Evidence map›Paper›PMID 40193514›Full record

ArticlePsychological services2026

Treatment barriers and preferences among veterans with chronic musculoskeletal pain and alcohol use in primary care.

Katherine A Buckheit, Jacob Scharer, Travis A Loughran, Gregory P Beehler, Dezarie Moskal, Jennifer S Funderburk

Abstract read
In one paragraph

Article in Psychological services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The Association of Stigma and Alcohol Treatment Interest Among Women Veterans.Translational issues in psychological science · 2026
    Article
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.

Katherine A BuckheitVA Center for Integrated Healthcare, Syracuse VA Medical Center.ORCID 0000-0002-4406-3500
Jacob ScharerVA Center for Integrated Healthcare, Syracuse VA Medical Center.
Travis A LoughranVA Center for Integrated Healthcare, VA Western New York Healthcare System.
Gregory P BeehlerVA Center for Integrated Healthcare, VA Western New York Healthcare System.
Dezarie MoskalVA Center for Integrated Healthcare, VA Western New York Healthcare System.ORCID 0000-0002-4209-8881
Jennifer S FunderburkVA Center for Integrated Healthcare, Syracuse VA Medical Center.

Funding

Intramural VA VA999999US Department of Veterans Affairs; Center for Integrated HealthcareUS Department of Veterans Affairs; Office of Academic AffiliationsVA Western New York Healthcare System
6 · The paper itself

Abstract

Chronic pain and alcohol use commonly co-occur and are associated with considerable functional impairment. Many patients with chronic pain present to primary care, and integrated primary care may be well-suited to provide brief, behaviorally focused treatment. Little is known about behavioral health treatment barriers and preferences among primary care patients with chronic pain and alcohol use. Veterans enrolled in Veterans Health Administration primary care with a chronic musculoskeletal pain diagnosis and past-year alcohol use were identified via electronic medical record review and mailed a survey with measures of alcohol use, pain severity/interference, treatment preferences, and treatment barriers. Chi-square tests were used to identify statistically significant treatment preferences. Generalized linear models tested for differences in treatment barriers based on alcohol risk, and pain severity was tested as a moderator using the PROCESS macro in SPSS. Patients expressed preferences for individual, face-to-face treatment in primary care. Participants reported they were overall receptive to behavioral health treatment, with the exception of treatment for alcohol, tobacco, or other drug use. Differences based on alcohol risk were observed for readiness to change alcohol use and beliefs about the relationship between pain and alcohol. Pain severity was a significant moderator of the relationships between alcohol risk and pain readiness, beliefs about pain and alcohol, and overall alcohol treatment barriers. Treatment preferences were largely aligned with models of integrated primary care. The impact of barriers on treatment engagement may vary by a patient's degree of alcohol-related risk, and thus a range of treatment options should be considered. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Alcohol DrinkingAlcoholismChronic PainMusculoskeletal PainPatient PreferencePrimary Health CareVeteransAdultAgedFemaleHumansMaleMiddle AgedUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID40193514
PMCPMC12353766

What OpenQuestion holds

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Registered trials

None linked

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.