The primary aim of our research over the past year has been to evaluate the efficacy of cognitive-behavioral treatments for arthritis pain. We are conducting two treatment outcome studies supported by grants from the National Institute of Arthritis, Musculoskeletal, and Skin Diseases. The first project, conducted with osteoarthritis patients, seeks to determine whether aerobic exercise training can enhance the effects of a cognitive behavior therapy (CBT) intervention for managing pain and disability. The CBT intervention is innovative in that it systematically involves spouses in training in pain coping skills. The second project, tests the long-term effectiveness of a relapse prevention training intervention. This study will feature the use of newly developed daily study methods to analyze the long-term effects of pain coping skills training on daily pain.
In addition, in conjunction with Lara Schanberg of the Department of Medicine we are carrying out a study funded by the Arthritis Foundation that examines the effects of a pain coping skills training regimen for pediatric fibromyalgia patients.
Finally, we are currently gathering pilot data for two new research projects. One project seeks to evaluate the efficacy of a cognitive behavior theapy and education intervention for managing pain in patients having breast cancer and prostate cancer. The second project examines the efficacy of patient controlled compression protocol in the management of pain during mammography.
Education and Training
- Ph.D., Ohio University, 1975
- M.S., Ohio State University, 1973
- B.A., Bowdoin College, 1971
Grants
- Persistent Post-Mastectomy Pain: Randomized Clinical Trial of Targeted Pain Coping Skills Training (Targeted-PCST) with Mediational Analysis
- An mHealth Symptom Management Intervention for Colorectal Cancer Patients
- A Mobile Health Behavioral Pain Intervention Protocol for Breast Cancer Patients with Pain in Medically Underserved Communities: A Randomized Controlled Trial
- Couple Communication Skills Training for Advanced Cancer
- Improving Symptom Management for Survivors of Young Adult Cancer
- Mindfulness and Cognitive Behavioral Therapy for Sleep in Cancer
- Duke Pain Early-phase Research Clinical Center (PERC)
- Improving Lung Transplant Outcomes with Coping Skills and Physical Activity
- Improving Veteran Access To Integrated Management of Chronic Back Pain (AIM Back)
- Using Very Low Nicotine Content Cigarettes as a Strategy to Disrupt the Pain-Smoking Reinforcement Cycle
- Pain Response Evaluation of a Combined Intervention to Cope Effectively (PRECICE)
- A Pragmatic Sequenced-strategy for Improving Outcomes in Patients with Knee Osteoarthritis Pain
- Tailored Non-Pharmacotherapy Services for Chronic Pain: Testing Scalable and Pragmatic Approaches
- Couple Communication in Cancer: A Multi-method Examination
- Meaning-Centered Pain Coping Skills Training for Patients with Advanced Cancer: A Randomized Pilot Trial
- Implementing and Evaluating mHealth Pain Coping Skills Training Interventions to Improve Self-management of Chronic Pain in Cancer Survivors in "Real World" Clinical Practice Settings
- Palliative Care Research Cooperative Group (PCRC) Refinement and Expansion
- Improving Adherence to Adjuvant Endocrine Therapy in Breast Cancer Patients
- UPENN Scientific and Data Research Center for the HOPE Consortium to Reduce Pain and Opioid Use in Hemodialysis
- Optimizing Delivery of a Behavioral Cancer Pain Intervention Using a SMART
- Resilience Measurement, Prediction, and its Role in Older Adults with Late Stage Lung Cancer