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 1216 PAIN focused publications)

  • Taylor SL. Complementary and Integrative Health Approaches for Pain Management: Briefing before the providers of VA Greater Los Angeles HCS Department of Medicine (Grand Rounds); 2019 Feb 20; Los Angeles, CA.
  • Zeliadt SB, Taylor S, Thomas E, Giannitrapani K, Holliday J, Ackland P. Battlefield Acupuncture for Pain in the VA: What is it, How effective is it and How Well is it Being Implemented? The Effectiveness and Implementation of Battlefield Acupuncture in the VA [Cyberseminar]. QUERI Complementary and Integrative Health Evaluation Center Partnered Evaluation Initiative. 2019 Feb 5.
  • Giannitrapani KF, Day RT, Azarfar A, Ahluwalia SC, Dobscha S, Lorenz KA. What Do Providers Want from a Pain Screening Measure Used in Daily Practice?. Pain medicine (Malden, Mass.). 2019 Jan 1; 20(1):68-76.
  • Morasco BJ, Krebs EE, Adams MH, Hyde S, Zamudio J, Dobscha SK. Clinician Response to Aberrant Urine Drug Test Results of Patients Prescribed Opioid Therapy for Chronic Pain. The Clinical Journal of Pain. 2019 Jan 1; 35(1):1-6.
  • Evans EA, Taylor SL. Gender Disparities in the Use of Complementary and Integrative Health by U.S. Military Veterans with Chronic Musculoskeletal Pain. Spotlight on Women's Health [Cyberseminar]. VA HSR&D. 2018 Nov 29.

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Publication Briefs

(5 of more than 74 PAIN focused publication briefs)

  • Links Between Opioid Use and Suicide
    This review describes what is known about the links between suicide and overdoses, with a focus on pathways through opioid use, issues of intent, risk factors, prevention strategies, and unresolved issues. Many factors promote the initiation and persistence of opioid use, but several specific pathways toward vulnerability to overdose and suicide are highlighted. Interventions that address shared c...
    Date: January 3, 2019
  • Link between Length of Prescription for Initial Exposure to Opioids and Long-Term Use
    This study examined the association between initial opioid exposure and subsequent long-term use in two national VA cohorts from 2011 and 2016. Findings showed a strong relationship between initial opioid exposure and the future likelihood for long-term use. Cumulative days’ supply of prescription opioids emerged as the strongest predictor of long-term opioid use, which occurred in only 2% of Vete...
    Date: November 5, 2018
  • Veterans Receiving Prescriptions Through Both VA and Medicare Are More Likely to Be Taking Opioids and Benzodiazepines
    This study sought to assess the association between receiving medications from both VA and Medicare Part D (dual use) and the receipt of overlapping opioid and benzodiazepine prescriptions. Findings showed that receiving prescription medications from both VA and Medicare Part D was associated with a 27% increased risk of overlapping opioids and benzodiazepines – and more than twice the risk of ove...
    Date: October 9, 2018
  • Battlefield Acupuncture Proves Highly Effective in Treating Chronic Pain among Veterans
    Battlefield acupuncture (BFA) involves a small needle inserted into parts of the ear that have a “central effect” on the nervous system and an area of the brain that processes pain. This study examined the use and effectiveness of BFA for pain in group and individual sessions at a large VA medical center. Findings showed that BFA was highly efficacious in immediately reducing pain for a significan...
    Date: September 5, 2018
  • Women Veterans with Pain More Likely to Use Complementary and Integrative Therapies
    This study sought to examine complementary and integrative health (CIH) therapy use by gender among Veterans with chronic musculoskeletal pain, and variations in gender differences by race/ethnicity and age. Findings showed that of Veterans with chronic musculoskeletal pain, more women than men used CIH therapies (36% vs. 26%). Black women, regardless of age, were least likely to use CIH therapies...
    Date: September 1, 2018

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Studies

( 5 of more than 67 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 2019-01-01
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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Cyberseminars

The most recent "Pain" seminars are displayed.

Date Title Presenter(s)
6/4/2019 Targeting Chronic Pain in Primary Care Settings Using Internal Behavioral Health Consultants Goodie, David  
McGeary, Don  
5/7/2019 The Connections between Opioid Use, Overdose, and Suicide Ilgen, Mark  
Bohnert, Amy  
4/2/2019 Scalable Interventions for Veterans with Chronic Pain: Phase 1 of the Learning to Apply Mindfulness to Pain (LAMP) Trial Burgess, Diana  
3/5/2019 Understanding Headache among Veterans and the Role of the VHA Headache Centers of Excellence Research Program Sico, Jason  
2/5/2019 Battlefield Acupuncture for Pain in the VA: What is it, How Effective is it and How Well is it Being Implemented? Taylor, Stephanie  
Giannitrapani, Karleen  
Ackland, Princess  
Zeliadt, Steven  

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Videos

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Podcasts

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Other Resources

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