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September 17, 2020

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Chatbots Delivering Psychotherapy Help Decrease Opioid Use After Surgery

Patients who need surgery to fix major bone fractures use fewer opioid pills after their procedure if they’re reminded of six “core principles” that include: values, acceptance, present moment awareness, self-as-context, committed action, and diffusion. Two reminders were sent daily as text messages to their phones for two weeks after their procedure from an automated “chatbot.” Full story.

Medical Mindfulness: Virtual Reality Mindfulness Therapy for Anxiety and Pain Management in Patients With Acute and Chronic Pain

Adults and children undergoing medical care (inpatient or outpatient) often experience pain and anxiety either as a result of their medical condition or a side effect of medical procedures. The purpose of this study is to create a registry of patients using virtual reality (VR) mindfulness therapy through different aspects of their medical care to determine if VR mindfulness therapy is more effective than the standard of care (i.e., no technology based distraction) for treating or preventing anxiety and pain in adults and children suffering from chronic pain, GI conditions where pain is a common symptom, or undergoing any painful medical procedure (i.e. IV access, blood draws, endoscopy, surgery). The anticipated primary outcome will be reduction of pain and anxiety for both acute and chronic pain. Read the details.

Impaired Alcohol-Induced Dopamine Release in the Nucleus Accumbens in an Inflammatory Pain Model: Behavioral Implications in Male Rats

Recent studies have drawn the attention to the link between alcohol use disorder and the presence of pain. Indeed, the correct management of pain in patients with a previous history of alcohol use disorder has been reported to decrease the risk of relapse in alcohol drinking, suggesting that in this prone population, pain may increase the vulnerability to relapse. Read more.

Comparison of Patient-Reported Outcomes Measurement Information System and Legacy Instruments in Multiple Domains Among Older Veterans With Chronic Back Pain

Chronic low back pain (cLBP) results in significant physical, psycho-social and socioeconomic burden. Identifying efficient and reliable patient reported outcome measures is critical for research and clinical purposes. The NIH’s Patient Reported Outcomes Measurement Information System (PROMIS) instruments have not been compared to validated “legacy” instruments in older adults with cLBP. This study evaluates construct (convergent and discriminant) validity and time to complete (TTC) PROMIS as compared to legacy instruments. Read more.

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AAPM

American Academy of Pain Medicine