Overview
I work at the Duke Pain Medicine Clinic. It is a Multidisciplinary Clinic for management of chronic pain. We have providers in the field of pain management, physical therapy and medical psychology. In our Chronic Pain Program, as Director of Training we offer training to a group of students, interns and Fellows including Biofeedback and evaluations for Spinal Cord stimulator, DRG and Targeted Drug Delivery Systems.
Current Duke Appointments & Affiliations
Associate Professor in Psychiatry and Behavioral Sciences
·
2021 - Present
Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology,
Psychiatry & Behavioral Sciences
Affiliate of the Center for Biobehavioral Health Disparities Research
·
2014 - Present
Social Science Research Institute,
University Institutes and Centers
Recent Scholarly Works
Effectiveness of 2 behavioral interventions for voluntary opioid dosage reduction in patients prescribed high-dosage opioids for chronic pain.
Journal article Pain · June 1, 2026 Studies of behavioral interventions for opioid reduction, which have included individuals prescribed low-, moderate-, and high-dosage opioids for chronic noncancer pain, generally show small to no effect on opioid dosage. We compared the effectiveness of m ... Full text Open Access Link to item CiteEffectiveness of motivational interviewing plus cognitive behavioral therapy vs shared decision making for voluntary opioid tapering in patients with chronic pain: the INSPIRE randomized pragmatic trial.
Journal article Pain Med · August 1, 2025 OBJECTIVE: To compare the effectiveness of motivational interviewing plus cognitive behavioral therapy vs shared decision making on change in daily dosage of prescribed opioids for individuals with chronic non-cancer pain. DESIGN: Pragmatic randomized tria ... Full text Open Access Link to item CiteComplexities and approaches for deriving longitudinal daily morphine milligram equivalents using electronic health record prescription data.
Journal article JAMIA Open · June 2025 OBJECTIVE: To describe challenges and solutions for calculating longitudinal daily opioid dose in morphine milligram equivalents from electronic health record prescriptions for a clinical trial of voluntary opioid reduction in patients with chronic non-can ... Full text Open Access Link to item CiteRecent Grants
Integrated Health Services to Reduce Opioid Use While Managing Chronic Pain
ResearchPsychologist · Awarded by Research Triangle Institute International · 2018 - 2024View All Grants
Education
Carlos Albizu University ·
2004
Psy.D.
Carlos Albizu University ·
1998
M.S.