Evidence map›Paper›PMID 32908339›Full record

ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2020

Access to Pain Care From Compensation Clinics: A Relational Coordination Perspective.

Marc I Rosen, Steve Martino, John Sellinger, Christina M Lazar, Brenda T Fenton, Kristin Mattocks

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC
In one paragraph

Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03307967 (Engaging Veterans Seeking Service-Connection Payments in Pain Treatment), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03307967 nacompletednot on this map

Engaging Veterans Seeking Service-Connection Payments in Pain Treatment (PILOT)

TypeinterventionalSponsorYale UniversityRan2019 to 2019Enrolled40ConditionsSubstance Use Disorders, PainArmsSBIRT-PM
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Marc I Rosenis the Director of Addictions Firm, is the Chief of Psychology, is the Director of Clinical Health Psychology, is the Associate Director, Methods and Biostatistics Core, PRIME Center; all at VA Connecticut Healthcare System in West Haven. is the Associate Chief of Staff for Research at the VA Central Western Massachusetts Healthcare System in Leeds. Marc Rosen and Steve Martino are Professors of Psychiatry, John Sellinger is an Assistant Professor of Psychiatry, and is a Research Associate, all at Yale University in New Haven, Connecticut. Kristin Mattocks is an Associate Professor of Population and Quantitative Health Sciences at the University of Massachusetts Medical School in Worcester.
Steve Martinois the Director of Addictions Firm, is the Chief of Psychology, is the Director of Clinical Health Psychology, is the Associate Director, Methods and Biostatistics Core, PRIME Center; all at VA Connecticut Healthcare System in West Haven. is the Associate Chief of Staff for Research at the VA Central Western Massachusetts Healthcare System in Leeds. Marc Rosen and Steve Martino are Professors of Psychiatry, John Sellinger is an Assistant Professor of Psychiatry, and is a Research Associate, all at Yale University in New Haven, Connecticut. Kristin Mattocks is an Associate Professor of Population and Quantitative Health Sciences at the University of Massachusetts Medical School in Worcester.
John Sellingeris the Director of Addictions Firm, is the Chief of Psychology, is the Director of Clinical Health Psychology, is the Associate Director, Methods and Biostatistics Core, PRIME Center; all at VA Connecticut Healthcare System in West Haven. is the Associate Chief of Staff for Research at the VA Central Western Massachusetts Healthcare System in Leeds. Marc Rosen and Steve Martino are Professors of Psychiatry, John Sellinger is an Assistant Professor of Psychiatry, and is a Research Associate, all at Yale University in New Haven, Connecticut. Kristin Mattocks is an Associate Professor of Population and Quantitative Health Sciences at the University of Massachusetts Medical School in Worcester.
Christina M Lazaris the Director of Addictions Firm, is the Chief of Psychology, is the Director of Clinical Health Psychology, is the Associate Director, Methods and Biostatistics Core, PRIME Center; all at VA Connecticut Healthcare System in West Haven. is the Associate Chief of Staff for Research at the VA Central Western Massachusetts Healthcare System in Leeds. Marc Rosen and Steve Martino are Professors of Psychiatry, John Sellinger is an Assistant Professor of Psychiatry, and is a Research Associate, all at Yale University in New Haven, Connecticut. Kristin Mattocks is an Associate Professor of Population and Quantitative Health Sciences at the University of Massachusetts Medical School in Worcester.
Brenda T Fentonis the Director of Addictions Firm, is the Chief of Psychology, is the Director of Clinical Health Psychology, is the Associate Director, Methods and Biostatistics Core, PRIME Center; all at VA Connecticut Healthcare System in West Haven. is the Associate Chief of Staff for Research at the VA Central Western Massachusetts Healthcare System in Leeds. Marc Rosen and Steve Martino are Professors of Psychiatry, John Sellinger is an Assistant Professor of Psychiatry, and is a Research Associate, all at Yale University in New Haven, Connecticut. Kristin Mattocks is an Associate Professor of Population and Quantitative Health Sciences at the University of Massachusetts Medical School in Worcester.
Kristin Mattocksis the Director of Addictions Firm, is the Chief of Psychology, is the Director of Clinical Health Psychology, is the Associate Director, Methods and Biostatistics Core, PRIME Center; all at VA Connecticut Healthcare System in West Haven. is the Associate Chief of Staff for Research at the VA Central Western Massachusetts Healthcare System in Leeds. Marc Rosen and Steve Martino are Professors of Psychiatry, John Sellinger is an Assistant Professor of Psychiatry, and is a Research Associate, all at Yale University in New Haven, Connecticut. Kristin Mattocks is an Associate Professor of Population and Quantitative Health Sciences at the University of Massachusetts Medical School in Worcester.
VA Connecticut Healthcare System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Engaging Veterans Seeking Service-Connection Payments in Pain TreatmentUH3AT009758 · NCCIH · YALE UNIVERSITY · PI ROSEN, MARC I · 2019 to 2023
$5.2M
NCATS NIH HHS UL1 TR001863NCCIH NIH HHS U24 AT009769NCCIH NIH HHS UH3 AT009758
6 · The paper itself

Abstract

backgroundThe Compensation and Pension (C&P) determination process is a potential gateway to accessing pain treatment in the Veterans Health Administration (VHA). However, attitudes about C&P as a gateway and about collaboration with C&P clinics among VHA staff are unknown.

methodsIn preparation for an initiative to link veterans seeking compensation for musculoskeletal disorders to treatment, clinical and administrative staff from the 8 VHA medical centers in New England were invited to complete a relational coordination survey that examined how different workgroups collaborate (communication and relationships) to provide pain care to veterans. A subset of those staff also participated in a semistructured interview about pain treatment referral practices within their medical centers. VHA staff were from primary care, administration, pain management, and C&P teams.

resultsEighty-three VHA staff were invited to complete the relational coordination survey; 66 completed the survey and 39 participated in the semistructured interview. Most C&P staff interviewed thought of the compensation examination as a forensic process and that C&P-based efforts to engage veterans might interfere with the examination or were not their responsibility. However, some examiners described their efforts to determine new veterans' eligibility for VHA care and to connect them to specific treatments. VHA staff reported that there was little communication between the C&P team and other teams. The survey results supported this finding. The C&P group's relational coordination composite scores were lower than any other workgroup.

conclusionOutreach to veterans at New England C&P clinics was inconsistent, and C&P teams rated low on a measure of coordination with workgroups involved in pain treatment. Compensation examinations appear to be underused opportunities to help veterans access treatment. C&P-based treatment engagement is feasible; it is being done by some Compensation teams.

Identifiers

PMID32908339
PMCPMC7473717
OpenAlexW3048563976

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.