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Author Beth D Darnall

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Efficacy of a Single-Session "Empowered Relief" Zoom-Delivered Group Intervention for Chronic Pain: Randomized Controlled Trial Conducted During the COVID-19 Pandemic.

Maisa S Ziadni, Lluvia Gonzalez-Castro, Steven Anderson, Parthasarathy Krishnamurthy, Beth D Darnall,

<h4>Background</h4>Cognitive behavioral therapy-pain is an evidence-based treatment for chronic pain that can have significant patient burden, including health care cost, travel, multiple sessions, and lack of access in remote areas.<h4>Objective</h4>The study aims to pilot test the efficacy of a single-session videoconference-delivered empowered relief (ER) intervention compared to waitlist control (WLC) ... Read more >>

J Med Internet Res (Journal of medical Internet research)
[2021, 23(9):e29672]

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Psychological Treatment for Chronic Pain: Improving Access and Integration.

Beth D Darnall,

Psychol Sci Public Interest (Psychological science in the public interest : a journal of the American Psychological Society)
[2021, 22(2):45-51]

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Engagement in Prescription Opioid Tapering Research: the EMPOWER Study and a Coproduction Model of Success.

Aram Mardian, Luzmercy Perez, Ting Pun, Matthias Cheung, Joel Porter, Korina De Bruyne, Ming-Chih Kao, Pamela Flood, Nathaniel Moore, Luana Colloca, Eric Cramer, Claire E Ashton-James, Kate Lorig, Sean C Mackey, Beth D Darnall,

Patients with chronic pain experience stigma within the healthcare system. This stigma is compounded for those taking long-term prescription opioids. Often, public messaging and organizational policies have telegraphed that opioid treatment is a problem to be solved by focusing only on medication reduction efforts. Lack of data has contributed to ... Read more >>

J Gen Intern Med (Journal of general internal medicine)
[2021, :]

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Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain: A Randomized Clinical Trial.

Beth D Darnall, Anuradha Roy, Abby L Chen, Maisa S Ziadni, Ryan T Keane, Dokyoung S You, Kristen Slater, Heather Poupore-King, Ian Mackey, Ming-Chih Kao, Karon F Cook, Kate Lorig, Dongxue Zhang, Juliette Hong, Lu Tian, Sean C Mackey,

<h4>Importance</h4>Chronic low back pain (CLBP), the most prevalent chronic pain condition, imparts substantial disability and discomfort. Cognitive behavioral therapy (CBT) reduces the effect of CLBP, but access is limited.<h4>Objective</h4>To determine whether a single class in evidence-based pain management skills (empowered relief) is noninferior to 8-session CBT and superior to health ... Read more >>

JAMA Netw Open (JAMA network open)
[2021, 4(8):e2113401]

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Clinical and neuroscience evidence supports the critical importance of patient expectations and agency in opioid tapering.

Beth D Darnall, Howard L Fields,

Pain (Pain)
[2021, :]

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Lack of Premeditation Predicts Aberrant Behaviors Related to Prescription Opioids in Patients with Chronic Pain: A Cross-Sectional Study.

Gabrielle Hettie, Chinwe Nwaneshiudu, Maisa S Ziadni, Beth D Darnall, Sean C Mackey, Dokyoung S You,

<h4>Objective</h4>In light of the opioid epidemic, there is a need to identify factors that predict aberrant opioid behaviors including misuse and abuse. Impulsivity has been extensively studied in addiction literature, but not in the context of opioid misuse. Hence, this study aimed to identify which of the impulsivity facets (negative ... Read more >>

Subst Use Misuse (Substance use & misuse)
[2021, 56(12):1904-1909]

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Beyond pain, distress, and disability: the importance of social outcomes in pain management research and practice.

Claire E Ashton-James, Steven R Anderson, Sean C Mackey, Beth D Darnall,

Pain (Pain)
[2021, :]

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Customizing CAT Administration of the PROMIS Misuse of Prescription Pain Medication Item Bank for Patients with Chronic Pain.

Dokyoung S You, Karon F Cook, Benjamin W Domingue, Maisa S Ziadni, Jennifer M Hah, Beth D Darnall, Sean C Mackey,

<h4>Objective</h4>The 22-item PROMISĀ®-Rx Pain Medication Misuse item bank (Bank-22) imposes a high response burden. This study aimed to characterize the performance of the Bank-22 in a computer adaptive testing (CAT) setting based on varied stopping rules.<h4>Methods</h4>The 22 items were administered to 288 patients. We performed a CAT simulation using default ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2021, 22(7):1669-1675]

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Perceived Injustice Mediates the Relationship Between Perceived Childhood Neglect and Current Function in Patients with Chronic Pain: A Preliminary Pilot Study.

Maisa S Ziadni, Dokyoung S You, John A Sturgeon, Sean C Mackey, Beth D Darnall,

Cumulative evidence supports the association between perceived childhood neglect and adulthood psychological and physical health. To date, pathways mediating this association remain largely unknown, though other evidence suggests that negative patterns of appraisal, including injustice perception related to pain, may be shaped by prior adverse social experiences. Consequently, the current ... Read more >>

J Clin Psychol Med Settings (Journal of clinical psychology in medical settings)
[2021, 28(2):349-360]

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Comparative efficacy of a single-session "Empowered Relief" videoconference-delivered group intervention for chronic pain: study protocol for a randomized controlled trial.

Maisa S Ziadni, Steven R Anderson, Lluvia Gonzalez-Castro, Beth D Darnall,

<h4>Background</h4>Chronic pain is naturally aversive and often distressing for patients. Pain coping and self-regulatory skills have been shown to effectively reduce pain-related distress and other symptoms. In this trial, the primary goal is to pilot test the comparative efficacy of a single-session videoconference-delivered group pain education class to a waitlist ... Read more >>

Trials (Trials)
[2021, 22(1):358]

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Chronic pain severity, impact, and opioid use among patients with cancer: An analysis of biopsychosocial factors using the CHOIR learning health care system.

Desiree R Azizoddin, Kristin Schreiber, Meghan R Beck, Andrea C Enzinger, Valerie Hruschak, Beth D Darnall, Robert R Edwards, Matthew J Allsop, James A Tulsky, Edward Boyer, Sean Mackey,

<h4>Background</h4>Despite the biopsychosocial underpinnings of chronic noncancer pain, relatively little is known about the contribution of psychosocial factors to chronic cancer pain. The authors aimed to characterize associations between biopsychosocial factors and pain and opioid use among individuals with chronic pain and cancer.<h4>Methods</h4>The authors conducted a retrospective, cross-sectional study of ... Read more >>

Cancer (Cancer)
[2021, 127(17):3254-3263]

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A Brief Screening Tool for Opioid Use Disorder: EMPOWER Study Expert Consensus Protocol.

Dokyoung S You, Aram S Mardian, Beth D Darnall, Chwen-Yuen A Chen, Korina De Bruyne, Pamela D Flood, Ming-Chih Kao, Anita D Karnik, Jennifer McNeely, Joel G Porter, Robert P Schwartz, Richard L Stieg, Sean C Mackey,

Growing concerns about the safety of long-term opioid therapy and its uncertain efficacy for non-cancer pain have led to relatively rapid opioid deprescribing in chronic pain patients who have been taking opioid for years. To date, empirically supported processes for safe and effective opioid tapering are lacking. Opioid tapering programs ... Read more >>

Front Med (Lausanne) (Frontiers in medicine)
[2021, 8:591201]

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An 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality Program for Chronic Low Back Pain: Double-Blind, Randomized, Placebo-Controlled Trial Conducted During COVID-19.

Laura M Garcia, Brandon J Birckhead, Parthasarathy Krishnamurthy, Parthasarathy Krishnamurthy, Josh Sackman, Ian G Mackey, Robert G Louis, Vafi Salmasi, Todd Maddox, Beth D Darnall,

<h4>Background</h4>Chronic low back pain is the most prevalent chronic pain condition worldwide and access to behavioral pain treatment is limited. Virtual reality (VR) is an immersive technology that may provide effective behavioral therapeutics for chronic pain.<h4>Objective</h4>We aimed to conduct a double-blind, parallel-arm, single-cohort, remote, randomized placebo-controlled trial for a self-administered ... Read more >>

J Med Internet Res (Journal of medical Internet research)
[2021, 23(2):e26292]

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Correction: Self-Administered Behavioral Skills-Based At-Home Virtual Reality Therapy for Chronic Low Back Pain: Protocol for a Randomized Controlled Trial.

Laura M Garcia, Beth D Darnall, Parthasarathy Krishnamurthy, Ian G Mackey, Josh Sackman, Robert G Louis, Todd Maddox, Brandon J Birckhead,

[This corrects the article DOI: 10.2196/25291.]. ... Read more >>

JMIR Res Protoc (JMIR research protocols)
[2021, 10(2):e27652]

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Self-Administered Behavioral Skills-Based At-Home Virtual Reality Therapy for Chronic Low Back Pain: Protocol for a Randomized Controlled Trial.

Laura M Garcia, Beth D Darnall, Parthasarathy Krishnamurthy, Ian G Mackey, Josh Sackman, Robert G Louis, Todd Maddox, Brandon J Birckhead,

<h4>Background</h4>Chronic pain is one of the most common and debilitating health conditions. Treatments for chronic low back pain typically focus on biomedical treatment approaches. While psychosocial treatments exist, multiple barriers prevent broad access. There is a significant unmet need for integrative, easily accessible, non-opioid solutions for chronic pain. Virtual reality ... Read more >>

JMIR Res Protoc (JMIR research protocols)
[2021, 10(1):e25291]

Cited: 1 time

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Development and validation of the Collaborative Health Outcomes Information Registry body map.

Kristen Hymel Scherrer, Maisa S Ziadni, Jiang-Ti Kong, John A Sturgeon, Vafi Salmasi, Juliette Hong, Eric Cramer, Abby L Chen, Teresa Pacht, Garrick Olson, Beth D Darnall, Ming-Chih Kao, Sean Mackey,

<h4>Introduction</h4>Critical for the diagnosis and treatment of chronic pain is the anatomical distribution of pain. Several body maps allow patients to indicate pain areas on paper; however, each has its limitations.<h4>Objectives</h4>To provide a comprehensive body map that can be universally applied across pain conditions, we developed the electronic Collaborative Health ... Read more >>

Pain Rep (Pain reports)
[2021, 6(1):e880]

Cited: 4 times

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The factor structure and subscale properties of the pain catastrophizing scale: are there differences in the distinctions?

Karon F Cook, Sean Mackey, Corinne Jung, Beth D Darnall,

Increasingly, studies have documented the negative impact of pain catastrophizing on health outcomes. The Pain Catastrophizing Scale (PCS) has been the measure of choice for many of these studies. The PCS provides 3 subscales for measuring pain catastrophizing: rumination, magnification, and helplessness. Factor analytic investigations of these factors have been ... Read more >>

Pain Rep (Pain reports)
[2021, 6(1):e909]

Cited: 1 time

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Promoting Patient-Centeredness in Opioid Deprescribing: a Blueprint for De-implementation Science.

Stefan G Kertesz, Megan B McCullough, Beth D Darnall, Allyson L Varley,

A downward trend in opioid prescribing between 2011 and 2018 has brought per-capita opioid prescriptions below the levels of 2006, the earliest year for which the Centers for Disease Control and Prevention has published data. That trend has affected roughly ten million patients who previously received long-term opioid therapy. Any ... Read more >>

J Gen Intern Med (Journal of general internal medicine)
[2020, 35(Suppl 3):972-977]

Cited: 1 time

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Validation of CARE Scale-7 in treatment-seeking patients with chronic pain: measurement of sex invariance.

Maisa Ziadni, Dokyoung Sophia You, Abby Chen, Anna C Wilson, Beth D Darnall,

<h4>Objectives</h4>Social and interpersonal factors impact the trajectory of chronic pain. We previously developed and validated a 2-factor, 7-item measure to assess interpersonal factors, including relationship guilt and worry and difficulty prioritizing self-care in chronic pain. Here, we confirm the factor structure and examine the sex invariance of the two-factor structure ... Read more >>

Pain Rep (Pain reports)
[2020, 5(6):e862]

Cited: 0 times

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Out of office hours: scalable, on-demand, digital support for patients tapering prescription opioids.

Claire E Ashton-James, Paul Glare, Beth D Darnall,

Pain (Pain)
[2020, 161(10):2252-2254]

Cited: 1 time

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Daily pain catastrophizing predicts less physical activity and more sedentary behavior in older adults with osteoarthritis.

Ruixue Zhaoyang, Lynn M Martire, Beth D Darnall,

Musculoskeletal disorders such as knee osteoarthritis (OA) are the primary cause of chronic pain in older adults. Recommended self-management strategies for knee OA include staying physically active in the face of pain, but many patients avoid activities they are capable of doing. The overall purpose of this study was to ... Read more >>

Pain (Pain)
[2020, 161(11):2603-2610]

Cited: 6 times

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Baseline Characteristics of a Dyadic Cohort of Mothers With Chronic Pain and Their Children.

Anna C Wilson, Amanda L Stone, Katrina M Poppert Cordts, Amy L Holley, Sean Mackey, Beth D Darnall, Tonya M Palermo,

<h4>Objectives</h4>A growing body of research has demonstrated a robust link between parental chronic pain and child pain and psychological function. Although the association between parent and child pain is strong, there are limited data to understand environmental and behavioral processes that account for the association and how this develops over ... Read more >>

Clin J Pain (The Clinical journal of pain)
[2020, 36(10):782-792]

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Patient-centered prescription opioid tapering in community outpatients with chronic pain: 2- to 3-year follow-up in a subset of patients.

Maisa Ziadni, Abby L Chen, Parthasarathy Krishnamurthy, Pamela Flood, Richard L Stieg, Beth D Darnall,

<h4>Objective</h4>We previously reported promising results for a 4-month patient-centered voluntary opioid tapering study. Key questions remain about the durability of effects and possible risks after opioid reduction. We provide the longest follow-up data to date for prospective opioid tapering: 2- to 3-year follow-up for pain intensity and daily opioid use ... Read more >>

Pain Rep (Pain reports)
[2020, 5(5):e851]

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Comparative Effectiveness of Cognitive Behavioral Therapy for Chronic Pain and Chronic Pain Self-Management within the Context of Voluntary Patient-Centered Prescription Opioid Tapering: The EMPOWER Study Protocol.

Beth D Darnall, Sean C Mackey, Kate Lorig, Ming-Chih Kao, Aram Mardian, Richard Stieg, Joel Porter, Korina DeBruyne, Jennifer Murphy, Luzmercy Perez, Heather Okvat, Lu Tian, Pamela Flood, Mark McGovern, Luana Colloca, Heather King, Brent Van Dorsten, Ting Pun, Matthias Cheung,

<h4>Objective</h4>Evidence to date, while sparse, suggests that patients taking long-term opioids require special considerations and protections to prevent potential iatrogenic harms from opioid de-prescribing, such as increased pain or suffering. Following this study protocol, the EMPOWER study seeks to address multiple unmet needs of patients with chronic pain who desire ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, 21(8):1523-1531]

Cited: 4 times

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Emotions matter: The role of emotional approach coping in chronic pain.

Maisa S Ziadni, Dokyoung S You, Lucia Johnson, Mark A Lumley, Beth D Darnall,

<h4>Background</h4>Emotional approach coping (EAC) is a potentially adaptive emotion-focused coping style that involves understanding or processing one's emotions and expressing them appropriately. Although EAC has been studied in various populations, little is known about this construct among people with chronic pain, including potential mediators such as negative affect, which might ... Read more >>

Eur J Pain (European journal of pain (London, England))
[2020, 24(9):1775-1784]

Cited: 0 times

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