Scholars@Duke
Kelli Dominick Allen

Kelli Dominick Allen

Adjunct Professor in the Department of Medicine
Medicine, General Internal Medicine
domin004@mc.duke.edu
HSRD (152), Bldg 16, 508 Fulton Street, Durham, NC

Selected Publications

Optimizing osteoarthritis care through clinical and community partnership: Results of an exploratory trial.

Conference Osteoarthr Cartil Open · June 2025 BACKGROUND/PURPOSE: To conduct an exploratory trial of a clinic-community care model (OA CARE) for managing osteoarthritis (OA). DESIGN: Participants (n ​= ​60) with symptomatic knee or hip OA and overweight/obesity were randomized to OA CARE or a usual ca ... Full text Link to item Cite

Exploration of heterogeneity of treatment effects across exercise-based interventions for knee osteoarthritis.

Journal Article Osteoarthr Cartil Open · March 2025 OBJECTIVE: Variability exists in the degree of improvement patients experience following exercise-based interventions (EBIs) for knee osteoarthritis (KOA), but understanding of this heterogeneity is limited. Using a machine learning approach, this study le ... Full text Link to item Cite

Non-Pharmacological Pain Management for Osteoarthritis: Review Update.

Journal Article Curr Rheumatol Rep · February 19, 2025 PURPOSE OF REVIEW: To summarize the state of research and recent studies on non-pharmacological therapies for osteoarthritis (OA). RECENT FINDINGS: High intensity interval training is an exercise-based intervention with some new, promising findings for peo ... Full text Link to item Cite

Care Models to Improve Pain and Reduce Opioids Among Patients Prescribed Long-Term Opioid Therapy: The VOICE Randomized Clinical Trial.

Journal Article JAMA Intern Med · February 1, 2025 IMPORTANCE: Patients prescribed long-term opioid therapy for chronic pain often experience unrelieved pain, poor quality of life, and serious adverse events. OBJECTIVE: To compare the effects of integrated pain team (IPT) vs pharmacist collaborative manage ... Full text Link to item Cite

Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.

Journal Article Innov Aging · 2025 BACKGROUND AND OBJECTIVES: As the population ages there is an increasing need for caregiver training programs, but little is known about how to deliver implementation support for diverse sites in large-scale implementation efforts. External group-based imp ... Full text Link to item Cite

The business case for hospital mobility programs in the veterans health care system: Results from multi-hospital implementation of the STRIDE program.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To conduct a business case analysis for Department of Veterans Affairs (VA) program STRIDE (ASsisTed EaRly MobIlization for hospitalizeD older VEterans), which was designed to address immobility for hospitalized older adults. DATA SOURCES AND ST ... Full text Link to item Cite

People with short symptom duration of knee osteoarthritis benefit more from exercise therapy than people with longer symptom duration: An individual participant data meta-analysis from the OA trial bank.

Journal Article Osteoarthritis and cartilage · December 2024 ObjectiveTo investigate whether duration of knee symptoms influenced the magnitude of the effect of exercise therapy compared to non-exercise control interventions on pain and physical function in people with knee osteoarthritis (OA).Method Full text Cite

Implementation outcomes from a multi-site stepped wedge cluster randomized family caregiver skills training trial.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To assess whether a team collaboration strategy (CONNECT) improves implementation outcomes of a family caregiver skills training program (iHI-FIVES). DATA SOURCES AND STUDY SETTING: iHI-FIVES was delivered to caregivers at eight Veterans Affairs ... Full text Link to item Cite

Adaptations and early adoption of a family caregiver intervention in the Veterans Affairs Health Care System: A multimethod pragmatic approach for national scaling.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To examine the relationship between site-level adaptation and early adoption of Caregivers Finding Important Resources, Support, and Training (FIRST) training during national implementation across diverse Veteran Health Administration (VA) medic ... Full text Link to item Cite

A stepped wedge cluster randomized trial to evaluate the effectiveness of a multisite family caregiver skills training program.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To assess the effects of an evidence-based family caregiver training program (implementation of Helping Invested Families Improve Veteran Experiences Study [iHI-FIVES]) in the Veterans Affairs healthcare system on Veteran days not at home and fa ... Full text Link to item Cite

Prevalence and Factors Associated With High-Impact Chronic Pain in Knee Osteoarthritis: The Johnston County Health Study.

Journal Article J Pain · December 2024 Pain is a hallmark symptom of knee osteoarthritis (KOA), yet intensity and severity vary widely among individuals. There is a knowledge gap in understanding key characteristics of high-impact chronic pain (HICP) within the context of KOA. Therefore, our fi ... Full text Link to item Cite

Physical activity and symmetry following total knee arthroplasty: Results of a pilot randomized trial.

Journal Article Osteoarthr Cartil Open · December 2024 OBJECTIVE: This pilot trial examined a Physical Activity and Symmetry (PAS) intervention focused on common deficits of physical inactivity and joint loading asymmetry following total knee arthroplasty (TKA). DESIGN: Participants (n ​= ​60) were enrolled du ... Full text Link to item Cite

Exploring the Perceived Difficulty and Importance of Lower Limb Physical Activities for People With and Without Osteoarthritis: A Discrete Choice Experiment.

Journal Article Musculoskeletal Care · December 2024 BACKGROUND: Many outcome measures used in lower-limb osteoarthritis (OA) present ceiling effects. This compromises the ability of those measures to accurately assess people with higher levels of physical function. Understanding of the difficulty and import ... Full text Link to item Cite

Diversity and Inclusivity in Rheumatology Publications.

Journal Article ACR Open Rheumatol · November 2024 Full text Link to item Cite

Relationships Between Applied Mindfulness Practice, Chronic Pain, and Pain-Related Functioning in Veterans.

Journal Article J Pain · November 2024 Mindfulness-based interventions (MBIs) have been shown to improve chronic pain and associated conditions like depression, anxiety, and sleep disorders. However, there is limited research on how veterans with chronic pain apply mindfulness skills to manage ... Full text Link to item Cite

Beyond Discharge Disposition: A Scoping Review on Sociodemographic Disparities in Rehabilitation Use After Hip and Knee Arthroplasty.

Journal Article Phys Ther · October 2, 2024 OBJECTIVE: The aims of this scoping review were to summarize the evidence regarding sex, racial, ethnic, geographic, and socioeconomic disparities in post-acute rehabilitation following total hip arthroplasty (THA) and knee arthroplasty (TKA). METHODS: Lit ... Full text Link to item Cite

Diversity and Inclusivity in Rheumatology Publications.

Journal Article Arthritis Rheumatol · October 2024 Full text Link to item Cite

Diversity and Inclusivity in Rheumatology Publications.

Journal Article Arthritis Care Res (Hoboken) · October 2024 Full text Link to item Cite

Site-initiated adaptations in the implementation of an evidence-based inpatient walking program.

Journal Article J Am Geriatr Soc · October 2024 BACKGROUND: There is increasing recognition of the importance of maximizing program-setting fit in scaling and spreading effective programs. However, in the context of hospital-based mobility programs, there is limited information on how settings could con ... Full text Link to item Cite

Telehealth Mindfulness-Based Interventions for Chronic Pain: The LAMP Randomized Clinical Trial.

Journal Article JAMA Intern Med · October 1, 2024 IMPORTANCE: Although mindfulness-based interventions (MBIs) are evidence-based treatments for chronic pain and comorbid conditions, implementing them at scale poses many challenges, such as the need for dedicated space and trained instructors. OBJECTIVE: T ... Full text Link to item Cite

Use of Implementation Strategies to Promote the Uptake of Knee Osteoarthritis Practice Guidelines and Improve Patient Outcomes: A Systematic Review.

Journal Article Arthritis Care Res (Hoboken) · September 2024 OBJECTIVE: Translation of knee osteoarthritis (KOA) clinical practice guidelines (CPGs) to practice remains suboptimal. The primary purpose of this systematic review was to describe the use of implementation strategies to promote KOA CPG-recommended care. ... Full text Link to item Cite

Email recruitment for chronic pain clinical trials: results from the LAMP trial.

Journal Article Trials · July 19, 2024 BACKGROUND: Recruitment for clinical trials and large-scale studies is challenging, especially for patients with complex conditions like chronic pain. Email recruitment has the potential to increase efficiency, to reduce costs, and to improve access for un ... Full text Link to item Cite

Enhancing team communication to improve implementation of a supervised walking program for hospitalized veterans: Evidence from a multi-site trial in the Veterans Health Administration.

Journal Article PM R · July 5, 2024 INTRODUCTION: The timely translation of evidence-based programs into real-world clinical settings is a persistent challenge due to complexities related to organizational context and team function, particularly in inpatient settings. Strategies are needed t ... Full text Link to item Cite

Budget impact of the Walk With Ease program for knee osteoarthritis.

Journal Article Osteoarthr Cartil Open · June 2024 OBJECTIVE: Walk With Ease (WWE) is an effective low-cost walking program. We estimated the budget impact of implementing WWE in persons with knee osteoarthritis (OA) as a measure of affordability that can inform payers' funding decisions. METHODS: We estim ... Full text Link to item Cite

Comprehensive Caregiver Supports and Ascertainment and Treatment of Veteran Pain.

Journal Article Med Care Res Rev · April 2024 Disabled Veterans commonly experience pain. The Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides training, a stipend, and services to family caregivers of eligible Veterans to support their caregiving role. We compared ascertainme ... Full text Link to item Cite

The Critical Role of Physical Activity and Weight Management in Knee and Hip Osteoarthritis: A Narrative Review.

Journal Article J Rheumatol · March 1, 2024 Physical activity (PA) and weight management are critical components of an effective knee and hip osteoarthritis (OA) management plan, yet most people with OA remain insufficiently active and/or overweight. Clinicians and their care teams play an important ... Full text Link to item Cite

Evaluation of strategies to support implementation of a hospital walking program: protocol for a type III effectiveness-implementation hybrid trial.

Journal Article Implement Sci Commun · January 12, 2024 BACKGROUND: STRIDE is a supervised walking program designed to address the negative consequences of immobility during hospitalization for older adults. In an 8-hospital stepped wedge randomized controlled trial, STRIDE was associated with reduced odds of h ... Full text Link to item Cite

The Association Between Racialized Discrimination in Health Care and Pain Among Black Patients With Mental Health Diagnoses.

Journal Article J Pain · January 2024 Chronic pain is a costly and debilitating problem in the United States, and its burdens are exacerbated among socially disadvantaged and stigmatized groups. In a cross-sectional study of Black Veterans with chronic pain at the Atlanta VA Health Care System ... Full text Link to item Cite

Interventions to Improve Long-Term Adherence to Physical Rehabilitation: A Systematic Review.

Journal Article Journal of geriatric physical therapy (2001) · January 2024 ObjectiveTo evaluate the impact of physical rehabilitation interventions, supplemented with one or more adherence-enhancing components, on outcomes among adults with hip or knee osteoarthritis or chronic lower back pain.DesignPrimary lite ... Full text Cite

Exploring Gender Differences in Veterans in a Secondary Analysis of a Randomized Controlled Trial of Mindfulness for Chronic Pain.

Journal Article Womens Health Rep (New Rochelle) · 2024 BACKGROUND: Although studies have documented higher rates of chronic pain among women Veterans compared to men Veterans, there remains a lack of comprehensive information about potential contributors to these disparities. MATERIALS AND METHODS: This study ... Full text Link to item Cite

Gender differences in PTSD severity and pain outcomes: Baseline results from the LAMP trial.

Journal Article PLoS One · 2024 BACKGROUND: Post-traumatic stress disorder (PTSD) and chronic pain are highly prevalent comorbid conditions. Veterans dually burdened by PTSD and chronic pain experience more severe outcomes compared to either disorder alone. Few studies have enrolled enou ... Full text Link to item Cite

"I've been doing this for years": the COVID-19 pandemic and family caregiver isolation and loneliness.

Journal Article Front Aging · 2024 BACKGROUND: Family caregivers are family members or friends of care recipients who assist with activities of daily living, medication management, transportation, and help with finances among other activities. As a result of their caregiving, family caregiv ... Full text Link to item Cite

Organizational Characteristics of Hospitals Meeting STRIDE Program Adoption Benchmarks to Support Mobility for Hospitalized Persons.

Journal Article Inquiry : a journal of medical care organization, provision and financing · January 2024 There are few validated contextual measures predicting adoption of evidence-based programs. Variation in context at clinical sites can hamper dissemination. We examined organizational characteristics of Veterans Affairs hospitals implementing STRIDE, a hos ... Full text Cite

Older Veterans' perspectives on participation in a clinical exercise program: A qualitative study of the VA Gerofit exercise program.

Journal Article SAGE Open Med · 2024 OBJECTIVES: We explored the perspectives of older veterans in Gerofit, a Department of Veteran Affairs (VA) supervised clinical exercise program, to understand the factors associated with participation and how the program supported personal health goals. M ... Full text Link to item Cite

The OARSI Joint Effort Initiative: Priorities for osteoarthritis management program implementation and research 2024–2028

Journal Article Osteoarthritis and Cartilage Open · December 1, 2023 Objective: The Joint Effort Initiative (JEI) is an international collaboration of clinicians, researchers, and consumer organisations with a shared vision of improving the implementation of osteoarthritis management programs (OAMPs). This study aimed to id ... Full text Cite

Arthritis Prevalence Among Veterans - United States, 2017-2021.

Journal Article MMWR Morb Mortal Wkly Rep · November 10, 2023 Arthritis is a chronic inflammatory condition and a leading cause of chronic pain and disability. Because arthritis prevalence is higher among U.S. military veterans (veterans), and because the veteran population has become more sexually, racially, ethnica ... Full text Link to item Cite

Group physical therapy for knee osteoarthritis: protocol for a hybrid type III effectiveness-implementation trial.

Journal Article Implement Sci Commun · October 12, 2023 BACKGROUND: Knee osteoarthritis (OA) is a leading cause of chronic pain and disability and one of the most common conditions treated in outpatient physical therapy (PT). Because of the high and growing prevalence of knee OA, there is a need for efficient a ... Full text Open Access Link to item Cite

Partner engagement for planning and development of non-pharmacological care pathways in the AIM-Back trial.

Journal Article Clin Trials · October 2023 BACKGROUND/AIMS: Embedded pragmatic clinical trials are increasingly recommended for non-pharmacological pain care research due to their focus on examining intervention effectiveness within real-world settings. Engagement with patients, health care provide ... Full text Open Access Link to item Cite

Precision Medicine-Based Machine Learning Analyses to Explore Optimal Exercise Therapies for Individuals With Knee Osteoarthritis: Random Forest-Informed Tree-Based Learning.

Journal Article J Rheumatol · October 2023 OBJECTIVE: We applied a precision medicine-based machine learning approach to discover underlying patient characteristics associated with differential improvement in knee osteoarthritis symptoms following standard physical therapy (PT), internet-based exer ... Full text Link to item Cite

Videoconferencing of Movement-Based and Psychologically Informed Interventions for Chronic Pain: A Systematic Review and Horizon Scan.

Journal Article Telemed J E Health · September 2023 Introduction: With the coronavirus disease 2019 (COVID-19) pandemic, use of telehealth technology increased dramatically. Nonpharmacological approaches to pain management may be well suited for virtual care. Yet, it is not widely understood if this treatme ... Full text Link to item Cite

Walk with ease for knee osteoarthritis: A cost-effectiveness analysis.

Journal Article Osteoarthr Cartil Open · September 2023 OBJECTIVE: The Walk With Ease (WWE) program was developed by the Arthritis Foundation to help people with arthritis learn to exercise safely and improve arthritis symptoms. We sought to establish the value of the WWE program. METHODS: We used the Osteoarth ... Full text Link to item Cite

Implementation intensification to disseminate a skills-based caregiver training program: protocol for a type III effectiveness-implementation hybrid trial.

Journal Article Implement Sci Commun · August 16, 2023 BACKGROUND: Family caregiver training decreases caregiver psychological burden and improves caregiver depressive symptoms and health-related quality of life. Caregivers FIRST is an evidence-based group skills training curriculum for family caregivers and w ... Full text Link to item Cite

Mechanisms of action of therapeutic exercise for knee and hip OA remain a black box phenomenon: an individual patient data mediation study with the OA Trial Bank.

Journal Article RMD Open · August 2023 OBJECTIVES: To evaluate mediating factors for the effect of therapeutic exercise on pain and physical function in people with knee/hip osteoarthritis (OA). METHODS: For Subgrouping and TargetEd Exercise pRogrammes for knee and hip OsteoArthritis (STEER OA) ... Full text Link to item Cite

Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative.

Journal Article Osteoarthritis Cartilage · July 2023 OBJECTIVE: To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA). DESIGN: We conducted a 3-round modified Delphi survey involving ... Full text Link to item Cite

Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis

Journal Article The Lancet Rheumatology · July 1, 2023 Background: Many international clinical guidelines recommend therapeutic exercise as a core treatment for knee and hip osteoarthritis. We aimed to identify individual patient-level moderators of the effect of therapeutic exercise for reducing pain and impr ... Full text Cite

Ready, set, go! The role of organizational readiness to predict adoption of a family caregiver training program using the Rogers' diffusion of innovation theory.

Journal Article Implement Sci Commun · June 19, 2023 BACKGROUND: Caregivers FIRST is an evidence-based program addressing gaps in caregivers' skills. In 2020, the Veterans Health Administration Caregiver Support Program (CSP) nationally endorsed Caregivers FIRST, offering credit in leadership performance pla ... Full text Open Access Link to item Cite

Effects of Implementation of a Supervised Walking Program in Veterans Affairs Hospitals : A Stepped-Wedge, Cluster Randomized Trial.

Journal Article Ann Intern Med · June 2023 BACKGROUND: In trials, hospital walking programs have been shown to improve functional ability after discharge, but little evidence exists about their effectiveness under routine practice conditions. OBJECTIVE: To evaluate the effect of implementation of a ... Full text Link to item Cite

Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System.

Journal Article Am J Health Promot · May 2023 PURPOSE: Determine the association between incremental increases in the number of social risk factors and the prevalence of any disability and disability type. DESIGN: The cross-sectional analysis was conducted using 2017 Behavioral Risk Factor Surveillanc ... Full text Link to item Cite

Racial inequality in functional trajectories between Black and White U.S. veterans.

Journal Article J Am Geriatr Soc · April 2023 BACKGROUND: Racial inequality in functional trajectories has been well documented in the U.S. civilian population but has not been explored among Veterans. Our objectives were to: (1) assess how functional trajectories differed for Black and White Veterans ... Full text Link to item Cite

Intensification of Implementation Strategies: Developing a Model of Foundational and Enhanced Implementation Approaches to Support National Adoption and Scale-up.

Journal Article Gerontologist · March 21, 2023 Implementation strategies are activities to support integration of evidence-based programs (EBPs) into routine care. Comprised of 170+ facilities, the Veterans Affairs Healthcare System is conducive to evaluating feasibility and scalability of implementati ... Full text Link to item Cite

Mandated Caregiver Training in the Veterans Health Administration: Caregiver Inquiry Informs National Dissemination.

Journal Article Gerontologist · March 21, 2023 BACKGROUND AND OBJECTIVES: A minority of family caregivers receive training, with implications for their own and their recipient's outcomes. Federal policy has supported the implementation and expansion of caregiver training and support. The Department of ... Full text Open Access Link to item Cite

Patient Choice After Referral to Physical Therapy for Lower Back Pain and Knee Osteoarthritis.

Journal Article Archives of rehabilitation research and clinical translation · March 2023 ObjectiveTo assess factors influencing Veterans' decisions to initiate physical therapy (PT) after referral for low back pain (LBP) or knee osteoarthritis (OA).DesignQualitative study using individual semistructured telephone interviews.< ... Full text Cite

An Analysis of the Role of Mental Health in a Randomized Trial of a Walking Intervention for Black Veterans With Chronic Pain.

Journal Article J Pain · January 2023 Black patients and those with co-occurring mental health disorders are disproportionately affected by chronic pain, but few interventions target these populations. This is a secondary analysis of a randomized trial of a walking-focused proactive counseling ... Full text Link to item Cite

Perceived Impact of the COVID-19 Pandemic on Physical Activity Among Adult Patients With Rheumatologic Disease.

Conference ACR Open Rheumatol · December 2022 OBJECTIVE: The objective of this cross-sectional study was to investigate the impact of the COVID-19 pandemic on physical activity (PA) levels of patients with rheumatic and musculoskeletal diseases (RMDs) and to examine factors associated with decreased P ... Full text Link to item Cite

Self-Organization of Interprofessional Staff to Improve Mobility of Hospitalized Patients with STRIDE: a Complexity Science-Informed Qualitative Study.

Journal Article J Gen Intern Med · December 2022 BACKGROUND: Inpatient mobility programs can help older adults maintain function during hospitalization. Changing hospital practice can be complex and require engagement of various staff levels and disciplines; however, we know little about how interprofess ... Full text Link to item Cite

Taking ACTION to Reduce Pain: a Randomized Clinical Trial of a Walking-Focused, Proactive Coaching Intervention for Black Patients with Chronic Musculoskeletal Pain.

Journal Article J Gen Intern Med · November 2022 BACKGROUND: Black patients in the USA are disproportionately affected by chronic pain, yet there are few interventions that address these disparities. OBJECTIVE: To determine whether a walking-focused, proactive coaching intervention aimed at addressing co ... Full text Link to item Cite

Application of Heterogeneity of Treatment-Effects Methods: Exploratory Analyses of a Trial of Exercise-Based Interventions for Knee Osteoarthritis.

Journal Article Arthritis Care Res (Hoboken) · August 2022 OBJECTIVE: To evaluate heterogeneity of treatment effects in a trial of exercise-based interventions for knee osteoarthritis (OA). METHODS: Participants (n = 350) were randomized to standard physical therapy (PT; n = 140), internet-based exercise training ... Full text Link to item Cite

Adapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness.

Journal Article BMC Health Serv Res · July 29, 2022 BACKGROUND: Clinical interventions often need to be adapted from their original design when they are applied to new settings. There is a growing literature describing frameworks and approaches to deploying and documenting adaptations of evidence-based prac ... Full text Open Access Link to item Cite

Identifying Family and Unpaid Caregivers in Electronic Health Records: Descriptive Analysis.

Journal Article JMIR Form Res · July 18, 2022 BACKGROUND: Most efforts to identify caregivers for research use passive approaches such as self-nomination. We describe an approach in which electronic health records (EHRs) can help identify, recruit, and increase diverse representations of family and ot ... Full text Open Access Link to item Cite

Patient demographics and clinical characteristics influence opioid and nonopioid pain management prescriptions of primary care NPs, PAs, and physicians.

Journal Article J Am Assoc Nurse Pract · July 1, 2022 BACKGROUND: Evidence exists on racial and gender disparities in chronic pain management among veterans. Most literature has described physicians' disparate opioid prescribing patterns, although it is unknown if prescribing disparities exist among nurse pra ... Full text Link to item Cite

Needs of care partners of older Veterans with serious illness.

Journal Article J Am Geriatr Soc · June 2022 BACKGROUND: The quality of life of care partners and care recipients may be improved by programs that address unmet needs. The aim of this qualitative study was to identify care partners' social and practical needs as they care for Veterans (65 yo+) with s ... Full text Link to item Cite

A Framework to Guide the Development of Health Care Professional Education and Training in Best Evidence Osteoarthritis Care.

Journal Article Clin Geriatr Med · May 2022 Osteoarthritis (OA) is a leading cause of disability. Clinical practice guidelines recommend education on OA management, exercise, and weight control. However, many people with OA do not receive this recommended OA care. Some health care professionals (HCP ... Full text Link to item Cite

Cost and Quality of Life Outcomes of the STepped Exercise Program for Patients With Knee OsteoArthritis Trial.

Journal Article Value Health · April 2022 OBJECTIVES: This study aimed to evaluate the cost-effectiveness of the randomized clinical trial STEP-KOA (STepped Exercise Program for patients with Knee OsteoArthritis). METHODS: The trial included 230 intervention and 115 control participants from 2 Vet ... Full text Link to item Cite

Influence of Primary Care Provider Type on Chronic Pain Management Among Veterans.

Journal Article J Nurs Regul · April 2022 BACKGROUND: Chronic pain disproportionately impacts veterans and is often treated in primary care, where physician shortages in the Veterans Health Administration (VHA) healthcare system are well documented. Nurse practitioners (NPs) may represent a soluti ... Full text Link to item Cite

Accelerometer-Based Physical Activity Patterns and Associations With Outcomes Among Individuals With Osteoarthritis.

Journal Article J Clin Rheumatol · March 1, 2022 BACKGROUND: This study examined patterns of physical activity and associations with pain, function, fatigue, and sleep disturbance among individuals with knee or hip osteoarthritis. METHODS: Participants (n = 54) were enrolled in a telephone-based physical ... Full text Link to item Cite

Association of Burden and Prevalence of Arthritis With Disparities in Social Risk Factors, Findings From 17 US States.

Journal Article Prev Chronic Dis · February 17, 2022 INTRODUCTION: Social risks previously have been associated with arthritis prevalence and costs. Although social risks often cluster among individuals, no studies have examined associations between multiple social risks within the same individual. Our objec ... Full text Open Access Link to item Cite

Epidemiology of osteoarthritis.

Journal Article Osteoarthritis Cartilage · February 2022 OBJECTIVE: To summarize the current state of the evidence regarding osteoarthritis (OA) prevalence, incidence and risk factors at the person-level and joint-level. DESIGN: This was a narrative review that took a comprehensive approach regarding inclusion o ... Full text Link to item Cite

Reciprocal Effects Between Depressive Symptoms and Pain in Veterans over 50 Years of Age or Older.

Journal Article Pain Med · February 1, 2022 OBJECTIVE: Depression and chronic pain are major problems in American veterans, yet there is limited long-term research examining how they relate to one another in this population. This study examined the relationship between depressive symptoms and pain i ... Full text Link to item Cite

Developing a Primary Care-Focused Intervention to Engage Patients With Osteoarthritis in Physical Activity: A Stakeholder Engagement Qualitative Study.

Journal Article Health Promot Pract · January 2022 Physical activity (PA) is important for managing osteoarthritis (OA), but many patients are inactive. Research is needed on strategies to leverage clinical encounters to engage patients in PA. Guided by the socioecological model of health behavior, this st ... Full text Link to item Cite

Expanding access to rehabilitation using mobile health to address musculoskeletal pain and disability.

Journal Article Front Rehabil Sci · 2022 INTRODUCTION: Musculoskeletal (MSK) disorders such as low back pain and osteoarthritis are a leading cause of disability and the leading contributor to the need for rehabilitation services globally. This need has surpassed the availability of trained clini ... Full text Link to item Cite

Tailored physical activity behavior change interventions: challenges and opportunities.

Journal Article Transl Behav Med · December 14, 2021 A physically active lifestyle provides innumerable benefits; yet, few individuals are physically active enough to reap those benefits. Tailored physical activity interventions may address low rates of physical activity by offering individualized strategies ... Full text Link to item Cite

Walking All over COVID-19: The Rapid Development of STRIDE in Your Room, an Innovative Approach to Enhance a Hospital-Based Walking Program during the Pandemic.

Journal Article Geriatrics (Basel) · November 10, 2021 Hospitalization is common among older adults. Prolonged time in bed during hospitalization can lead to deconditioning and functional impairments. Our team is currently working with Department of Veterans Affairs (VA) medical centers across the United State ... Full text Open Access Link to item Cite

High-Intensity Interval Training for Knee Osteoarthritis: A Pilot Study.

Journal Article ACR Open Rheumatol · October 2021 OBJECTIVE: To assess the feasibility and changes in outcomes of a 12-week high-intensity interval training (HIIT) program in individuals with symptomatic knee osteoarthritis (OA). METHODS: The single-arm trial included 29 participants (mean ± SD age 63 ± 7 ... Full text Link to item Cite

Accelerating Implementation of Virtual Care in an Integrated Health Care System: Future Research and Operations Priorities.

Journal Article Journal of general internal medicine · August 2021 BackgroundVirtual care is critical to Veterans Health Administration (VHA) efforts to expand veterans' access to care. Health care policies such as the Veterans Access, Choice, and Accountability (CHOICE) Act and the Maintaining Internal Systems a ... Full text Open Access Cite

Arthritis Care & Research: Celebrations and Opportunities.

Journal Article Arthritis Care Res (Hoboken) · July 2021 Full text Link to item Cite

Pilot study of an internet-based pain coping skills training program for patients with systemic Lupus Erythematosus.

Journal Article BMC Rheumatol · June 17, 2021 BACKGROUND: Patients with Systemic Lupus Erythematosus (SLE) often experience pain and other symptoms that negatively impact quality of life. Interventions that enhance the use of behavioral and cognitive coping strategies may lead to improved outcomes amo ... Full text Link to item Cite

Resilience and pain catastrophizing among patients with total knee arthroplasty: a cohort study to examine psychological constructs as predictors of post-operative outcomes.

Journal Article Health Qual Life Outcomes · May 1, 2021 BACKGROUND: Patients' psychological health may influence recovery and functional outcomes after total knee arthroplasty (TKA). Pain catastrophizing, known to be associated with poor function following TKA, encompasses rumination, magnification, and helples ... Full text Link to item Cite

Stepped Exercise Program for Patients With Knee Osteoarthritis : A Randomized Controlled Trial.

Journal Article Ann Intern Med · March 2021 BACKGROUND: Evidence-based models are needed to deliver exercise-related services for knee osteoarthritis efficiently and according to patient needs. OBJECTIVE: To examine a stepped exercise program for patients with knee osteoarthritis (STEP-KOA). DESIGN: ... Full text Link to item Cite

Racial/Ethnic, Socioeconomic, and Geographic Disparities in the Epidemiology of Knee and Hip Osteoarthritis.

Journal Article Rheum Dis Clin North Am · February 2021 It is estimated that 32.5 million US adults have clinical osteoarthritis (OA), with the most common sites being knee and hip. OA is associated with substantial individual and societal costs. Race/ethnicity, socioeconomic status (SES), and geographic variat ... Full text Link to item Cite

Discrimination Experiences and Depressive Symptoms among African Americans with Osteoarthritis Enrolled in a Pain Coping Skills Training Randomized Controlled Trial.

Journal Article J Health Care Poor Underserved · 2021 African Americans are more likely than members of other racial groups to report perceived discrimination in health care settings, and discrimination is linked to depression. Using data from a randomized controlled trial of pain coping skills training (PCST ... Full text Link to item Cite

Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded Pragmatic Cluster-Randomized Trial.

Journal Article Pain Med · December 12, 2020 BACKGROUND: Coordinated efforts between the National Institutes of Health, the Department of Defense, and the Department of Veterans Affairs have built the capacity for large-scale clinical research investigating the effectiveness of nonpharmacologic pain ... Full text Open Access Link to item Cite

Learning to Apply Mindfulness to Pain (LAMP): Design for a Pragmatic Clinical Trial of Two Mindfulness-Based Interventions for Chronic Pain.

Journal Article Pain Med · December 12, 2020 BACKGROUND: Mindfulness-based interventions (MBIs) are evidence-based nonpharmacological treatments for treating chronic pain. However, the predominant MBI, mindfulness-based stress reduction, has features that pose significant implementation barriers. OBJ ... Full text Link to item Cite

Predominant lifetime occupation and associations with painful and structural knee osteoarthritis: An international participant-level cohort collaboration.

Journal Article Osteoarthr Cartil Open · December 2020 OBJECTIVE: With adults working to older ages, occupation is an important, yet less modifiable domain of physical activity to consider in the risk of knee osteoarthritis (OA). This study aimed to investigate the association between predominant lifetime occu ... Full text Link to item Cite

Metabolic and physiological effects of high intensity interval training in patients with knee osteoarthritis: A pilot and feasibility study.

Journal Article Osteoarthr Cartil Open · December 2020 OBJECTIVE: To examine the feasibility of a 6-week high intensity interval training (HIIT) program in patients with symptomatic knee osteoarthritis (OA). A secondary aim was to evaluate the change in whole-body metabolism. DESIGN: In a single-arm interventi ... Full text Link to item Cite

Implementation of a stepped wedge cluster randomized trial to evaluate a hospital mobility program.

Journal Article Trials · October 16, 2020 BACKGROUND: Stepped wedge cluster randomized trials (SW-CRT) are increasingly used to evaluate new clinical programs, yet there is limited guidance on practical aspects of applying this design. We report our early experiences conducting a SW-CRT to examine ... Full text Open Access Link to item Cite

Self-Report Measures of Physical Activity.

Journal Article Arthritis Care Res (Hoboken) · October 2020 Full text Link to item Cite

Racial Differences in Performance-Based Function and Potential Explanatory Factors Among Individuals With Knee Osteoarthritis.

Journal Article Arthritis Care Res (Hoboken) · September 2020 OBJECTIVE: In individuals with knee osteoarthritis (OA), self-reported physical function is poorer in African Americans than in whites, but whether this difference holds true for objective assessments is unclear. The purpose of this study was to examine ra ... Full text Link to item Cite

Acceptability of telephone-based pain coping skills training among African Americans with osteoarthritis enrolled in a randomized controlled trial: a mixed methods analysis.

Journal Article BMC Musculoskelet Disord · August 14, 2020 BACKGROUND: Osteoarthritis (OA) disproportionately impacts African Americans compared to Caucasians, including greater pain severity. The Pain Coping Skills Training for African Americans with Osteoarthritis (STAART) study examined a culturally enhanced Pa ... Full text Link to item Cite

Core and adjunctive interventions for osteoarthritis: efficacy and models for implementation.

Journal Article Nat Rev Rheumatol · August 2020 Osteoarthritis (OA) is a complex musculoskeletal disease and a leading cause of pain and disability worldwide. Hip and knee OA alone are major contributors to global disability, having notable effects on individual well-being, increasing the reliance of in ... Full text Link to item Cite

Osteoarthritis physical activity care pathway (OA-PCP): results of a feasibility trial.

Journal Article BMC Musculoskelet Disord · May 16, 2020 BACKGROUND: To obtain information on feasibility and acceptability, as well as preliminary data on efficacy, of an Osteoarthritis Physical activity Care Pathway (OA-PCP). METHODS: This was a single group pilot study involving 60 participants with symptomat ... Full text Link to item Cite

Application of Traditional and Emerging Methods for the Joint Analysis of Repeated Measurements With Time-to-Event Outcomes in Rheumatology.

Journal Article Arthritis Care Res (Hoboken) · May 2020 OBJECTIVE: The goal of this paper is to describe approaches for the joint analysis of repeatedly measured data with time-to-event end points, first separately and then in the framework of a single comprehensive model, emphasizing the efficiency of the latt ... Full text Link to item Cite

Early-phase study of a telephone-based intervention to reduce weight regain among bariatric surgery patients.

Journal Article Health Psychol · May 2020 OBJECTIVE: This study describes early-phase development of a behavioral intervention to reduce weight regain following bariatric surgery. We utilized the Obesity-Related Behavioral Intervention Trials model to guide intervention development and evaluation. ... Full text Link to item Cite

Implementation of a group physical therapy program for Veterans with knee osteoarthritis.

Journal Article BMC Musculoskelet Disord · February 3, 2020 BACKGROUND: A previous randomized clinical trial found that a Group Physical Therapy (PT) program for knee osteoarthritis yielded similar improvements in pain and function compared with traditional individual PT. Based on these findings the Group PT progra ... Full text Open Access Link to item Cite

Development of a core capability framework for qualified health professionals to optimise care for people with osteoarthritis: an OARSI initiative.

Journal Article Osteoarthritis Cartilage · February 2020 OBJECTIVE: Develop a generic trans-disciplinary, skills-based capability framework for health professionals providing care for people with OA. DESIGN: e-Delphi survey. An international inter-professional Delphi Panel (researchers; clinicians; consumer repr ... Full text Link to item Cite

Adaptation and Implementation of a Family Caregiver Skills Training Program: From Single Site RCT to Multisite Pragmatic Intervention.

Journal Article J Nurs Scholarsh · January 2020 PURPOSE: We describe an approach to rapidly adapt and implement an education and skills improvement intervention to address the needs of family caregivers of functionally impaired veterans-Helping Invested Families Improve Veterans' Experience Study (HI-FI ... Full text Link to item Cite

Priorities for the effective implementation of osteoarthritis management programs: an OARSI international consensus exercise.

Journal Article Osteoarthritis Cartilage · September 2019 OBJECTIVE: The Joint Effort Initiative was endorsed by Osteoarthritis Research Society International (OARSI) in 2018 as a collaboration between international researchers and clinicians with an interest in the implementation of osteoarthritis management pro ... Full text Link to item Cite

Core Outcome Measures for Chronic Musculoskeletal Pain Research: Recommendations from a Veterans Health Administration Work Group.

Journal Article Pain Med · August 1, 2019 OBJECTIVE: Chronic musculoskeletal pain (CMSP) disorders are among the most prevalent and disabling conditions worldwide. It would be advantageous to have common outcome measures when comparing results across different CMSP research studies. METHODS: The V ... Full text Link to item Cite

Composite measures of physical activity and pain associate better with functional assessments than pain alone in knee osteoarthritis.

Journal Article Clin Rheumatol · August 2019 INTRODUCTION: Recent research showed that physical activity (PA)-adjusted pain measures were more strongly associated with radiographic osteoarthritis (OA) severity than an unadjusted pain measure. This exploratory study examined whether PA-adjusted pain m ... Full text Link to item Cite

Pain coping skills training for African Americans with osteoarthritis: results of a randomized controlled trial.

Journal Article Pain · June 2019 African Americans bear a disproportionate burden of osteoarthritis (OA), but they have been underrepresented in trials of behavioral interventions for pain. This trial examined a culturally tailored pain coping skills training (CST) program, compared to a ... Full text Link to item Cite

STepped exercise program for patients with knee OsteoArthritis (STEP-KOA): protocol for a randomized controlled trial.

Journal Article BMC Musculoskelet Disord · May 28, 2019 BACKGROUND: Physical therapy (PT) and other exercise-based interventions are core components of care for knee osteoarthritis (OA), but both are underutilized, and some patients have limited access to PT services. This clinical trial is examining a STepped ... Full text Open Access Link to item Cite

Fall Risk and Utilization of Balance Training for Adults With Symptomatic Knee Osteoarthritis: Secondary Analysis From a Randomized Clinical Trial.

Journal Article J Geriatr Phys Ther · 2019 BACKGROUND AND PURPOSE: Knee osteoarthritis (KOA) is a common disease that hinders activity participation in older adults. Associated symptoms and physiological changes can increase risk of falling in individuals with KOA. Balance training can decrease fal ... Full text Link to item Cite

A pilot study examining activity monitor use in older adults with heart failure during and after hospitalization.

Journal Article Geriatr Nurs · 2019 Our study examined feasibility and acceptability of continuous objective activity monitoring during hospitalization and after discharge in older adults with heart failure. Recruitment rate was 49.2% of eligible patients with a 93.1% retention rate. Twenty- ... Full text Link to item Cite

Implementing a Mandated Program Across a Regional Health Care System: A Rapid Qualitative Assessment to Evaluate Early Implementation Strategies.

Journal Article Qual Manag Health Care · 2019 BACKGROUND: Rapid qualitative assessment was used to describe early strategies to implement an evidence-based walking program for hospitalized older adults, assiSTed eaRly mobIlity for hospitalizeD older vEterans (STRIDE), mandated by a regional Department ... Full text Link to item Cite

Early Mobility in the Hospital: Lessons Learned from the STRIDE Program.

Journal Article Geriatrics (Basel) · December 2018 Immobility during hospitalization is widely recognized as a contributor to deconditioning, functional loss, and increased need for institutional post-acute care. Several studies have demonstrated that inpatient walking programs can mitigate some of these n ... Full text Open Access Link to item Cite

Contributions of symptomatic osteoarthritis and physical function to incident cardiovascular disease.

Journal Article BMC Musculoskelet Disord · November 10, 2018 BACKGROUND: Osteoarthritis (OA) is associated with worsening physical function and a high prevalence of comorbid health conditions. In particular, cardiovascular disease (CVD) risk is higher in individuals with OA than the general population. Limitations i ... Full text Link to item Cite

The impact of wearable motion sensing technology on physical activity in older adults.

Journal Article Exp Gerontol · October 2, 2018 BACKGROUND AND PURPOSE: Physical activity provides substantial health benefits. Older adults are less physically active than the rest of the population, and interventions that promote physical activity are needed. In this meta-analysis, we investigate how ... Full text Link to item Cite

Pain coping skills training for African Americans with osteoarthritis study: baseline participant characteristics and comparison to prior studies.

Journal Article BMC Musculoskelet Disord · September 19, 2018 BACKGROUND: The Pain Coping Skills Training for African Americans with OsteoaRTthritis (STAART) trial is examining the effectiveness of a culturally enhanced pain coping skills training (CST) program for African Americans with osteoarthritis (OA). This dis ... Full text Link to item Cite

Demographic and Clinical Factors Associated With Nonsurgical Osteoarthritis Treatment Among Patients in Outpatient Clinics.

Journal Article Arthritis Care Res (Hoboken) · August 2018 OBJECTIVE: To identify patient demographic and clinical characteristics associated with osteoarthritis (OA) treatment use. METHODS: This was a secondary data analysis of 3 clinical trials among patients with hip or knee OA conducted in Duke Primary Care pr ... Full text Link to item Cite

Sociodemographic and Clinical Correlates of Physical Therapy Utilization in Adults With Symptomatic Knee Osteoarthritis.

Journal Article Phys Ther · August 1, 2018 BACKGROUND: Physical therapy is essential for conservative management of symptomatic knee osteoarthritis (OA). However, physical therapy utilization data are limited for knee OA. OBJECTIVE: The purpose of this study is to identify correlates of physical th ... Full text Link to item Cite

Utilization of complementary and integrative health services and opioid therapy by patients receiving Veterans Health Administration pain care.

Journal Article Complement Ther Med · August 2018 OBJECTIVES: The aims of the current study were to characterize veterans who used a complementary and integrative health (CIH) service in the Veterans Health Administration (VHA) and to assess the extent to which using a CIH-related service was associated w ... Full text Link to item Cite

Level of participation in physical therapy or an internet-based exercise training program: associations with outcomes for patients with knee osteoarthritis.

Journal Article BMC Musculoskelet Disord · July 19, 2018 BACKGROUND: To examine whether number of physical therapy (PT) visits or amount of use of an internet-based exercise training (IBET) program is associated with differential improvement in outcomes for participants with knee osteoarthritis (OA). METHODS: A ... Full text Link to item Cite

Changes in Physical Activity After Total Hip or Knee Arthroplasty: A Systematic Review and Meta-Analysis of Six- and Twelve-Month Outcomes.

Journal Article Arthritis Care Res (Hoboken) · June 2018 OBJECTIVE: Little is known about the extent to which physical activity (PA) levels change following total knee or hip joint replacement relative to pain, physical function, and quality of life. Our objective was to conduct a systematic review and meta-anal ... Full text Link to item Cite

A Research Agenda for Advancing Non-pharmacological Management of Chronic Musculoskeletal Pain: Findings from a VHA State-of-the-art Conference.

Journal Article J Gen Intern Med · May 2018 Chronic pain is widely prevalent among Veterans and can have serious negative consequences for functional status and quality of life among other domains. The Veterans Health Administration (VHA) convened a state-of-the-art (SOTA) conference to develop rese ... Full text Link to item Cite

Effects of a Home-Based Telephone-Supported Physical Activity Program for Older Adult Veterans With Chronic Low Back Pain.

Journal Article Phys Ther · May 1, 2018 BACKGROUND: Chronic low back pain (CLBP) is highly prevalent in older adults, leading to functional decline. OBJECTIVE: The objective of this study was to evaluate physical activity (PA) only and PA plus cognitive-behavioral therapy for pain (CBT-P) among ... Full text Link to item Cite

Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care.

Journal Article Rheumatology (Oxford) · May 1, 2018 A number of controversies and challenges exist for the management of OA in health care. This paper describes the challenges and gaps in OA care, particularly in relation to population health management, complex interventions and outcomes. It sets this in t ... Full text Link to item Cite

Supporting teams to optimize function and independence in Veterans: a multi-study program and mixed methods protocol.

Journal Article Implement Sci · April 20, 2018 BACKGROUND: Successful implementation of new clinical programs depends on effectively establishing, reorganizing, or enhancing team structures and processes to coordinate the work of individuals who are interdependent in their tasks, manage relationships, ... Full text Open Access Link to item Cite

Cognitive Mediators of Change in Physical Functioning in Response to a Multifaceted Intervention for Managing Osteoarthritis.

Journal Article Int J Behav Med · April 2018 PURPOSE: Although non-pharmacological interventions have been shown to improve physical functioning in individuals with osteoarthritis (OA), the mechanisms by which this occurs are often unclear. This study assessed whether changes in arthritis self-effica ... Full text Link to item Cite

Prevalence of and characteristics associated with insomnia and obstructive sleep apnea among veterans with knee and hip osteoarthritis.

Journal Article BMC Musculoskelet Disord · March 9, 2018 BACKGROUND: Few studies have examined patterns of specific sleep problems among individuals with osteoarthritis (OA). The primary objective of this study was to examine prevalence of symptoms of insomnia and obstructive sleep apnea (OSA) among Veterans wit ... Full text Open Access Link to item Cite

Physical therapy vs internet-based exercise training for patients with knee osteoarthritis: results of a randomized controlled trial.

Journal Article Osteoarthritis and cartilage · March 2018 ObjectiveTo compare the effectiveness of physical therapy (PT, evidence-based approach) and internet-based exercise training (IBET), each vs a wait list (WL) control, among individuals with knee osteoarthritis (OA).DesignRandomized contro ... Full text Cite

A feasibility study to develop and test a Spanish patient and provider intervention for managing osteoarthritis in Hispanic/Latino adults (PRIMO-Latino).

Journal Article Pilot Feasibility Stud · 2018 BACKGROUND: Arthritis affects approximately 50 million adults in the USA. Hispanics/Latinos have a higher prevalence of arthritis-attributed activity limitations primarily related to osteoarthritis (OA). Hispanic/Latinos are less likely to receive hip repl ... Full text Open Access Link to item Cite

Fear of Movement and Associated Factors Among Adults With Symptomatic Knee Osteoarthritis.

Journal Article Arthritis care & research · December 2017 ObjectiveTo examine the frequency of and factors associated with fear of movement (FOM) among patients with symptomatic knee osteoarthritis (KOA), using the new Brief Fear of Movement (BFOM) measure.MethodsParticipants (n = 350) enrolled ... Full text Cite

Physical Activity as a Vital Sign: A Systematic Review.

Journal Article Prev Chronic Dis · November 30, 2017 INTRODUCTION: Physical activity (PA) is strongly endorsed for managing chronic conditions, and a vital sign tool (indicator of general physical condition) could alert providers of inadequate PA to prompt counseling or referral. This systematic review exami ... Full text Link to item Cite

Blood Lead, Bone Turnover, and Survival in Amyotrophic Lateral Sclerosis.

Journal Article Am J Epidemiol · November 1, 2017 Blood lead and bone turnover may be associated with the risk of amyotrophic lateral sclerosis (ALS). We aimed to assess whether these factors were also associated with time from ALS diagnosis to death through a survival analysis of 145 ALS patients enrolle ... Full text Link to item Cite

Gaps in appropriate use of treatment strategies in osteoarthritis.

Journal Article Best Pract Res Clin Rheumatol · October 2017 Optimal management of osteoarthritis (OA) requires a combination of therapies, with behavioral (e.g., exercise and weight management) and rehabilitative components at the core, accompanied by pharmacological treatments and, in later stages, consideration o ... Full text Link to item Cite

Lifetime Risk of Symptomatic Hand Osteoarthritis: The Johnston County Osteoarthritis Project.

Journal Article Arthritis Rheumatol · June 2017 OBJECTIVE: Symptomatic hand osteoarthritis (OA) is a common condition that affects hand strength and function, and causes disability in activities of daily living. Prior studies have estimated that the lifetime risk of symptomatic knee OA is 45% and that o ... Full text Link to item Cite

Patient, Provider, and Combined Interventions for Managing Osteoarthritis in Primary Care: A Cluster Randomized Trial.

Journal Article Ann Intern Med · March 21, 2017 BACKGROUND: A single-site study showed that a combined patient and provider intervention improved outcomes for patients with knee osteoarthritis, but it did not assess separate effects of the interventions. OBJECTIVE: To examine whether patient-based, prov ... Full text Open Access Link to item Cite

Body Mass Index and Amyotrophic Lateral Sclerosis: A Study of US Military Veterans.

Journal Article Am J Epidemiol · March 1, 2017 Amyotrophic lateral sclerosis (ALS) may be associated with low body mass index (BMI) at the time of diagnosis. However, the role of premorbid BMI in the development of ALS and survival after diagnosis remains unclear. In 2005-2010, we interviewed 467 patie ... Full text Link to item Cite

The Impact of Interventions that Integrate Accelerometers on Physical Activity and Weight Loss: A Systematic Review.

Journal Article Ann Behav Med · February 2017 BACKGROUND: Regular physical activity is important for improving and maintaining health, but sedentary behavior is difficult to change. Providing objective, real-time feedback on physical activity with wearable motion-sensing technologies (activity monitor ... Full text Link to item Cite

Taking ACTION to reduce pain: ACTION study rationale, design and protocol of a randomized trial of a proactive telephone-based coaching intervention for chronic musculoskeletal pain among African Americans.

Journal Article BMC Musculoskelet Disord · January 13, 2017 BACKGROUND: Rates of chronic pain are rising sharply in the United States and worldwide. Presently, there is evidence of racial disparities in pain treatment and treatment outcomes in the United States but few interventions designed to address these dispar ... Full text Link to item Cite

Musculoskeletal Health: Addressing the Leading Causes of Disability.

Journal Article N C Med J · 2017 Musculoskeletal conditions are not only the most common group of chronic health problems in our country, but they have a profound impact on critical domains of health including pain, disability, work participation, mental health, and potentially mortality. ... Full text Link to item Cite

Military service, deployments, and exposures in relation to amyotrophic lateral sclerosis survival.

Journal Article PLoS One · 2017 BACKGROUND: Military veterans may have higher rates of amyotrophic lateral sclerosis (ALS) mortality than non-veterans. Few studies, with sparse exposure information and mixed results, have studied relationships between military-related factors and ALS sur ... Full text Link to item Cite

Clinical algorithms to aid osteoarthritis guideline dissemination.

Journal Article Osteoarthritis Cartilage · September 2016 BACKGROUND: Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendat ... Full text Link to item Cite

Pain coping skills training for African Americans with osteoarthritis (STAART): study protocol of a randomized controlled trial.

Journal Article BMC Musculoskelet Disord · August 23, 2016 BACKGROUND: African Americans bear a disproportionate burden of osteoarthritis (OA), with higher prevalence rates, more severe pain, and more functional limitations. One key barrier to addressing these disparities has been limited engagement of African Ame ... Full text Link to item Cite

Internet Versus DVD Decision Aids for Hip and Knee Osteoarthritis.

Journal Article Musculoskeletal Care · June 2016 INTRODUCTION: Decision aids (DAs) can improve multiple decision-making outcomes, but it is not known whether different formats of delivery differ in their effectiveness or acceptability. The present study compared the effectiveness and acceptability of int ... Full text Link to item Cite

Osteoarthritis: Models for appropriate care across the disease continuum.

Journal Article Best Pract Res Clin Rheumatol · June 2016 Osteoarthritis (OA) is a leading cause of pain and disability worldwide. Despite the existence of evidence-based treatments and guidelines, substantial gaps remain in the quality of OA management. There is underutilization of behavioral and rehabilitative ... Full text Link to item Cite

Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial.

Journal Article Phys Ther · May 2016 BACKGROUND: Efficient approaches are needed for delivering nonpharmacological interventions for management of knee osteoarthritis (OA). OBJECTIVE: This trial compared group-based versus individual physical therapy interventions for management of knee OA. D ... Full text Open Access Link to item Cite

Military service, deployments, and exposures in relation to amyotrophic lateral sclerosis etiology.

Journal Article Environ Int · May 2016 BACKGROUND: Factors underlying a possible excess of amyotrophic lateral sclerosis (ALS) among military veterans remain unidentified. Limitations of previous studies on this topic include reliance on ALS mortality as a surrogate for ALS incidence, low stati ... Full text Link to item Cite

Blood levels of trace metals and amyotrophic lateral sclerosis.

Journal Article Neurotoxicology · May 2016 Some trace metals may increase risk of amyotrophic lateral sclerosis (ALS), whereas others may be beneficial. Our goal was to examine associations of ALS with blood levels of selenium (Se), zinc (Zn), copper (Cu), and manganese (Mn). We conducted a case-co ... Full text Link to item Cite

A Combined Patient and Provider Intervention for Management of Osteoarthritis in Veterans: A Randomized Clinical Trial.

Journal Article Ann Intern Med · January 19, 2016 BACKGROUND: Management of osteoarthritis requires both medical and behavioral strategies, but some recommended therapies are underused. OBJECTIVE: To examine the effectiveness of a combined patient and provider intervention for improving osteoarthritis out ... Full text Open Access Link to item Cite

Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis.

Journal Article Semin Arthritis Rheum · October 2015 PURPOSE: Although many treatment guidelines exist for hip and knee osteoarthritis (OA), uptake in clinical practice is typically low. Valid patient-reported outcome measures (PROs) that can be easily used in the clinic could aid implementation and evaluati ... Full text Link to item Cite

Physical therapy vs. internet-based exercise training (PATH-IN) for patients with knee osteoarthritis: study protocol of a randomized controlled trial.

Journal Article BMC Musculoskelet Disord · September 28, 2015 BACKGROUND: Physical activity improves pain and function among individuals with knee osteoarthritis (OA), but most people with this condition are inactive. Physical therapists play a key role in helping people with knee OA to increase appropriate physical ... Full text Link to item Cite

The association of comorbid conditions with patient-reported outcomes in Veterans with hip and knee osteoarthritis.

Conference Clin Rheumatol · August 2015 There is limited understanding of how comorbid health conditions affect osteoarthritis (OA)-related outcomes. This study examined associations of different comorbidity measures with baseline OA-related patient-reported outcomes (PROs) among patients with h ... Full text Link to item Cite

Pilot study of massage in veterans with knee osteoarthritis.

Journal Article J Altern Complement Med · June 2015 OBJECTIVES: To (1) assess the feasibility and acceptability of Swedish massage among Department of Veterans Affairs (VA) health care users with knee osteoarthritis (OA) and (2) collect preliminary data on efficacy of Swedish massage in this patient group. ... Full text Link to item Cite

State of the evidence.

Journal Article Curr Opin Rheumatol · May 2015 PURPOSE OF REVIEW: This review focuses on recent studies of osteoarthritis epidemiology, including research on prevalence, incidence, and a broad array of potential risk factors at the person level and joint level. RECENT FINDINGS: Studies continue to illu ... Full text Link to item Cite

OARSI Clinical Trials Recommendations: Design and conduct of implementation trials of interventions for osteoarthritis.

Journal Article Osteoarthritis Cartilage · May 2015 Rigorous implementation research is important for testing strategies to improve the delivery of effective osteoarthritis (OA) interventions. The objective of this manuscript is to describe principles of implementation research, including conceptual framewo ... Full text Link to item Cite

Associations of coping strategies with diary based pain variables among Caucasian and African American patients with osteoarthritis.

Journal Article Int J Behav Med · February 2015 PURPOSE: The purposes of this study are to examine the associations between pain coping strategies and daily diary-based pain measures and to determine whether these associations differed by race (African American and Caucasian). METHODS: Primary care pati ... Full text Link to item Cite

Clinic variation in recruitment metrics, patient characteristics and treatment use in a randomized clinical trial of osteoarthritis management.

Journal Article BMC Musculoskelet Disord · December 6, 2014 BACKGROUND: The Patient and PRovider Interventions for Managing Osteoarthritis (OA) in Primary Care (PRIMO) study is one of the first health services trials targeting OA in a multi-site, primary care network. This multi-site approach is important for asses ... Full text Open Access Link to item Cite

Approaches for informing optimal dose of behavioral interventions.

Journal Article Ann Behav Med · December 2014 BACKGROUND: There is little guidance about to how select dose parameter values when designing behavioral interventions. PURPOSE: The purpose of this study is to present approaches to inform intervention duration, frequency, and amount when (1) the investig ... Full text Link to item Cite

Arthritis among veterans - United States, 2011-2013.

Journal Article MMWR Morb Mortal Wkly Rep · November 7, 2014 Arthritis is among the most common chronic conditions among veterans and is more prevalent among veterans than nonveterans. Contemporary population-based estimates of arthritis prevalence among veterans are needed because previous population-based studies ... Link to item Cite

Race and sex differences in willingness to undergo total joint replacement: the Johnston County Osteoarthritis Project.

Journal Article Arthritis Care Res (Hoboken) · August 2014 OBJECTIVE: Using data from the community-based Johnston County Osteoarthritis Project, we examined race and sex variations in willingness to undergo, and perceptions regarding, total joint replacement (TJR). METHODS: Analyses were conducted for the total s ... Full text Link to item Cite

A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative.

Journal Article Semin Arthritis Rheum · June 2014 PURPOSE: Although a number of osteoarthritis (OA) management guidelines exist, uptake has been suboptimal. Our aim was to review and critically evaluate existing OA management guidelines to better understand potential issues and barriers. METHODS: A system ... Full text Link to item Cite

The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis.

Journal Article J Phys Act Health · March 2014 BACKGROUND: Physical and psychological symptoms limit physical activity for people with arthritis. This study examined if self-efficacy mediated a relationship between symptom and physical activity (PA) frequency change. METHODS: This was a secondary analy ... Full text Link to item Cite

Differences in effectiveness of the active living every day program for older adults with arthritis.

Journal Article J Aging Phys Act · October 2013 OBJECTIVE: The authors explored whether demographic and psychosocial variables predicted differences in physical activity for participants with arthritis in a trial of Active Living Every Day (ALED). METHOD: Participants (N = 280) from 17 community sites w ... Full text Link to item Cite

Differences in osteoarthritis self-management support intervention outcomes according to race and health literacy.

Journal Article Health Educ Res · June 2013 We explored whether the effects of a telephone-based osteoarthritis (OA) self-management support intervention differed by race and health literacy. Participants included 515 veterans with hip and/or knee OA. Linear mixed models assessed differential effect ... Full text Open Access Link to item Cite

Predictors of fatigue in patients with hip and knee osteoarthritis

Conference Osteoarthritis and Cartilage · April 2013 Full text Cite

Group physical therapy for veterans with knee osteoarthritis: study design and methodology.

Journal Article Contemp Clin Trials · March 2013 Featured Publication Physical therapy (PT) is a key component of treatment for knee osteoarthritis (OA) and can decrease pain and improve function. Given the expected rise in prevalence of knee OA and the associated demand for treatment, there is a need for models of care that ... Full text Open Access Link to item Cite

A comprehensive review of the effectiveness of different exercise programs for patients with osteoarthritis.

Journal Article Phys Sportsmed · November 2012 Exercise is recommended as a first-line conservative intervention approach for osteoarthritis (OA). A wide range of exercise programs are available and scientific evidence is necessary for choosing the optimal strategy of treatment for each patient. The pu ... Full text Link to item Cite

Non-pharmacological treatments for hip and knee osteoarthritis

Journal Article European Musculoskeletal Review · October 3, 2012 Osteoarthritis (OA) is a major cause of pain and disability, and its prevalence and burden on healthcare systems are expected to increase substantially in the next several decades. While pain medications are a mainstay of OA treatment, there is ample evide ... Cite

Mixed-effects regression modeling of real-time momentary pain assessments in osteoarthritis (OA) patients

Journal Article Health Services and Outcomes Research Methodology · June 1, 2012 Mixed-effects regression models have extraordinary capacity to capture the essence of complex longitudinal data. In this paper we present analyses from a longitudinal study on 157 patients with osteoarthritis (OA) where real-time momentary self-reported pa ... Full text Cite

Patient and provider interventions for managing osteoarthritis in primary care: protocols for two randomized controlled trials.

Journal Article BMC Musculoskelet Disord · April 24, 2012 Featured Publication BACKGROUND: Osteoarthritis (OA) of the hip and knee are among the most common chronic conditions, resulting in substantial pain and functional limitations. Adequate management of OA requires a combination of medical and behavioral strategies. However, some ... Full text Open Access Link to item Cite

Racial differences in knee osteoarthritis pain: potential contribution of occupational and household tasks.

Journal Article J Rheumatol · February 2012 Featured Publication OBJECTIVE: We examined whether occupational and household tasks contributed to differences in pain between African Americans and whites with radiographic knee osteoarthritis (OA). METHODS: Participants from the Johnston County Osteoarthritis Project self-r ... Full text Link to item Cite

Physical Activity and Frequent Sleep Insufficiency Among US Adults with Arthritis

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2012 Cite

Participant evaluation of a telephone-based osteoarthritis self-management program, 2006-2009.

Journal Article Prev Chronic Dis · 2012 Featured Publication INTRODUCTION: Self-management support interventions can help improve osteoarthritis outcomes but are underused. Little is known about how participants evaluate the helpfulness of these programs. We describe participants' evaluations of a telephone-based, o ... Open Access Link to item Cite

Physical Activity and Frequent Sleep Insufficiency Among US Adults with Arthritis

Conference Medicine & Science in Sports & Exercise · May 2011 Full text Cite

Performance of global assessments of hip, knee, and back symptom change.

Journal Article Clin Rheumatol · March 2011 The objective of this study is to compare patients' global assessments of change in knee, hip, and back symptoms with actual changes over time in pain, function, and radiographic severity. The participants (n = 894, 80% female, mean age = 66 years) complet ... Full text Link to item Cite

Central pain contributions in osteoarthritis: next steps for improving recognition and treatment?

Journal Article Arthritis Res Ther · 2011 There is increasing recognition that central pain sensitivity plays an important role in pain severity among patients with osteoarthritis. Murphy and colleagues identified clusters of patients with osteoarthritis according to pain severity and accompanying ... Full text Link to item Cite

Physical activity and adherence

Journal Article · December 1, 2010 There is abundant evidence supporting the health benefits of physical activity, including reduced risk for cardiovascular disease, stroke, some cancers, type 2 diabetes, osteoporosis, hypertension, high cholesterol, obesity, osteoarthritis, and all-cause m ... Full text Cite

Telephone-based self-management of osteoarthritis: A randomized trial.

Journal Article Ann Intern Med · November 2, 2010 Featured Publication BACKGROUND: Osteoarthritis is a leading cause of pain and disability, and self-management behaviors for osteoarthritis are underutilized. OBJECTIVE: To examine the effectiveness of a telephone-based self-management intervention for hip or knee osteoarthrit ... Full text Open Access Link to item Cite

Hazard of incident and progressive knee and hip radiographic osteoarthritis and chronic joint symptoms in individuals with and without limb length inequality.

Journal Article J Rheumatol · October 2010 OBJECTIVE: To examine the hazard of incident and progressive radiographic osteoarthritis (rOA) and chronic joint symptoms at the hip and knee by limb length inequality (LLI) in a large, community-based sample. METHODS: A longitudinal cohort completed basel ... Full text Link to item Cite

Racial and ethnic disparities in osteoarthritis phenotypes.

Journal Article Curr Opin Rheumatol · September 2010 PURPOSE OF REVIEW: This paper summarizes previous research regarding how osteoarthritis varies across racial groups, including differences in prevalence and radiographic features and differences in pain and function. RECENT FINDINGS: Regarding the prevalen ... Full text Link to item Cite

Comparison of pain measures among patients with osteoarthritis.

Journal Article J Pain · June 2010 Featured Publication UNLABELLED: This study compared recalled average pain, assessed at the end of the day, with the average of real-time pain ratings recorded throughout the day among patients with osteoarthritis (OA). Participants (N = 157) with hand, hip, or knee OA complet ... Full text Link to item Cite

Association between blood lead and the risk of amyotrophic lateral sclerosis.

Journal Article Am J Epidemiol · May 15, 2010 The authors conducted a 2003-2007 case-control study including 184 cases and 194 controls to examine the association between blood lead and the risk of amyotrophic lateral sclerosis (ALS) among US veterans and to explore the influence on this association o ... Full text Link to item Cite

Association of ALS with head injury, cigarette smoking and APOE genotypes.

Journal Article J Neurol Sci · April 15, 2010 OBJECTIVE: An increased risk of ALS has been reported for US veterans, but the cause is unknown. Since head injury and cigarette smoking are two previously implicated environmental risk factors that are more common in military than civilian study populatio ... Full text Link to item Cite

Associations of occupational tasks with knee and hip osteoarthritis: the Johnston County Osteoarthritis Project.

Journal Article J Rheumatol · April 2010 Featured Publication OBJECTIVE: This cross-sectional study examined associations of occupational tasks with radiographic and symptomatic osteoarthritis (OA) in a community-based sample. METHODS: Participants from the Johnston County Osteoarthritis Project (n = 2729) self-repor ... Full text Link to item Cite

Racial differences in osteoarthritis pain and function: potential explanatory factors.

Journal Article Osteoarthritis Cartilage · February 2010 Featured Publication OBJECTIVE: This study examined factors underlying racial differences in pain and function among patients with hip and/or knee osteoarthritis (OA). METHODS: Participants were n=491 African Americans and Caucasians enrolled in a clinical trial of telephone-b ... Full text Link to item Cite

Time to diagnosis in the National Registry of Veterans with Amyotrophic Lateral Sclerosis.

Journal Article Amyotroph Lateral Scler · 2010 Our objective was to determine the interval from symptom onset to diagnosis, and to evaluate associated factors in a cohort of U.S. Veterans with motor neuron diseases. We retrospectively evaluated 1359 patients enrolled in the National Registry of Veteran ... Full text Link to item Cite

Daily pain variations among patients with hand, hip, and knee osteoarthritis.

Journal Article Osteoarthritis Cartilage · October 2009 Featured Publication OBJECTIVE: This study examined within-day osteoarthritis (OA)-related pain patterns and associated patient characteristics. METHODS: Participants with physician diagnoses and self-reported symptoms of hand (N=40), hip (N=32), and knee (N=85) OA recorded pa ... Full text Link to item Cite

Racial differences in self-reported pain and function among individuals with radiographic hip and knee osteoarthritis: the Johnston County Osteoarthritis Project.

Journal Article Osteoarthritis Cartilage · September 2009 Featured Publication OBJECTIVE: This study compared pain and function among African Americans and Caucasian with radiographic hip and/or knee osteoarthritis (OA), controlling for radiographic severity and other patient characteristics. METHODS: Participants were 1368 individua ... Full text Link to item Cite

Symptoms of the knee and hip in individuals with and without limb length inequality.

Journal Article Osteoarthritis Cartilage · May 2009 OBJECTIVE: This cross-sectional study examined the association of limb length inequality (LLI) with chronic joint symptoms at the hip and knee in a large, community-based sample, adjusting for the presence of radiographic osteoarthritis (OA) and other conf ... Full text Link to item Cite

Clinical aspects of ALS in Gulf War veterans.

Journal Article Amyotroph Lateral Scler · February 2009 The increased incidence of ALS in military veterans of the first Persian Gulf War raised speculation that they may have a 'Persian Gulf' variant of ALS with atypical clinical features. Medical records of military veterans with ALS, previously identified in ... Full text Link to item Cite

Factors associated with survival in the National Registry of Veterans with ALS.

Journal Article Amyotroph Lateral Scler · 2009 The clinical course of patients with ALS is highly variable. While the median survival time from symptom onset is 2-4 years, there are reports of survival ranging from less than a year to more than 40 years. Such variability makes planning difficult for pa ... Full text Link to item Cite

Spatial analysis of the etiology of amyotrophic lateral sclerosis among 1991 Gulf War veterans.

Journal Article Neurotoxicology · November 2008 BACKGROUND: Veterans of the 1991 Gulf War have an increased risk of amyotrophic lateral sclerosis (ALS), but the etiology is unknown. OBJECTIVES: This study sought to identify geographic areas with elevated risk for the later development of ALS among milit ... Full text Link to item Cite

Racial differences in sleep medication use: a cross-sectional study of the Johnston County Osteoarthritis Project.

Journal Article Ann Pharmacother · September 2008 BACKGROUND: Little is known about racial differences in the use of sleep medications. OBJECTIVES: To compare sleep medication use among African Americans and whites with self-reported current sleep problems. METHODS: Participants were 1910 individuals (69% ... Full text Link to item Cite

Within-day pain variations among patients with osteoarthritis

Conference ARTHRITIS AND RHEUMATISM · September 1, 2008 Link to item Cite

The Self-Management of OsteoArthritis in Veterans (SeMOA) Study: design and methodology.

Journal Article Contemp Clin Trials · July 2008 BACKGROUND: Osteoarthritis (OA) is a leading cause of disability among adults. Although self-management behaviors such as exercise and weight management can improve pain and function, these behaviors are vastly underutilized. There is a need to implement e ... Full text Link to item Cite

Osteoarthritis and sleep: the Johnston County Osteoarthritis Project.

Journal Article J Rheumatol · June 2008 Featured Publication OBJECTIVE: Little is known about the association of symptomatic osteoarthritis (OA) with sleep disturbance. We compared the prevalence and severity of current sleep problems among individuals with and without symptomatic hip or knee OA in a large, communit ... Link to item Cite

Amyotrophic lateral sclerosis among 1991 Gulf War veterans: evidence for a time-limited outbreak.

Journal Article Neuroepidemiology · 2008 BACKGROUND: In follow-up to recent reports of an elevated risk of amyotrophic lateral sclerosis (ALS) among 1991 Gulf War veterans, we analyzed the distribution of disease onset times to determine whether the excess risk was time limited. METHODS: This sec ... Full text Link to item Cite

Genes and Environmental Exposures in Veterans with Amyotrophic Lateral Sclerosis: the GENEVA study. Rationale, study design and demographic characteristics.

Journal Article Neuroepidemiology · 2008 Recent reports of a potentially increased risk of amyotrophic lateral sclerosis (ALS) for veterans deployed to the 1990-1991 Persian Gulf War prompted the Department of Veterans Affairs to establish a National Registry of Veterans with ALS, charged with th ... Full text Link to item Cite

The National Registry of Veterans with amyotrophic lateral sclerosis.

Journal Article Neuroepidemiology · 2008 BACKGROUND: The Department of Veterans Affairs (VA) Cooperative Studies Program has established a National Registry of Veterans with Amyotrophic Lateral Sclerosis (ALS). This article describes the objectives, methods, and sample involved in the registry. M ... Full text Link to item Cite

Characteristics associated with participation in DNA banking: The National Registry of Veterans with ALS.

Journal Article Contemp Clin Trials · September 2007 OBJECTIVE: Characteristics that may influence participation in DNA banks are not well defined. The purpose of this study was to examine characteristics associated with participation in a DNA bank among veterans diagnosed with Amyotrophic Lateral Sclerosis ... Full text Link to item Cite

Validity and factor structure of the AUSCAN Osteoarthritis Hand Index in a community-based sample.

Journal Article Osteoarthritis Cartilage · July 2007 OBJECTIVE: The AUStralian CANadian Osteoarthritis Hand Index (AUSCAN) is a self-report assessment of hand pain, stiffness, and function. Prior studies have examined its validity in small clinical samples and family-based samples. This study examined measur ... Full text Link to item Cite

Relationship of limb length inequality with radiographic knee and hip osteoarthritis.

Journal Article Osteoarthritis Cartilage · July 2007 OBJECTIVE: This study examined the relationship of limb length inequality (LLI) with radiographic hip and knee osteoarthritis (OA) in a large, community-based sample. METHODS: The total study group comprised 926 participants with radiographic knee OA, 796 ... Full text Link to item Cite

Gender differences in health care utilization among veterans with chronic pain.

Journal Article J Gen Intern Med · February 2007 BACKGROUND: Previous research reports that 48% of veterans regularly experience and express concern over pain. Outpatient service use is higher for veterans with pain than for veterans without pain. Our study objective was to identify differences in outpat ... Full text Link to item Cite

Relationship of global assessment of change to AUSCAN and pinch and grip strength among individuals with hand osteoarthritis.

Journal Article Osteoarthritis Cartilage · December 2006 OBJECTIVE: This study assessed the utility and construct validity of a new patient global assessment of symptom change for hand osteoarthritis (OA) by examining its associations with change over time in grip strength, pinch strength, and AUStralian CANadia ... Full text Link to item Cite

Relationship of limb length inequality with hip and knee osteoarthritis.

Conference ARTHRITIS AND RHEUMATISM · September 1, 2006 Link to item Cite

Pilot study of pain and coping among patients with osteoarthritis: a daily diary analysis.

Journal Article J Clin Rheumatol · June 2006 BACKGROUND AND OBJECTIVES: Few studies have examined patterns of pain and coping among patients with osteoarthritis (OA). This pilot study used a daily diary approach to examine pain and coping strategy use among white and nonwhite veterans with OA. METHOD ... Full text Link to item Cite

Gender differences in opioid prescription among veterans with chronic pain.

Journal Article JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2006 Link to item Cite

Validity, factor structure, and clinical relevance of the AUSCAN Osteoarthritis Hand Index.

Journal Article Arthritis Rheum · February 2006 OBJECTIVE: The Australian/Canadian (AUSCAN) Osteoarthritis Hand Index is a self-report assessment of pain, stiffness, and function in patients with hand osteoarthritis (OA). Small studies have confirmed the reliability, construct validity, and responsivene ... Full text Link to item Cite

Arthritis prevalence and symptoms among US non-veterans, veterans, and veterans receiving Department of Veterans Affairs Healthcare.

Journal Article J Rheumatol · February 2006 Featured Publication OBJECTIVE: . Studies suggest arthritis and rheumatic diseases are common among military veterans, but prior research has not directly compared arthritis between veterans and the general population. This study compared arthritis prevalence and symptoms betw ... Link to item Cite

Comparison of three comorbidity measures for predicting health service use in patients with osteoarthritis.

Journal Article Arthritis Rheum · October 15, 2005 OBJECTIVE: To compare the ability of 3 database-derived comorbidity scores, the Charlson Score, Elixhauser method, and RxRisk-V, in predicting health service use among individuals with osteoarthritis (OA). METHODS: The study population comprised 306 patien ... Full text Link to item Cite

Racial variations in self-reported osteoarthritis symptom severity among veterans.

Journal Article Aging Clin Exp Res · August 2005 BACKGROUND AND AIMS: This study aimed at examining factors related to osteoarthritis (OA) symptom severity in African American and Caucasian veterans (n=202). METHODS: OA symptom severity (lower extremity pain, stiffness, and physical function) was measure ... Full text Link to item Cite

Relationship of radiographic and clinical variables to pinch and grip strength among individuals with osteoarthritis.

Journal Article Arthritis Rheum · May 2005 OBJECTIVE: Little is known about how specific radiographic features are related to hand strength in osteoarthritis (OA). This study examined associations of radiographic variables with pinch and grip strength among individuals with radiographic hand OA. ME ... Full text Link to item Cite

Racial differences in analgesic/anti-inflammatory medication adherence among patients with osteoarthritis.

Journal Article Ethn Dis · 2005 OBJECTIVES: This study examined the prevalence of self-reported adherence to medications for osteoarthritis (OA) and racial differences in adherence. METHODS: This was a cross-sectional survey of 156 Black and White veterans who were taking medications for ... Link to item Cite

Racial/ethnic variations in non-steroidal anti-inflammatory drug (NSAID) use among patients with osteoarthritis.

Journal Article Pharmacoepidemiol Drug Saf · October 2004 PURPOSE: Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed drugs for the treatment of osteoarthritis (OA). While there are documented racial differences in the use of opioid analgesics, little is known about racial differences ... Full text Link to item Cite

Racial differences in analgesic/anti-inflammatory medication use and perceptions of efficacy.

Journal Article J Natl Med Assoc · July 2004 BACKGROUND AND OBJECTIVE: Pharmacotherapy is a key component to osteoarthritis (OA) treatment. Research has shown important racial differences in pain thresholds and perceptions, but little is known about racial variations in responses to pain medications. ... Link to item Cite

Health-related quality of life and health service use among older adults with osteoarthritis.

Journal Article Arthritis Rheum · June 15, 2004 OBJECTIVE: To examine the relationship between health-related quality of life (HRQOL) and health service use among older adults with osteoarthritis (OA). METHODS: Subjects were 9,043 Medicare-enrolled survey respondents with a prior International Classific ... Full text Link to item Cite

Health-related quality of life among older adults with arthritis.

Journal Article Health Qual Life Outcomes · January 13, 2004 BACKGROUND: Health-related quality of life (HRQOL) is a key outcome in arthritis, but few population-based studies have examined the relationship of specific arthritic conditions, such as osteoarthritis (OA) and rheumatoid arthritis (RA) with HRQOL. METHOD ... Full text Link to item Cite

Nonsteroidal antiinflammatory drug use among patients with GI bleeding.

Journal Article Ann Pharmacother · 2004 BACKGROUND: Previous studies have suggested that recommended gastroprotective strategies such as gastroprotective agents (GPAs) and cyclooxygenase (COX) 2 inhibitors may be underutilized among individuals at risk for nonsteroidal antiinflammatory drug (NSA ... Full text Link to item Cite

Patterns of opioid analgesic prescription among patients with osteoarthritis.

Journal Article J Pain Palliat Care Pharmacother · 2004 This study describes patterns of opioid analgesic prescription during a one-year period among a sample of patients with osteoarthritis (OA). The study sample included 3,061 patients with prior ICD-9 codes indicating a diagnosis of OA who were treated at a ... Link to item Cite

Racial and ethnic differences in osteoarthritis: prevalence, outcomes, and medical care.

Journal Article Ethn Dis · 2004 Osteoarthritis (OA) is the most common chronic condition and a leading cause of disability among older adults. Studies indicate there are important racial and ethnic differences in the prevalence of OA, as well as in the associated outcomes and medical car ... Link to item Cite

Gender differences in NSAID use among older adults with osteoarthritis.

Journal Article Ann Pharmacother · November 2003 BACKGROUND: Nonsteroidal antiinflammatory drugs (NSAIDs) are the most commonly prescribed medications for the treatment of osteoarthritis (OA). Little is known about whether there are important gender differences in NSAID use among patients with OA. OBJECT ... Full text Link to item Cite

Racial differences in health care utilization among patients with osteoarthritis.

Journal Article J Rheumatol · October 2003 OBJECTIVE: Research has identified racial variations in certain aspects of osteoarthritis (OA) related medical care. We compared health services utilization between African American and white veteran outpatients with OA. METHODS: Subjects were 1612 white a ... Link to item Cite

Use of non-pharmacological therapies among patients with osteoarthritis.

Journal Article Aging Clin Exp Res · October 2003 BACKGROUND AND AIMS: Non-pharmacological therapies are an important component of treatment for osteoarthritis (OA), but they may be under-used. This study examined the prevalence of self-reported use of common non-pharmacological therapies, as well as pati ... Full text Link to item Cite

Provider characteristics and mammography recommendation among women in their 40s and 50s.

Journal Article J Womens Health (Larchmt) · 2003 OBJECTIVES: Healthcare provider recommendation for mammography is one of the strongest predictors of women's mammography use, but few studies have examined the association of provider characteristics with mammography recommendations. We examined the relati ... Full text Link to item Cite

Relationship of health-related quality of life to health care utilization and mortality among older adults.

Journal Article Aging Clin Exp Res · December 2002 BACKGROUND AND AIMS: This investigation examined the ability of a four-item Health-Related Quality of Life (HRQOL) scale to predict short-term (30-day) and long-term (1-year) physician visits, hospitalization, and mortality among older adults. METHODS: Sub ... Full text Link to item Cite

Predicting peak oxygen uptake among older patients with chronic illness.

Journal Article J Cardiopulm Rehabil · 1999 PURPOSE: To compare three equations developed to predict VO2 among patients diagnosed with one of two chronic diseases: essential hypertension (HTN), and fibromyalgia (FM). The equations included the American College of Sports Medicine (ACSM) equation, the ... Full text Link to item Cite