Featured Publications
Qualitative Analysis of Patient Perspectives of Buprenorphine After Transitioning From Long-Term, Full-Agonist Opioid Therapy Among Veterans With Chronic Pain
Edmond S, Wesolowicz D, Snow J, Currie S, Jankelovits A, Chhabra M, Becker W. Qualitative Analysis of Patient Perspectives of Buprenorphine After Transitioning From Long-Term, Full-Agonist Opioid Therapy Among Veterans With Chronic Pain. Journal Of Pain 2023, 25: 132-141. PMID: 37549775, DOI: 10.1016/j.jpain.2023.07.027.Peer-Reviewed Original ResearchConceptsFull agonist opioidsChronic painOpioid therapyPatient-centered approachPain careSide effectsPatient experienceLong-term opioid therapyRacial disparitiesEquivalent pain controlHarms outweigh benefitsPain treatment disparitiesUse of buprenorphinePatient-provider communicationPartial agonist buprenorphineExperiences of patientsPatient-centered careBenefits of buprenorphineLess analgesiaPain controlMost patientsPrevious regimensProvider referralPain managementPain treatmentArguments for and Against a New Diagnostic Entity for Patients With Chronic Pain on Long-Term Opioid Therapy for Whom Harms Outweigh Benefits
Edmond SN, Snow JL, Pomeranz J, Van Cleve R, Becker WC. Arguments for and Against a New Diagnostic Entity for Patients With Chronic Pain on Long-Term Opioid Therapy for Whom Harms Outweigh Benefits. Journal Of Pain 2021, 23: 958-966. PMID: 34974174, DOI: 10.1016/j.jpain.2021.12.006.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyOpioid use disorderNew diagnostic entityOpioid therapyDiagnostic entityOUD diagnosisChronic painOUD criteriaHarms outweigh benefitsNeeds of patientsDSM-5Larger Delphi studyUse disordersPatient experiencePatientsThematic qualitative methodsInternal medicineTherapyImproved treatmentExpert panelPainOutweigh benefitsBiological underpinningsDiagnosisThree-quartersDelphi study to explore a new diagnosis for “ineffective” long-term opioid therapy for chronic pain
Edmond S, Snow J, Pomeranz J, Van Cleve R, Black A, Compton P, Becker W. Delphi study to explore a new diagnosis for “ineffective” long-term opioid therapy for chronic pain. Pain 2022, 164: 870-876. PMID: 36448976, DOI: 10.1097/j.pain.0000000000002783.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyNew diagnostic entityDiagnostic criteriaPotential diagnostic criteriaDiagnostic entityOpioid therapyChronic painOpioid use disorderCertain patientsNew diagnosisUse disordersDelphi studyPainDisorder criteriaSubgroup of expertsRound 2PatientsTherapyThree-quartersRefining criteriaDelphi panelistsExpert panelistsSubgroupsLikert-type scaleRapid qualitative analysisOpioid tapering support using a web-based app: Development and protocol for a pilot randomized controlled trial
Edmond SN, Wesolowicz DM, Moore BA, Ibarra J, Chhabra M, Fraenkel L, Becker WC. Opioid tapering support using a web-based app: Development and protocol for a pilot randomized controlled trial. Contemporary Clinical Trials 2022, 119: 106857. PMID: 35863697, DOI: 10.1016/j.cct.2022.106857.Peer-Reviewed Original ResearchConceptsPilot trialLong-term opioid therapyPatient-reported outcomesRandomized-controlled trialQuality of lifeSelf-management skillsOpioid taperOpioid therapyOpioid usePrimary outcomePrimary careTwo-armLimited efficacyInteractive web-based programControl groupIntervention MappingWeb-based programPatientsPeer specialistsTrialsPotential harmSummit programWeb-based appCareOutcomesOptimizing Interdisciplinary Virtual Pain Care and Buprenorphine Initiation During COVID-19: A Quality Improvement Study
Edmond SN, Currie S, Gehrke A, Falker CG, Sung M, Abelleira A, Edens EL, Becker WC. Optimizing Interdisciplinary Virtual Pain Care and Buprenorphine Initiation During COVID-19: A Quality Improvement Study. Pain Medicine 2021, 23: 1043-1046. PMID: 34940877, PMCID: PMC9383145, DOI: 10.1093/pm/pnab348.Peer-Reviewed Original ResearchEngaging Mental Health Professionals in Addressing Pain
Edmond SN, Heapy AA, Kerns RD. Engaging Mental Health Professionals in Addressing Pain. JAMA Psychiatry 2019, 76: 565-566. PMID: 30942829, DOI: 10.1001/jamapsychiatry.2019.0254.Peer-Reviewed Original ResearchValidating pain communication
Edmond SN, Keefe FJ. Validating pain communication. Pain 2015, 156: 215-219. PMID: 25599441, PMCID: PMC4477266, DOI: 10.1097/01.j.pain.0000460301.18207.c2.Peer-Reviewed Original ResearchConsiderations of trial design and conduct in behavioral interventions for the management of chronic pain in adults
Edmond SN, Turk DC, Williams DA, Kerns RD. Considerations of trial design and conduct in behavioral interventions for the management of chronic pain in adults. PAIN Reports 2019, Publish Ahead of Print: &na;. PMID: 31583335, PMCID: PMC6749925, DOI: 10.1097/pr9.0000000000000655.Peer-Reviewed Original ResearchChronic painClinical trialsQuality of lifeLarge-scale trialsLeast modest evidenceNonpharmacological approachesPharmacological trialsClinical utilityHigh-quality researchTrial designPainMedical interventionsIntervention fidelityBehavioral interventionsTrialsBehavioral approachIntervention developmentEmotional functioningAdaptive behavioural changesAppropriate outcomesBehavioral changesInterventionModest evidencePrimary objectiveResearch design considerations
2024
Initial development of a self-report survey on use of Nonpharmacological and Self-Care Approaches for Pain management (NSCAP)
Edmond S, Kerns R, Geda M, Luther S, Edwards R, Taylor S, Rosen M, Fritz J, Goertz C, Zeliadt S, Seal K. Initial development of a self-report survey on use of Nonpharmacological and Self-Care Approaches for Pain management (NSCAP). Pain Medicine 2024, 25: s14-s16. PMID: 39163504, PMCID: PMC11548860, DOI: 10.1093/pm/pnae082.Peer-Reviewed Original ResearchFactors associated with participation in a walking intervention for veterans who smoke and have chronic pain
Muller R, Driscoll M, DeRycke E, Edmond S, Becker W, Bastian L. Factors associated with participation in a walking intervention for veterans who smoke and have chronic pain. Journal Of Behavioral Medicine 2024, 47: 994-1001. PMID: 39143444, DOI: 10.1007/s10865-024-00511-4.Peer-Reviewed Original ResearchFactors associated with participationCognitive behavioral interventionPain locationCounseling sessionsAverage daily step countPain self-management interventionMedian daily stepsDaily step countIntegrated smoking cessationSelf-management interventionsTelephone counseling sessionsChronic painModerate pain intensityMedian pack-yearsMultivariate logistic regressionWalking interventionLE painDaily stepsStep countsPain interferenceWalk componentSmoking cessationPain intensityPack-yearsIncreased oddsImplementation, intervention, and downstream costs for implementation of a multidisciplinary complex pain clinic in the Veterans Health Administration
Daniels S, Cave S, Wagner T, Perez T, Edmond S, Becker W, Midboe A. Implementation, intervention, and downstream costs for implementation of a multidisciplinary complex pain clinic in the Veterans Health Administration. Health Services Research 2024, 59: e14345. PMID: 38956400, PMCID: PMC11540574, DOI: 10.1111/1475-6773.14345.Peer-Reviewed Original ResearchVeterans Health AdministrationIntervention sitesIntervention costsHealth AdministrationPain clinicDownstream costsQuasi-experimental study designChronic painVA administrative dataAverage intervention costComplex chronic painRoutes of careActivity-based cost dataHealthcare utilization costsVA Medical CenterHistory of chronic painMicro-costing methodImplementation facilitatorsHospice patientsCost of treating patientsControl groupAdministrative dataInpatient costsIntervention cohortClinically similar characteristicsFocus on Function: Aligning Patient Values with Clinician Reassessment of Long-Term Opioid Therapy
Edmond S, Becker W. Focus on Function: Aligning Patient Values with Clinician Reassessment of Long-Term Opioid Therapy. Journal Of General Internal Medicine 2024, 39: 2108-2109. PMID: 38806796, PMCID: PMC11306475, DOI: 10.1007/s11606-024-08821-8.Peer-Reviewed Original ResearchUse of Intervention Mapping to Develop a Group-Based Psychotherapy Intervention for Co-Occurring Chronic Pain and Substance Use
Wesolowicz D, Teufert C, O’Connor R, Edmond S. Use of Intervention Mapping to Develop a Group-Based Psychotherapy Intervention for Co-Occurring Chronic Pain and Substance Use. Journal Of Pain 2024, 25: 72. DOI: 10.1016/j.jpain.2024.01.330.Peer-Reviewed Original ResearchIntervention MappingChronic painSubstance useInclusion of peer supportImprove participant engagementPopulation of veteransCo-occurring chronic painExpectations of pain reliefRisky substance usePain attitudesPeer supportNeeds assessmentInterpersonal effectiveness skillsParticipant engagementQualitative interviewsPsychotherapy interventionsTarget populationPsychotherapy protocolsInterventionTreatment goalsWorsening painPain reliefPainEffective skillsImproved managementWhat Is a High Functioning Pain Management Team: Preliminary Findings from Round 1 Of A Delphi Study
Edmond S, Rogers D, Teufert C, Snow J, Murphy J, Sandbrink F. What Is a High Functioning Pain Management Team: Preliminary Findings from Round 1 Of A Delphi Study. Journal Of Pain 2024, 25: 31. DOI: 10.1016/j.jpain.2024.01.148.Peer-Reviewed Original ResearchPain management teamPrescription drug monitoring programsDelphi studyAdequate support staffPatient centered careVeterans Health AdministrationComplex biopsychosocial phenomenonPain medicine physiciansOpen-ended questionsVHA facilitiesRehabilitation specialistsDrug monitoring programsInterdisciplinary multimodal approachCentered careRound 2Health AdministrationAddiction expertsDelphi panelistsMultimodal careOpioid safetyPreliminary findingsPain managementTeam communicationPain psychologistBiopsychosocial phenomenonEfficacy of Integrating the Management of Pain and Addiction via Collaborative Treatment (IMPACT) in Individuals With Chronic Pain and Opioid Use Disorder: Protocol for a Randomized Clinical Trial of a Digital Cognitive Behavioral Treatment
MacLean R, Ankawi B, Driscoll M, Gordon M, Frankforter T, Nich C, Szollosy S, Loya J, Brito L, Ribeiro M, Edmond S, Becker W, Martino S, Sofuoglu M, Heapy A. Efficacy of Integrating the Management of Pain and Addiction via Collaborative Treatment (IMPACT) in Individuals With Chronic Pain and Opioid Use Disorder: Protocol for a Randomized Clinical Trial of a Digital Cognitive Behavioral Treatment. JMIR Research Protocols 2024, 13: e54342. PMID: 38506917, PMCID: PMC10993119, DOI: 10.2196/54342.Peer-Reviewed Original ResearchPain Care at Home to Amplify Function: Protocol Article.
Black A, Edmond S, Frank J, Abelleira A, Snow J, Wesolowicz D, Becker W. Pain Care at Home to Amplify Function: Protocol Article. Substance Use & Addiction Journal 2024, 29767342241236032. PMID: 38469833, DOI: 10.1177/29767342241236032.Peer-Reviewed Original ResearchPrimary care providersVeterans Health AdministrationPromote self-management strategiesImplementation facilitation strategyEffectiveness-implementation trialChronic painSelf-management strategiesGuideline-concordant practicesMedication management supportOpioid medication safetyIntervention cost-effectivenessOutcomes of alcohol useLong-term opioid therapyManagement of chronic painCognitive behavioral therapy techniquesNational Institutes of HealthPain carePain interferenceCare providersMedication safetyHealthcare providersInstitutes of HealthSelf-managementAddiction Long-termHealth Administration
2023
Increasing buprenorphine access for patients with chronic pain: a quality improvement initiative
Wesolowicz D, Spelman J, Edmond S, Schwartz A, Kravetz J, Edens E, Becker W. Increasing buprenorphine access for patients with chronic pain: a quality improvement initiative. Pain Medicine 2023, 25: 226-230. PMID: 37847654, DOI: 10.1093/pm/pnad140.Peer-Reviewed Original ResearchQuality improvement initiativesSpecialty pain clinicPrimary care providersPrimary careChronic painPain clinicCare providersImprovement initiativesVeterans Health Administration healthcare systemFull agonist opioidsPrimary care clinicsNumber of patientsEligible patientsBuprenorphine prescribingCare clinicsPain careProvider comfortStandard operating proceduresBuprenorphine accessBuprenorphinePainPrescribingPatientsEducational sessionsClinicWhen harms outweigh benefits of long‐term opioid therapy for pain: Need for a new diagnostic entity, research and improved treatments
Becker W, Frank J, Edmond S, Starrels J. When harms outweigh benefits of long‐term opioid therapy for pain: Need for a new diagnostic entity, research and improved treatments. Addiction 2023, 119: 4-5. PMID: 37766414, DOI: 10.1111/add.16348.Peer-Reviewed Original ResearchVideo-telecare collaborative pain management during COVID-19: a single-arm feasibility study
Rogers D, Frank J, Wesolowicz D, Nolan C, Schroeder A, Falker C, Abelleira A, Moore B, Becker W, Edmond S. Video-telecare collaborative pain management during COVID-19: a single-arm feasibility study. BMC Primary Care 2023, 24: 134. PMID: 37386370, PMCID: PMC10308713, DOI: 10.1186/s12875-023-02052-2.Peer-Reviewed Original ResearchConceptsMorphine equivalent daily doseSingle-arm feasibility studyEquivalent daily dosePain managementDaily doseLong-term opioid therapyInitial intakeMultiple appointmentsNon-pharmacologic interventionsOpioid use disorderPrimary care providersPain management programGuideline-based careEvidence-based interventionsBackgroundChronic painOpioid therapyBehavioral painChronic painPrimary careCommon conditionCare providersPatientsU.S. veteransPainPreliminary dataPromoting Pain Self-Management Through Adaptive Interventions: Results From A Needs Assessment And Protocol For Intervention Development
Wesolowicz D, O'Connor R, Edmond S, Black A, Becker W. Promoting Pain Self-Management Through Adaptive Interventions: Results From A Needs Assessment And Protocol For Intervention Development. Journal Of Pain 2023, 24: 93. DOI: 10.1016/j.jpain.2023.02.266.Peer-Reviewed Original ResearchChronic painPain flarePain self-management strategiesText message-based interventionNeeds assessmentPain Self-ManagementSelf-management strategiesTechnology-supported interventionsTechnology-based interventionsType of interventionHealthcare utilizationUsual painPhysical activityPainIntervention MappingPsychosocial functioningIntervention developmentSelf-ManagementInterventionIntervention designIntervention objectivesOutcomesVeteransConsistent useDynamic changes