeMobile health toolsCognitive behavioral therapyRandomized noninferiorityDisability QuestionnaireNoninferiority criteriaOpioid analgesicsPain intensityPain therapyPrimary outcomeRurality 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 veterans
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 painPatientsIncorporating 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
Predictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain
Higgins DM, LaChappelle KM, Serowik KL, Driscoll MA, Lee A, Heapy AA. Predictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain. Pain Medicine 2018, 19: s76-s83. PMID: 30753730, DOI: 10.1093/pm/pny077.Peer-Reviewed Original ResearchConceptsChronic back painPredictors of enrollmentCBT-CPBack painCognitive behavioral therapyEligible patientsMost patientsChronic painPain careEligible participantsPredictors of participationNonpharmacological interventionsNoninferiority trialMedical CenterDuration of participationTreatment doseTrial screeningPatientsPainBehavioral therapyOpioidsRegression analysisEnrollmentPredictorsDosePatient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men
Driscoll MA, Knobf MT, Higgins DM, Heapy A, Lee A, Haskell S. Patient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men. Pain Medicine 2018, 19: s19-s29. PMID: 30203009, DOI: 10.1093/pm/pny139.Peer-Reviewed Original ResearchConceptsIntegrated health care systemHealth care systemPain careCare systemNational integrated health care systemRate of painChronic pain managementChronic pain patientsVeterans Affairs (VA) careMedication usePain managementPain patientsIntegrated health careProvider communicationPatient educationMedical CenterPatient expectationsPainProvider behaviorConstant comparative approachCareHealth careLogistical barriersWomenWomen's perceptionsA 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 systemInterventionPainImpact 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 painUse 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 evidencePrevalenceMonths
2017
Developing a typology of patient-generated behavioral goals for cognitive behavioral therapy for chronic pain (CBT-CP): classification and predicting outcomes
Heapy AA, Wandner L, Driscoll MA, LaChappelle K, Czlapinski R, Fenton BT, Piette JD, Aikens JE, Janevic MR, Kerns RD. Developing a typology of patient-generated behavioral goals for cognitive behavioral therapy for chronic pain (CBT-CP): classification and predicting outcomes. Journal Of Behavioral Medicine 2017, 41: 174-185. PMID: 28936717, DOI: 10.1007/s10865-017-9885-4.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic PainCognitive Behavioral TherapyFemaleGoalsHumansMaleMiddle AgedPrognosisTreatment OutcomeConceptsCognitive behavioral therapyChronic painYard workTreatment outcomesPhysical activityDepressive symptomsPain-related interferenceWork/schoolPain intensityFunctional statusTreatment goalsPredicting OutcomePatient valuesMeaningful improvementsOutcome domainsBehavioral therapyWellness goalsRecreational activitiesPainTherapyOutcomesSymptomsBehavioral goalsActivityInteractive 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 therapyGender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Higgins DM, Fenton BT, Driscoll MA, Heapy AA, Kerns RD, Bair MJ, Carroll C, Brennan PL, Burgess DJ, Piette JD, Haskell SG, Brandt CA, Goulet JL. Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders. Women's Health Issues 2017, 27: 463-470. PMID: 28325585, DOI: 10.1016/j.whi.2017.01.008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnxietyChronic PainCohort StudiesFemaleHumansMaleMiddle AgedMigraine DisordersMusculoskeletal DiseasesMusculoskeletal PainPain ManagementSeverity of Illness IndexSex FactorsSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMusculoskeletal disordersClinical correlatesPain intensity numeric rating scalePain-related disabilityNumeric rating scaleGreater pain intensityDiagnosis of fibromyalgiaBack pain conditionsMental health conditionsSubstance use disordersGender differencesNeck painPain serviceSevere painPain conditionsPain intensityChronic painTemporomandibular disordersPainful conditionsCardiovascular diseaseMigraine headacheHigh riskLower oddsMSD diagnosisUse disorders
2016
Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient Care
Driscoll MA, Kerns RD. Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient Care. Advances In Experimental Medicine And Biology 2016, 904: 131-147. PMID: 26900068, DOI: 10.1007/978-94-017-7537-3_10.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesicsChronic PainCognitive Behavioral TherapyCombined Modality TherapyComplementary TherapiesCost of IllnessDecision MakingDelivery of Health Care, IntegratedEmpathyGoalsHumansModels, NeurologicalModels, PsychologicalPain ClinicsPain ManagementPatient Care TeamProfessional-Patient RelationsQuality of LifeSocioeconomic FactorsConceptsChronic painSignificant public health concernChronic pain managementInterdisciplinary treatment approachBiopsychosocial modelCost of carePublic health concernHigh-quality patient careQuality patient careMental health professionalsPain managementSocioeconomic burdenPhysical functioningPainTreatment approachesHealth professionalsPatient careOptimal managementHealth concernEmotional distressCare
2015
Trauma, Social Support, Family Conflict, and Chronic Pain in Recent Service Veterans: Does Gender Matter?
Driscoll MA, Higgins DM, Seng EK, Buta E, Goulet JL, Heapy AA, Kerns RD, Brandt CA, Haskell SG. Trauma, Social Support, Family Conflict, and Chronic Pain in Recent Service Veterans: Does Gender Matter? Pain Medicine 2015, 16: 1101-1111. PMID: 25930005, DOI: 10.1111/pme.12744.Peer-Reviewed Original ResearchConceptsChronic painDepressive symptom severityPain interferencePain severitySymptom severitySocial supportCombat exposurePerpetuation of painChildhood interpersonal traumaMilitary sexual traumaInterpersonal traumaHigh prevalencePainDepressive symptomsWomen veteransService veteransTraumatic life eventsTraumatic sexual experiencesTraumaBaseline surveyMarital statusSeverityFamily conflictVeteransSexual trauma