Bringing chronic-pain care to rural veterans: A telehealth pilot program description.
Open accessAbstract
Opioid-related harms disproportionately affect rural communities. Recent research-based policy changes have called for reductions in opioid prescribing and substitution of safe and effective alternatives to opioids for treating chronic pain, but such alternatives are often difficult to access in rural areas. Telehealth services can help address this disparity by bringing evidence-based, biopsychosocial chronic-pain services to rural and underserved patients with chronic pain. This article describes a 2-year pilot project for delivering chronic-pain care by pain specialists from central hubs at Veterans Health Administration (VA) medical centers to spokes at VA community-based outpatient clinics (CBOCs). The VA Puget Sound Pain Telehealth pilot program offered pain education classes, cognitive-behavioral therapy groups, opioid-safety education, and acupuncture education. The program delivered 501 encounters to patients from 1 hub to 4 CBOC spoke sites from 2016 to 2018, and supported training, administration, equipment acquisition, and grant-writing. The quality-improvement project was rolled out using existing local resources. We present initial findings about the patients who utilized Pain Telehealth, share lessons learned, and discuss future directions for expansion. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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The effectiveness of integrated interdisciplinary chronic pain programs on improving multi-dimensional pain outcomes is well-established in VA settings.
“The effectiveness of integrated interdisciplinary chronic pain programs on improving multi-dimensional pain outcomes is well-established in VA settings [32–36].”
From Benchmark findings from a veteran electronic patient-reported outcomes evaluation from a chronic pain management telehealth program (2024) · cites this paper as [33]
The Problem Description and Available Knowledge section says biopsychosocial treatments improve functional status and may be enhanced by a comprehensive interdisciplinary approach. It does not establish that integrated programs improve multidimensional pain outcomes specifically in VA settings. The Limitations section says this VA pilot could not support conclusions about its clinical utility. (LLM, conf=0.85)
Experimental — accuracy not yet measuredLimited data presented in this review suggests attrition is lower for services delivered using VC compared to in-person.
“Limited data presented here suggests attrition is lower for services delivered using VC compared to in-person [15,17].”
From Pain management programmes via video conferencing: a rapid review (2021) · cites this paper as [17]
Glynn and colleagues described implementation of a VC service using Quality Improvement methodology but did not report on any outcomes.
“Glynn and colleagues [17] describe the implementation of a VC service using Quality Improvement methodology (QI) but did not report on any outcomes.”
From Pain management programmes via video conferencing: a rapid review (2021) · cites this paper as [17]
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“Future research should focus on identifying patient profiles who will most/least benefit from the TelePain-EVP approach to pain management, compared to other TelePain management programs [33, 34] offered within the VA system.”
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- Authors
- Glynn, L. H., Chen, J. A., Dawson, T. C., Gelman, H., & Zeliadt, S. B.
- Affiliations
- VA Puget Sound Health Care System (US)
- Venue
- Psychological Services
- Published
- 2021-08
- Volume
- 18
- Issue
- 3
- Pages
- 310-318
- ISSN
- 1541-1559 (ISSN-L)
- 1939-148X
- PMC
- PMC7927421
- OpenAlex
- W3000548058
- Cited by
- 40
- References
- 49
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 10 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 3
- FWCI
- 4.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Services (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (I50 HX002902)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- chronic pain, telemedicine, rural veterans, opioid prescribing, opioid safety, cognitive behavioral therapy, acupuncture, pain education, Veterans Health Administration, community-based outpatient clinics, health disparities, quality improvement, pilot project
- MeSH terms
- Analgesics, Opioid, Humans, Practice Patterns, Physicians', Pilot Projects, Rural Population, Veterans, Program Development, Telemedicine, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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