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 | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 1233 PAIN focused publications)


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Publication Briefs

(5 of more than 79 PAIN focused publication briefs)

  • Strategies VA Clinicians Use to Structure Difficult Conversations Regarding Opioid Prescribing
    This study aimed to identify and describe clinicians’ strategies for managing prescription opioid misuse and aberrant behaviors among patients prescribed long-term opioid therapy (LTOT) for chronic pain. Interview results identified challenges faced by clinicians in navigating conversations about opioid management, stemming from patient dissatisfaction and clinician ambivalence about enacting guid...
    Date: July 1, 2019
  • Opioid Prescribing Safety Initiative Effective in Decreasing Rates of Opioid Prescribing for Older Veterans with Osteoarthritis
    Investigators in this study examined national trends in opioid and non-opioid analgesic prescribing before and after implementation of VA’s Opioid Safety Initiative (OSI). Findings showed that before OSI implementation, total analgesic prescriptions showed a steady rise, which abruptly decreased to a flat trajectory after the OSI was implemented. This trend was primarily due to a decrease in opioi...
    Date: June 1, 2019
  • Substantial Variation in Opioid Prescribing Rates among ED Providers in the Same VA Healthcare Facility
    The study team examined the extent to which variation in individual ED physicians’ opioid prescribing was independently associated with long-term opioid use in Veterans. Using VA data, investigators identified Veterans with an index ED visit at any VA facility in 2012 – and who were opioid naïve (without opioid prescriptions in the prior 6 months). Findings showed that there was a three-fold varia...
    Date: May 29, 2019
  • Rural and Western Region Veterans Prescribed More Opioids Than Urban, Other Regions
    This study sought to characterize regional variation in opioid prescribing across VA and examine prescribing differences between rural and urban Veterans. Findings showed substantial rural-urban variation in VA opioid prescribing, with rural Veterans receiving over 30% more opioids than their urban counterparts, with most of the difference attributable to long-term use. Utilization was lowest in t...
    Date: May 21, 2019
  • Many VA Patients Use and are Interested in Learning More about Complementary and Integrated Health Options
    In part to guide the expansion of evidence-based complementary and integrative health (CIH), VA leaders sought current information on Veterans’ interest in and use of various CIH approaches, both inside and outside the VA healthcare system. Thus, investigators in this study analyzed survey results from a large sample of Veterans on their interest in, use of, and satisfactions with 26 CIH approache...
    Date: April 22, 2019

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Studies

( 5 of more than 77 PAIN focused projects )

Project No.  Title  PI  Funding Start   
PPO 18-213 Adaptation of the Motivational Interviewing Skills Code to Identify Clinician and Client Language Predicting Reduced Opioid Use Risk and Increased Use of Alternative Pain Care Strategies in Veterans Borsari, Brian 2019-03-01
IIR 17-268 Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy Lovejoy, Travis 2018-11-01
IIR 17-032 Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE) Matthias, Marianne 2018-07-01
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

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HSR&D Briefs, Reports, Newsletters

5 sample "Pain" publications displayed.

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Topic Spotlight

Read more on this topic and related topics

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Cyberseminars

The most recent "Pain" seminars are displayed.

Date Title Presenter(s)
11/5/2019 Sequential and Comparative Evaluation of Pain Treatment Effectiveness Response (The SCEPTER Trial) Bair, Matthew  
10/1/2019 SMART Care for Chronic Low Back Pain in Military Health System: Development of a clinical trial to evaluate stepped care ,   
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9/3/2019 Management of Post-Traumatic Headache (PTH) McGeary, Don  
6/20/2019 Development of a Patient Reported Measures Display and Implementation across VA Salt Lake City Patel, Shardool  
Butler, Jorie  
6/4/2019 Targeting Chronic Pain in Primary Care Settings Using Internal Behavioral Health Consultants McGeary, Don  
Goodie, Jeffrey  

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Videos

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Podcasts

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Other Resources

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