Health Services Research & Development

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Research Topics


Pain Management

The medical management of chronic (long-term) or acute (short-term) pain is an important priority for VA, as some 77% of Veterans report pain control as among their top three priorities in primary care.* Important issues being studied include whether computer-aided screening will increase pain diagnosis, and what techniques will best support Veterans in self-managing their pain.

* Mitchinson AR, Kerr EA, Krein SL. "Management of chronic noncancer pain by VA primary care providers: when is pain control a priority?' Am J Manag Care. 2008 Feb;14(2):77-84.

Search results were generated based on the search term "Pain". Results are updated weekly, as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 1126 PAIN focused publications)


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Publication Briefs

(5 of more than 65 PAIN focused publication briefs)

  • Medical Record Alert Associated with Reduced Opioid and Benzodiazepine Co-prescribing
    This implementation project evaluated the effectiveness of an advanced medication alert designed to reduce opioid and benzodiazepine co-prescribing among Veterans with high-risk conditions (substance use disorder, sleep apnea, suicide risk, and age =65) at one VA healthcare system (VA Puget Sound). Findings showed that the proportions of patients with concurrent prescriptions decreased significant...
    Date: December 28, 2017
  • Effects of Cannabis among Adults with Chronic Pain
    This systematic review assesses the efficacy of cannabis for treating chronic pain, and provides a broad overview of the short- and long-term physical and mental health effects of cannabis use in chronic pain and general patient populations. Overall, investigators found low-strength evidence that cannabis may improve pain in some patients with neuropathic pain and insufficient evidence to characte...
    Date: August 5, 2017
  • Systematic Review: Patient Outcomes in Dose Reduction or Discontinuation of Long-term Opioid Therapy Suggest Utility of Multimodal Care
    Investigators examined the evidence on the effectiveness of strategies to reduce or discontinue long-term opioid therapy (LTOT) prescribed for chronic pain – and the effect of dose reduction or discontinuation on important patient outcomes, including pain severity and pain-related function. Findings showed that there are multiple strategies to reduce or discontinue long-term opioid treatment for c...
    Date: July 18, 2017
  • A Positive Psychological Intervention Improves Outcomes for Veterans with Knee or Hip Osteoarthritis
    This study sought to determine whether patients randomized to a program designed to boost positive affect and develop positive psychological skills (e.g., gratitude and kindness) would report greater improvements over time in osteoarthritis (OA) symptom severity and measures of psychosocial well-being compared with patients randomized to a neutral control program. Findings showed that the 6-week p...
    Date: June 27, 2017
  • Managing Chronic Pain in the Wake of the Opioid Backlash
    This JAMA Viewpoint commentary discusses several options for managing pain, as well as the overuse of the term “opioid epidemic.” Authors warn that imperfect treatments do not justify therapeutic distrust, and suggest that there is a broad menu of partially effective treatment options that can maximize the chances of achieving at least partial amelioration of patients’ chronic pain....
    Date: June 20, 2017

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Studies

( 5 of more than 62 PAIN focused projects )

Project No.  Title  PI  Funding Start   
SDR 17-306 Complementary and Integrative Health for Pain in the VA: A National Demonstration Project (NIH-VA-DOD joint Initiative) Taylor, Stephanie 2018-04-01
IIR 17-094 Cognitive-Behavioral Therapy for Chronic Pain: do Modifications Affect VEterans or implementatioN (CBT-CPMAVEN) McGuire, Alan 2018-03-01
IIR 15-092 Pain-related Anxiety Intervention for Smokers with Chronic Pain: A Comparative Effectiveness Trial of Smoking Cessation Counseling for Veterans Bastian, Lori 2017-02-01
SDR 15-461 The Opioid Consent: Helping Optimize Information for Cancer and Effective (CHOICE) Pain Management Lorenz, Karl 2016-09-01
IIR 13-350 Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools Piette, John 2015-07-01

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HSR&D Briefs, Reports, Newsletters

5 sample "Pain" publications displayed.

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Cyberseminars

The most recent "Pain" seminars are displayed.

Date Title Presenter(s)
6/5/2018 Caring for post-combat Veterans at the WRIISC (War Related Illness & Injury Study Center): Recommendations for management of chronic pain Ashford, John Wesson  
Mahoney, Louise  
Jennings, Jennifer  
5/1/2018 Chronic Pain Management in Women Veterans Driscoll, Mary  
4/3/2018 Caring for Veterans reporting Chronic pain: Provider experiences and trends in the prevalence of chronic pain Carey, Evan  
Leonard, Chelsea  
3/6/2018 Using Positive Psychology to Improve Pain and Functioning in Veterans with Arthritis Hausmann, Leslie  
2/6/2018 The VA Opioid Safety Initiative – how did we get here and what is ahead? Sandbrink, Friedhelm  
Moore, Von  

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Videos

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Podcasts

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Other Resources

  • Watch this video featuring HSR&D investigator Sarah Krein talking about her research on the impact of a walking program on chronic back pain.
  • Learn more about the projects being conducted within HSR&D's Pain Management CREATE (Collaborative Research to Enhance and Advance Transformation and Excellence) initiative.
  • Visit the VA's Office of Research & Development healthcare topic overview section to learn more about milestones in VA's pain management research, read research updates, and download research fact sheets.

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